Comparison of Patterns and Outcomes of Patients with Penetrating and Blunt Abdominal Trauma: A Retrospective Study

Behzad Azimi, Mehdi Sarafi, Mohammad Karimian, Gholamreza Ebrahimisaraj

Abstract


Background:

Abdominal trauma, including blunt abdominal trauma (BAT) and penetrating abdominal trauma (PAT), leads to various complications in patients. For this reason, this study aimed to compare patterns and outcomes of patients with BAT and PAT.

Materials and Methods:

In this retrospective study, patients who were referred to the emergency room were included. Initially, the researchers designed a researcher-made checklist and entered the patients' information into this checklist. In this study, the records of patients who were admitted to the hospital emergency department as temporary or permanent hospitalizations with a diagnosis of abdominal trauma were included, and information related to the patients' records was extracted. The researchers extracted the patients' information and entered it into SPSS software version 18, and then the data were analyzed.

Results:

In the BAT group, 70.2% of the patients were male, 68.8% were in the 21-40 years age group, 63.5% of the patients were in the Improve health status, 35.1% were hospitalized due to traffic accident, 81.7% had multiple traumas, and 51.9% had Glasgow Coma Scale (GCS)  between 3-6. Also, in the PAT group, 78.2% of the patients were male, 82.1% were in the 21-40 years age group, 46.2% of the patients were in the Improve health status, 32.1% were hospitalized due to traffic accident, 92.3% had multiple traumas, and 35.9% had GCS between 3-6. Also, according to the findings, there was a significant difference between the patients of the two groups in terms of time of injury, health status, and multiple traumas.

Conclusion:

Given that the presence of multiple traumas and GCS scores have been associated with patient mortality, it is recommended that these two criteria be examined more carefully when providing clinical care to patients.

 


Keywords


Trauma, Penetrating trauma, Blunt abdominal trauma, Abdominal injuries

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