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[Abdominal injuries after blunt trauma].

A Nesbakken1, F Naess, K Solheim

  • 1Kirurgisk avdeling, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|September 30, 1990
PubMed
Summary

This study analyzed 331 blunt abdominal trauma patients, finding over half were from traffic accidents. Many patients had severe injuries and extra-abdominal trauma, highlighting the complexity of blunt abdominal trauma management.

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Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Surgical Outcomes

Context:

  • Retrospective analysis of 331 patients admitted between 1980-1987 with blunt abdominal trauma.
  • Patients presented with a median age of 29 years, with over half injured in traffic accidents.
  • Significant proportion (11%) transferred from other facilities, with a median delay of 5 hours.

Purpose:

  • To describe the characteristics and initial management of patients with blunt abdominal trauma.
  • To evaluate the incidence of intra-abdominal injuries and the necessity of surgical intervention.
  • To analyze injury patterns, comorbidities, and outcomes in a trauma center setting.

Summary:

  • The cohort comprised 230 males and 101 females, with 46% sustaining severe injuries (AIS > 3).

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  • 70% had associated extra-abdominal injuries, and at least 20% had alcohol/drug intoxication.
  • 168 patients underwent laparotomy, with 56% within 2 hours of admission; 16% of these had no surgically relevant intra-abdominal injury.

    • Impact:

    • Highlights the significant burden of blunt abdominal trauma, often associated with multi-system injuries.
    • Informs trauma care protocols regarding timely evaluation and surgical decision-making for abdominal injuries.
    • Underscores the importance of considering non-operative management in select cases following negative laparotomy findings.