Epidemiology and injury pattern in blunt trauma abdomen in pediatric population: a two-year experience in a tertiary care institute of Kashmir, India

Abstract

Background: Blunt abdominal trauma is a frequent cause for presentation of children to the Emergency Department. Children are prone to sustain injuries to intra-abdominal organs after blunt abdominal trauma because of their peculiar body habitus and relatively immature musculoskeletal system. Objectives of this study is to assess the various epidemiological parameters that influences the causation of trauma as well as injury pattern in blunt trauma abdomen in pediatric population.Methods: The present observational hospital based prospective study was carried out in 96 blunt abdominal trauma patients of both sexes aged up to 12 years, over a period of 2 years. The parameters such as age group, sex, mode of trauma, type of injury, and the overall mortality as well as mortality were assessed.Results: The most common mode of injury was road traffic accidents (54.2%) followed by fall from height (41.70%). Splenic injury was the most common in 58.30%, followed by hepatic injuries 34.40% and renal injuries 12.50 %. The accuracy of ultrasonography (USG) was 83.33% while accuracy of computed tomography (CECT) as a diagnostic test was 93.33%. When comparing USG findings with operative findings sensitivity of USG was 88% with positive predictive value (PPV) of 91.66% while as specificity was 60% with negative predictive value (NPV) of 50%. Sensitivity of CT scan was 96.00% with PPV of 96.00% and specificity of CECT scan was 80.00% with NPV of 80.00%.Conclusions: The majority of pediatric injuries are preventable by knowing the epidemiology and pattern of pediatric trauma.

Combination of Focused Assessment With Sonography for Trauma (FAST) Scan and Detection of Hematuria to Exclude Intra-abdominal Injuries Following Blunt Abdominal Trauma

“…Males were shown to be more vulnerable to trauma; they represented 78% of BAT patients in this study. Similar figures (73-83%) were reported in the literature [9,11,[21][22][23]; however, slightly smaller figures (58-66%) were also reported in other studies [6,[24][25][26]. The mean age of BAT victims in this study was 32.1 years.…”

“…The most common mode of trauma (58%) was the RTC. It is always reported as the most frequent cause of BAT in both developing [26] and developed [1] countries. The second most common mode of trauma in most publications [9,28], similar to here, is fall (21.4%).…”

Paediatric blunt abdominal trauma with organ injury: a comprehensive analysis of cases at a tertiary hospital in Bangladesh

“…The amount of crushing, deforming, stretching, and shearing forces that cause blunt injuries depends on the rate of acceleration and deceleration as well as the direction of impact. 12 In the current investigation, chest injury was more frequently related (37.0%). This is not similar to other research done by Kulshrestha et al where thoracic injury was predominant.…”