The Progress of Patients with Blunt Abdominal Trauma Depending on the Number of the Damaged Organs.

Abstract

Introduction: Blunt abdominal trauma (BAT) is one of the most common traumatic emergencies and is associated with significant morbidity and mortality, which is associated with a number of causes despite improvements in their management. This study aims to assess 308 cases of BAT and their management depending on the number of Injured organs. Material and Methods: The study has a retrospective character and it has been realized within the period of time from January 20016 to December 2018. In our study are included 308 trauma cases admitted at the University Hospital of Trauma in Tirana Albania. All recorded data were grouped as follows; Demographic data, trauma mechanism, admission time in hospital, the mode of management… Results: The sample of the population was chosen by chance which means that this study is included all trauma cases presented at the emergency department and hadn’t any study limitation. In our study, based on the mechanism of trauma, motor vehicle accident [191(62%)] was the most common mechanism of injury, and most of the patients in our study were male [231(75%)], female [77 (25%)] with an M:F ratio of 3:1. The spleen [118 (38.3%)] was the most damaged organ after BAT, and the most common surgical procedure performed was splenectomy [53 (35.5%)]. The majority of traumatized patients presented to the Emergency Department in stable hemodynamic condition [145 (47.1%)] Conclusions: The progress of patients with BAT has a close relationship with The number of injured organs. The number and presence of EAI organs were important which worsen patient conditions and influence at the prognosis. The time of hospitalization of patients has a lot to do with the result. Early diagnosis and prompt treatment can save many lives.

Keywords

• Blunt abdominal trauma
• Injured organs
• early diagnosis
• resuscitation