INCIDENCE, OUTCOME, AND MORTALITY PROFILE OF SOLID ORGAN INJURIES AMONG PATIENTS WITH BLUNT ABDOMINAL TRAUMA IN A TERTIARY CARE HOSPITAL: A PROSPECTIVE STUDY
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i12.48500Keywords:
Abdominal trauma, Road traffic accidents, Descriptive study, Clinical presentationAbstract
Objective: The objective is to evaluate the histopathology and establish a correlation between placental changes in hypertensive disorders of pregnancy and fetal outcome. To access the solid organ injuries in blunt trauma abdomen patients with respect to management and outcome in a tertiary care hospital.
Methods: A prospective descriptive type of study was conducted in a tertiary care hospital including 100 study participants from December 2021 to November 2022. All the patients with the diagnosis of the blunt abdominal trauma were assessed clinically at the time of presentation. After obtaining written informed consent, the detailed information regarding the mode of injury, clinical presentation was collected and recorded. Records were maintained about nonoperative and operative management duration of stay and outcome of patients. The data collected were then entered into MS Excel sheet and analyzed using SPSS v20.0. The data were presented in the form of numbers and proportions.
Results and Conclusion: 76% of study participants reported to hospital within 6 h of trauma. 83% of patients had undergone conservative management, while 13% were managed surgically. The mortality rate among study participants was 5%.
Downloads
References
Soto JA, Anderson SW. Multidetector CT of blunt abdominal trauma. Radiology 2012;265:678-93.
Raza M, Abbas Y, Devi V, Prasad KV, Rizk KN, Nair PP. Non operative management of abdominal trauma-a 10 years review. World J Emerg Surg 2013;8:14.
Marmery H, Shanmuganathan K, Alexander MT, Mirvis SE. Optimization of selection for nonoperative management of blunt splenic injury: Comparison of MDCT grading systems. Am J Roentgenol 2007;189:1421.
Farrath S, Parreira JG, Perlingeiro JA, Solda SC, Assef JC. Predictors of abdominal injuries in blunt trauma. Rev Col Bras Cir 2012;39:295-301.
Ramachandra ML, Krishna SR. Solid organ injury in blunt trauma abdomen: An etiological evaluation and success rate of non-operative management. Int Surg J 2018;5:1350-3.
Agrawal C, Jindal R, Mukherjee S. A clinical study of blunt trauma abdomen with respect to management and outcome in a tertiary care hospital. J Contemp Med Res 2020;7:E12-6.
Baldiwala AS, Lad VC. Management of solid organ injury in patient of blunt abdominal trauma. Int Surg J 2021;8:2361-5.
Prashanth VN, Kanchana B, Nathan VS. Analysis of visceral injuries in blunt abdomen trauma. MedPulse Int Med J 2016;3:222-5.
Mehta N, Babu S, Venugopal K. An experience with blunt abdominal trauma: Evaluation, management and outcome. Clin Pract 2014;4:599.
Baygeldi S, Karakose O, Özcelik KC, Pülat H, Damar S, Eken H, et al. Factors affecting morbidity in solid organ injuries. Dis Markers 2016;2016:6954758.
Jain J, Sing SP, Bhargava A. Study of management of blunt injuries to solid abdominal organs. Indian J Basic Appl Med Res 2016;5:219-24.
Verma S, Noori MT, Garg P, Yadav A, Sirohi V, Garg N. Study of pattern and management strategies of solid visceral injuries in blunt trauma abdomen in tertiary care centre. Int Surg J 2020;7:1808-12.
Published
How to Cite
Issue
Section
Copyright (c) 2023 Dr Neetu Singh, Dr Samridh Kumar, Dr Sandeep Khadda, Dr M.L. Dawan
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.