Risk factors for mortality in blunt abdominal trauma with surgical approach

Pimentel, Silvânia Klug; Sawczyn, Guilherme; Mazepa, Melissa Mello; Rosa, Francielle França da; Nars, Adonis; Collaço, Iwan Augusto

doi:10.1590/0100-69912015004011

Cited by 19 publications

(33 citation statements)

References 19 publications

(20 reference statements)

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“…6 It is the most susceptible region to blunt injury and early diagnosis is important in order to prevent fatality. 7,8 Detailed anamnesis and clinical examination are usually recommended for the identification of the injury. 9 Nonetheless, nonoperative management is associated with a lower rate of success and increased risk of mortality.…”

Section: Introductionmentioning

confidence: 99%

<p>A Descriptive Study on the Usage of Exploratory Laparotomy for Trauma Patients</p>

Pooria

Pourya

2020

OAEM

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Objective: Laparotomy is commonly indicated in patients presenting blunt or penetrating trauma. This cross-sectional study is designed to evaluate the frequency and the causes of laparotomy following abdominal trauma. Materials and Methods: The data of 71 patients who underwent laparotomy as a result of abdominal trauma in Shohada Ashayer Hospital, Khorramabad were evaluated and a questionnaire was completed for each patient. All the data were analyzed statistically using SPSS. Results: Of 71 patients, 61 underwent positive laparotomy whereas, negative laparotomy was performed in 10 patients. The results from this study showed that the most common organ of the injury was spleen (19.7%), followed by other solid organs. The small intestine (16.4%) was found more prone to injuries in penetrating trauma. Incidence of blunt trauma injury due to road accidents was the greatest 50.82% and 20% of penetrating traumas were the result of a firearm. Conclusion: Abdominal trauma injury is common in our study population where spleen, small intestine and other solid organs are chiefly involved. Indications of laparotomy should be fully examined in order to avoid negative laparotomies and associated complications.

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Section: Introductionmentioning

confidence: 99%

<p>A Descriptive Study on the Usage of Exploratory Laparotomy for Trauma Patients</p>

Pooria

Pourya

2020

OAEM

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“…The management needs multidisciplinary approach. In spite of the best techniques and advances in diagnostic and supportive care, the morbidity and mortality remains at large [6]. The usual complication arising out of BAT includes hemorrhagic shock due to blood loss.…”

Section: Introductionmentioning

confidence: 99%

Blunt Abdominal Trauma With Haemoperitoneum Treated by Exploratory Laparotomy Versus Only Abdominal Drainage: A Prospective and Comparative Study.

Panchal

Dekhaiya

Tailor

2020

IJMBS

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In today’s mechanized world, Blunt Abdominal Trauma (BAT) is a common emergency which is associated with considerable morbidity and mortality. More than 75% of abdominal traumas are blunt in nature and liver and spleen are the commonest organs to be injured as a result of BAT. The aim is to analyse and compare two groups of patient of blunt abdominal trauma managed conservatively with drainage and one by exploratory laparotomy. 50 cases of blunt abdominal trauma were taken. The patient were studied which includes age ,sex, mode of injury, initial vitals on presentation, Mortality in each group, duration of hospital stay, pre interventions and post interventions state and requirements, complications and follow up. It was observed 48% of patients were in between age group ranging from 10 to 30. Overall in terms of sex ratio, males dominated the no. of cases. RTA was most common mode of trauma. Liver and spleen was most common organ to be injured. Patients managed by laparotomy had higher mortality rate, duration of hospital stay was more, and complication were more. Early diagnosis and repeated clinical examination and use of appropriate investigation form the key in managing blunt injury abdomen patients. Keywords: Blunt Abdominal Trauma, Haemoperitoneum , laparotomy , Abdominal Drainage.

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“…Currently, conservative treatment is the gold standard for solid organ injuries in haemodynamically stable patients whereas hollow organs injury requires surgery. 2 Besides the advantage of avoiding morbidity from a laparotomy, non-operative treatment of hepatic trauma has shown a reduction in the need for blood transfusions, a lower rate of abdominal complications, a shorter length of hospital stay and lower mortality. 3 This study aims to examine the outcomes of blunt hepatic trauma, and compare factors predicting successful non-operative and operative outcomes in patients in a tertiary care hospital of central Nepal.…”

Section: Introductionmentioning

confidence: 99%

Demographic Profile of Liver Injury Managed at a Tertiary Care Hospital in Central Nepal -A Retrospective Study

Belbase

Jalan

Upadhyay

et al. 2018

J Coll Med Sci-Nepal

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Background & Objectives:The liver is one of the commonly injured solid organ following abdominal trauma. The aim of this study was to determine the outcome of liver injuries managed operatively or non-operatively and predict factors affecting morbidity and mortality.Materials & Methods:This was a retrospective study of 40 liver injuries managed in the department of Surgical Gastroenterology at College of Medical Sciences over a period of 2 years. The liver injury was classified in accordance with the American Association for the Surgery of Trauma liver injury scoring scale. Patients were divided into two groups those managed operatively or non-operatively and were compared in terms of demographic profile and outcome.Results:Forty patients were analyzed. The mean age of the patients was 29.95years. Male predominance was seen with 72.5% of the cases. Road traffic accidents were the commonest mode of injury seen in 72.5% cases. The mean Revised Trauma Score (RTS) and Injury severity score (ISS) were 7.11and 22.58. The mean systolic BP, hospital stay and ICU stay were 93.80 mm of mercury, 11.55 days and 3.55 days respectively. Twenty six patients (65%) were initially managed non-operatively and 14 patients were managed operatively. Five patients had to be converted to operative management for hemodynamic instability. Mortality was 7.6% in patient undergoing non-operative management and 21.43% in patients managed operatively. Low systolic BP at presentation, low RTS score, high ISS score, high AST, ALT and prothrombin time were significantly associated with operative management and mortality.Conclusion:Patients with hemodynamic instability, low RTS score, high ISS score, high liver enzymes have high likelihood of operative management.

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Risk factors for mortality in blunt abdominal trauma with surgical approach

Abstract: the risk factors for mortality were hemodynamic instability as an indication for laparotomy, presence of solid organ injury, multiple intra-abdominal injuries, need for damage control surgery, serious injury association and low index of trauma score.

Cited by 19 publications

References 19 publications

<p>A Descriptive Study on the Usage of Exploratory Laparotomy for Trauma Patients</p>

<p>A Descriptive Study on the Usage of Exploratory Laparotomy for Trauma Patients</p>

Blunt Abdominal Trauma With Haemoperitoneum Treated by Exploratory Laparotomy Versus Only Abdominal Drainage: A Prospective and Comparative Study.

Demographic Profile of Liver Injury Managed at a Tertiary Care Hospital in Central Nepal -A Retrospective Study

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