A Study on Trauma Mechanisms and Injury Sites in Patients with Blunt Abdominal Trauma
Background. Although blunt abdominal trauma is sometimes readily identified in patients with trauma, its diagnosis and treatment can be delayed due to various limitations including unconsciousness or unstable vital functions, which may cause shock due to blood loss and sepsis. Confirming the correla...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2022/2160766 |
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| author | YoungUn Choi SuHyun Kim JiWool Ko MyoungJun Kim Hongjin Shim JaeHun Han JiHye Lim Kwangmin Kim |
| author_facet | YoungUn Choi SuHyun Kim JiWool Ko MyoungJun Kim Hongjin Shim JaeHun Han JiHye Lim Kwangmin Kim |
| author_sort | YoungUn Choi |
| collection | DOAJ |
| description | Background. Although blunt abdominal trauma is sometimes readily identified in patients with trauma, its diagnosis and treatment can be delayed due to various limitations including unconsciousness or unstable vital functions, which may cause shock due to blood loss and sepsis. Confirming the correlation between the specific damage of the abdominal organ and the recommended surgical intervention will allow for predicting abdominal damage based on the specific underlying trauma mechanisms. Objectives. This study aimed to assess the proportion of patients with blunt trauma resulting from intraabdominal injury who received surgical intervention (surgery and angioembolization [A/E]), stratified by trauma mechanism and to examine which organs were damaged per different trauma incident. Methods. We retrospectively analyzed the clinical characteristics of 2,291 patients in a tertiary trauma center. Clinical characteristics included age, sex, injury severity score, trauma mechanism (car, motorcycle, pedestrian, bicycle, ship or train accident, fall, slipping or rolling down, bumping, crush injury, explosion burn, and others), abdominal surgical intervention, damaged organ, and A/E site. Results. One-fourth of the patients with blunt trauma required surgical intervention in the abdomen. In particular, the mesentery or bowel was the main injured area for abdominal surgery in all mechanisms, and the spleen or liver was the main damaged organ subjected to A/E. Therefore, we should consider that a substantial proportion of patients with trauma do require abdominal surgery. In particular, repeated physical examination and imaging tests are necessary when the patients are unconscious or their vital functions are unstable for accurate confirmation of injury. |
| format | Article |
| id | doaj-art-b36714ae6d9e437b9865302f1707d113 |
| institution | Kabale University |
| issn | 2090-2859 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-b36714ae6d9e437b9865302f1707d1132025-08-20T03:39:21ZengWileyEmergency Medicine International2090-28592022-01-01202210.1155/2022/2160766A Study on Trauma Mechanisms and Injury Sites in Patients with Blunt Abdominal TraumaYoungUn Choi0SuHyun Kim1JiWool Ko2MyoungJun Kim3Hongjin Shim4JaeHun Han5JiHye Lim6Kwangmin Kim7Department of SurgeryTrauma CenterDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryNational Health Big Data Clinical Research InstituteNational Health Big Data Clinical Research InstituteDepartment of SurgeryBackground. Although blunt abdominal trauma is sometimes readily identified in patients with trauma, its diagnosis and treatment can be delayed due to various limitations including unconsciousness or unstable vital functions, which may cause shock due to blood loss and sepsis. Confirming the correlation between the specific damage of the abdominal organ and the recommended surgical intervention will allow for predicting abdominal damage based on the specific underlying trauma mechanisms. Objectives. This study aimed to assess the proportion of patients with blunt trauma resulting from intraabdominal injury who received surgical intervention (surgery and angioembolization [A/E]), stratified by trauma mechanism and to examine which organs were damaged per different trauma incident. Methods. We retrospectively analyzed the clinical characteristics of 2,291 patients in a tertiary trauma center. Clinical characteristics included age, sex, injury severity score, trauma mechanism (car, motorcycle, pedestrian, bicycle, ship or train accident, fall, slipping or rolling down, bumping, crush injury, explosion burn, and others), abdominal surgical intervention, damaged organ, and A/E site. Results. One-fourth of the patients with blunt trauma required surgical intervention in the abdomen. In particular, the mesentery or bowel was the main injured area for abdominal surgery in all mechanisms, and the spleen or liver was the main damaged organ subjected to A/E. Therefore, we should consider that a substantial proportion of patients with trauma do require abdominal surgery. In particular, repeated physical examination and imaging tests are necessary when the patients are unconscious or their vital functions are unstable for accurate confirmation of injury.http://dx.doi.org/10.1155/2022/2160766 |
| spellingShingle | YoungUn Choi SuHyun Kim JiWool Ko MyoungJun Kim Hongjin Shim JaeHun Han JiHye Lim Kwangmin Kim A Study on Trauma Mechanisms and Injury Sites in Patients with Blunt Abdominal Trauma Emergency Medicine International |
| title | A Study on Trauma Mechanisms and Injury Sites in Patients with Blunt Abdominal Trauma |
| title_full | A Study on Trauma Mechanisms and Injury Sites in Patients with Blunt Abdominal Trauma |
| title_fullStr | A Study on Trauma Mechanisms and Injury Sites in Patients with Blunt Abdominal Trauma |
| title_full_unstemmed | A Study on Trauma Mechanisms and Injury Sites in Patients with Blunt Abdominal Trauma |
| title_short | A Study on Trauma Mechanisms and Injury Sites in Patients with Blunt Abdominal Trauma |
| title_sort | study on trauma mechanisms and injury sites in patients with blunt abdominal trauma |
| url | http://dx.doi.org/10.1155/2022/2160766 |
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