Pattern and Outcome of Abdominal Injury Patients Admitted in AaBET Hosital, Addis Ababa, Ethiopia, 2020/2021

Abstract

Background Abdominal trauma is a major public health problem for all nations and all socioeconomic strata and associated with high morbidity and mortality in the world. Abdominal injury is classified as blunt and penetrating trauma. The main problems for inadequate treatment outcome are misdiagnosis and delayed arrival of patients to health institutions. Objective The aim of this study was to assess the pattern and outcome of abdominal trauma in AaBET hospital, Addis Ababa, Ethiopia from March 2021 to April 2021. Method: Institutional based retrospective cross-sectional study was conducted among abdominal trauma patients admitted in AaBET hospital emergency department from January 2018 to January 2021. Data was collected using a pre-tested structured checklist from patient`s chart review. The data was checked for its’ completeness and entered into Epi data version 3.1 then exported to SPSS version 25 software for analysis. Descriptive statistics and logistic regression models were used to describe frequency distribution and associations between independent variables respectively. Result Penetrating abdominal injury 58.9% was the greatest proportion of mechanism of abdominal injury. Stab injury 40(55.56%) was the major cause of penetrating injury. Road traffic accident 24(47.1%) was the commonest cause of blunt abdominal trauma. Bowel 41(62.1%) was the highly injured hollow viscous organ in penetrating abdominal trauma and liver 7(38.9%) was the commonest injured solid organ in blunt abdominal trauma. Conclusion Among 124 abdominally injured patient 10(8.1%) died. GCS < 9, post-operative hemodynamic complication, past medical history of illness and bowel evisceration were significantly associated with mortality.

Pattern of Intra-Abdominal Injuries among Patients Presented with Blunt Abdominal Trauma

“…The study underscores liver and spleen injuries as the most frequent in BAT patients, with RTAs identified as the leading cause. This conclusion not only aligns with the wider literature on trauma and BAT but also emphasizes the critical need for focused interventions to mitigate the impact of RTAs and improve trauma care, particularly in high-risk populations and regions (18)(19)(20).…”