J Anal Res Clin Med. 2016;4(4):228-232.
doi: 10.15171/jarcm.2016.038
  Abstract View: 942
  PDF Download: 609

Original Article

Blunt abdominal trauma and organ damage and its prognosis

Babak Abri 1, Samad Shams Vahdati 2 * , Seyedpouya Paknezhad 3, Pegah Sepehri majd 4, Sarvin Alizadeh 5

1 Assistant Professor, Department of Surgery, School of Medicine, Tabriz Branch, Islamic Azad University, Tabriz, Iran
2 Associate Professor, Road Traffic Injury Research Center AND Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
3 Resident, Emergency Medicine Research Team AND Department of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
4 General Practitioner, Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
5 Student of Medicine, School of Medicine, Tabriz Branch, Islamic Azad University, Tabriz, Iran

Abstract

Introduction: Trauma is the first cause of death in the young population and imposes large costs on the health system. Due to high rates of trauma and its associated mortality in developing countries, it seems to be necessary to study epidemiological and demographic characteristics of the damage caused by blunt abdominal trauma and common organs involved and the prognosis. Methods: All patients with blunt trauma of the abdomen who referred to Imam Reza Hospital, Tabriz, Iran, from March 2012 up to March 2014 were enrolled, the data were collected by a questionnaire for each patient separately; then all data was analyzed by SPSS. Results: From March 2012 to March 2014, 332 patients with blunt abdominal trauma came to the emergency department, mean age was 34.15 ± 1.6 years and 63.9% of them were men. In 290 cases (83.3%) there was not any damage to any organ. The most common injured organs were spleen and liver, equally 10 cases (3.0%). Kidney (2.4%) bladder (1.8%) and intestine (1.2%) were also involved. In this study, the most common cause of blunt abdominal trauma was a car crash. Conclusion: According to this study, men consisted 63.9% cases of blunt abdominal trauma and the mean age of patients was 34.15 ± 1.6 years. The most common cause of blunt abdominal trauma was car crash. In this study, 87.3% cases did not have any intra-abdominal organ damage. Among patients with intra-abdominal organ damage, spleen and liver were most commonly involved with equal incidence. About 79.5% of all patients with blunt abdominal trauma were discharged without complication and morbidity.
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Submitted: 30 Oct 2016
Accepted: 19 Nov 2016
First published online: 24 Dec 2016
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