Visceral Injuries in Patients with Blunt and Penetrating Abdominal Trauma Presenting to a Tertiary Care Facility in Karachi, Pakistan

Naeem, Bushra Kiran; Perveen, Sughra; Naeem, Nadia; Ahmed, Tanweer; Khan, Iqbal M.; Khan, Imran; Tahir, Muhammad; Iqbal, Mazhar

doi:10.7759/cureus.3604

Cited by 19 publications

(16 citation statements)

References 12 publications

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“…The penetrating trauma is the predominant type in this study, which was similar to other studies [2][8] [19]. While in contrast with other studies [4][11][16][18] [20] were blunt trauma is the major cause of abdominal trauma.…”

Section: Discussionsupporting

confidence: 89%

The Pattern of Abdominal Trauma in Ramadi city: An Experience of 74 Cases

AL-Ubaide

Al-Ani

Saeed

2021

Preprint

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Background: The abdomen is the third part of the body subjected to trauma. Abdominal trauma (AT) is divided into penetrating and blunt injuries, which differ in their distribution according to geographical areas. Early management can reduce its high morbidity and mortality.Objectives: To evaluate the socio-clinical, operative findings, complications, and fatality rate of subjects with AT. Patients and methods: Patients with isolated AT admitted to the emergency unit in the Al-Ramadi Teaching Hospital, Ramadi City, Iraq, and subjected to exploratory laparotomy were enrolled in the study. The study covered a period of 9 months (June 2019 to February 2020). Demographic, clinical, operative findings and the outcomes were registered and analyzed for all patients. Results: At our hospital, 1119 patients were presented to the causality with trauma during the study period, 74 (6.6%) of them with AT. The majority of the patients were in the age group <30 years (70.3%) and the males formed 90.5% of the cases. Around 90% of the subjects were with penetrating AT, with gunshot (79.7%) was the commonest cause. Around 80% of the patients were presented within 1-12 hours following the trauma. There were 3 or more injured organs (58.1%) found during the operations. The fatality rate showed a statistically significant effect with the age of the patients, time of presentation, mean blood pressure, and hospitalization period (P-value <0.05).Conclusion: AT showed a prevalence of 6.6%. Penetrating AT outnumbers the blunt injury. The mortality rate was 20.3%. In the youngest age group, a long time elapsed following trauma, lower mean blood pressure, and a long hospitalization period harmed the death rate.

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Section: Discussionsupporting

confidence: 89%

The Pattern of Abdominal Trauma in Ramadi city: An Experience of 74 Cases

AL-Ubaide

Al-Ani

Saeed

2021

Preprint

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“…As the liver takes up a large proportion of the abdominal cavity, up to 30% of penetrating abdominal trauma causes a liver damage (16). Other organs that commonly involved are small and large bowel and vascular structures (16)(17)(18).…”

Section: Discussionmentioning

confidence: 99%

Sodium Alginate as Treatment for Penetrating Abdominal Trauma- Feasibility Study.

Barsky

Ya’acov

Avraham

et al. 2020

Preprint

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Introduction: Penetrating abdominal injury is a major cause of death in trauma. It may cause hypovolemia leading to tissue hypoperfusion, direct organ damage and cytokine activation that cause inflammatory damage, all of which lead to death. Alginate is a natural anionic polysaccharide typically derived from brown algae. Sodium alginate hydrogel, a hemostatic agent, offers a platform for targeting both mechanical and biological injuries. The current study assessed the effect of a sodium alginate denoted VLVG (Very Low Viscosity (high) G alginate) following abdominal trauma in a swine model of penetrating abdominal injury. Methods: Seven anesthetized pigs were instrumented with catheters and abdominal trauma was introduced by laparoscopic hepatectomy. Ten minutes after the induction of hypovolemic shock, three animals were intra-abdominally administered with VLVG and four animals with saline (controls). During 8h of continuous monitoring, various hemodynamic and biochemical variables were measured and liver biopsies for histological evaluation were taken. In order to compare the study group to the control in a specific time a-parametric Mann-Whitney test was used, assessment of tendency during time Friedman's test for a-parametric variables was used. In order to compare the effect of the treatment (i.e. normal saline VS VLVG alginate) repeated measures ANOVA model was used, and the p value was calculated based on the Greenhouse-Geiser test. This research was approved by the Hebrew University of Jerusalem ethics Committee number: MD16148533. Results: VLVG-treated animals were more hemodynamically stable vs controls as reflected by their lower heart rate and higher blood pressure. They also had lower levels of liver enzymes and lactate and tissue damage. Conclusions: Our results in this pilot abdominal injury model show that VLVG might be a promising new agent. The superior hemostatic and biocompatibility efficiency along with its tissue preserving properties may turn VLVG in the future to a device that could be used in the pre-hospital setting to improve survival of abdominal trauma injuries.

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“…Abdominal injuries are responsible for 10% of the mortalities due to trauma. Delays in early diagnosis or misdiagnoses are two major reasons for the mortality and morbidity associated with abdominal trauma, (Naeem, et al, 2018). Abdominal trauma is a serious problem in the world, due to its high prevalence in young people that affect economic status of the country, (Abril, et al, 2016…”

Section: Significance Of the Studymentioning

confidence: 99%

Patterns and outcomes of abdominal trauma patients Admitted to Trauma Intensive Care Unit..

Mohamed

2020

Assiut Scientific Nursing Journal

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Abdomen is the third most common area of the body that is damaged because of trauma. The nurse must be aware of specific assessment findings associated with abdominal trauma and immediate recognition of problems, so this study aimed to assess patterns and outcomes of abdominal trauma patients admitted to trauma intensive care unit. A descriptive research design was used. Setting: This study was carried out in trauma intensive care unit at Assuit University Hospital. Sample: 60 adult critically ill patients with abdominal trauma. Tools: Patient profile characteristic's sheet and abdominal trauma severity scores and outcomes assessment sheet were used. Main results: There were 65% males and 35% females. Mean Age was 36.62±10.8. Blunt trauma accounted for 86.67% while penetrating was 13.33%. Motor car accidents was the main cause of trauma with 51.67%, liver and spleen the most affected organs. Mortality rate was 10%. Gastrointestinal and respiratory complications are the most occurred. Conclusion: Abdominal trauma patients need frequent assessment as majority of the studied patients at a high risk for developing complications. Recommendations: Training the nurses about how to use abdominal trauma scoring systems for frequent assessment of patients' heath statue from first day of admission.

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Visceral Injuries in Patients with Blunt and Penetrating Abdominal Trauma Presenting to a Tertiary Care Facility in Karachi, Pakistan

Cited by 19 publications

References 12 publications

The Pattern of Abdominal Trauma in Ramadi city: An Experience of 74 Cases

The Pattern of Abdominal Trauma in Ramadi city: An Experience of 74 Cases

Sodium Alginate as Treatment for Penetrating Abdominal Trauma- Feasibility Study.

Patterns and outcomes of abdominal trauma patients Admitted to Trauma Intensive Care Unit..

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