1887
  1. Home
  2. A-Z Publications
  3. Journal of Emergency Medicine, Trauma and Acute Care
  4. Volume 2022, Issue 2
  5. Article
Volume 2022, Issue 2
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

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 rate. To evaluate the socio-clinical, operative findings, complications, and fatality rate of subjects with AT. 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. At our hospital, 1119 patients were presented to the casualty with trauma during the study period, 74 (6.6%) of them with AT. Most of the patients were in the age group 18-30 years (50%) and the males formed 90.5% of the cases. Around 90% of the subjects were with penetrating AT, with gunshot (79.7%) being 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 small bowel (38/66) was the most injured organ in penetrating injury, while the liver (6/8) was the most traumatized organ in blunt trauma. The fatality rate showed a statistically significant effect with the age of the patients, time of presentation, mean systolic blood pressure, and hospitalization period (P-value < 0.05). AT showed a prevalence of 6.6%. Penetrating AT outnumbers the blunt injury. The mortality rate was 20.3%. Factors such as the youngest age group, a long time elapsed following trauma, lower mean systolic blood pressure, and long hospitalization period have increased the death rate.

© 2022 AL-Ubaide, Al-Ani, Saeed, licensee HBKU Press.
Loading

Article metrics loading...

/content/journals/10.5339/jemtac.2022.5
2022-01-13
2024-11-15
Loading full text...

Full text loading...

/deliver/fulltext/jemtac/2022/2/jemtac.2022.5.html?itemId=/content/journals/10.5339/jemtac.2022.5&mimeType=html&fmt=ahah

References

  1. S. D. Deodhar, N.P. Patel, K.B. Shah, and H.J. Jammihal, “Blunt and penetrating abdominal injuries (a study of 51 cases).,” J. Postgrad. Med. , vol. 29:, no. 2, p. 96, 1983.
     [Google Scholar]
  2. P. H.C. Bordoni, D. SANTOS, J.S. Teixeira, and L.S. Bordoni, “Deaths from abdominal trauma: analysis of 1888 forensic autopsies,” Rev. Col. Bras. Cir., vol. 44:, no. 6, pp. 582–595, 2017.
     [Google Scholar]
  3. M. Aldemir, I. Tacyildiz, and S. Girgin, “Predicting factors for mortality in the penetrating abdominal trauma,” Acta Chir. Belg., vol. 104:, no. 4, pp. 429–434, 2004.
     [Google Scholar]
  4. P. L. Chalya and J.B. Mabula, “Abdominal trauma experience over a two-year period at a tertiary hospital in northwestern Tanzania: a prospective review of 396 cases,” Tanzan. J. Health Res., vol. 15:, no. 4, 2013.
     [Google Scholar]
  5. G. Parra-Romero, G. Contreras-Cantero, D. Orozco-Guibaldo, A. Domínguez-Estrada, J. de J. Mercado-Martín del Campo, and L. Bravo-Cuéllar, “Abdominal trauma: experience of 4961 cases in Western Mexico,” Cir. Cir., vol. 87:, no. 2, pp. 183–189, 2019.
     [Google Scholar]
  6. A. M. Alqarafi, A.M. Alhazmi, A.M. Alawfi, E.M.S. Alruhaili, F.A. Alebrahaimi, and S.H. Sebeih, “The patterns of abdominal trauma and factors associated with ICU admission in a major trauma center in Medina.,” Australas. Med. J., vol. 12:, no. 3, 2019.
     [Google Scholar]
  7. W. Ibrahim, G. Mousa, J.M. Hirshon, M. El-Shinawi, and H. Mowafi, “Non-operative management of blunt abdominal solid organ trauma in adult patients,” African J. Emerg. Med., vol. 10:, no. 3, pp. 123–126, 2020.
     [Google Scholar]
  8. F. Gönültaş, K. Kutlutürk, A.F.K. Gok, B. Barut, T.T. Sahin, and S. Yilmaz, “Analysis of risk factors of mortality in abdominal trauma,” Turkish J. Trauma Emerg. Surg., vol. 26:, no. 1, pp. 43–49, 2020.
     [Google Scholar]
  9. N. Mehta, S. Babu, and K. Venugopal, “An experience with blunt abdominal trauma: evaluation, management and outcome,” Clin. Pract., vol. 4:, no. 2, pp. 34–37, 2014.
     [Google Scholar]
  10. J. Smith, E. Caldwell, S. D'Amours, B. Jalaludin, and M. Sugrue, “Abdominal trauma: a disease in evolution,” ANZ J. Surg., vol. 75:, no. 9, pp. 790–794, 2005.
     [Google Scholar]
  11. S. A. Ibrahim and H. AM AL-Aubaidi, “Incidence of organic injuries in penetrating abdominal wounds,” Al-Anbar Med. J., vol. 5:, no. 1, 2005.
     [Google Scholar]
  12. E. J. MacKenzie et al., “A national evaluation of the effect of trauma-center care on mortality,” N. Engl. J. Med., vol. 354:, no. 4, pp. 366–378, 2006.
     [Google Scholar]
  13. S. H. Ntundu et al., “Patterns and outcomes of patients with abdominal trauma on operative management from northern Tanzania: a prospective single centre observational study,” BMC Surg., vol. 19:, no. 1, pp. 1–10, 2019.
     [Google Scholar]
  14. A. E. Nicolau, M. Craciun, R. Vasile, A. Kitkani, and M. Beuran, “The Role of Laparoscopy in Abdominal Trauma: A 10-Year,” Chirurgia (Bucur)., vol. 114:, pp. 359–368, 2019.
     [Google Scholar]
  15. K. H. Lim, B.S. Chung, J.Y. Kim, and S.S. Kim, “Laparoscopic surgery in abdominal trauma: a single center review of a 7-year experience,” World J. Emerg. Surg., vol. 10:, no. 1, pp. 1–7, 2015.
     [Google Scholar]
/content/journals/10.5339/jemtac.2022.5
Loading
The Pattern of Abdominal Trauma in Ramadi city: An Experience of 74 Cases
Journal of Emergency Medicine, Trauma and Acute Care 2022, 5 (2022); https://doi.org/10.5339/jemtac.2022.5
/content/journals/10.5339/jemtac.2022.5
/content/journals/10.5339/jemtac.2022.5
Loading

Data & Media loading...

  • Article Type: Research Article
Keyword(s): abdomen, abdominal trauma, blunt trauma and penetrating trauma

Most Cited Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error