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Blunt abdominal trauma: a retrospective study on clinical insights and treatment outcomes

Anurag Kumar1, Rachith Sridhar1, Harendra Kumar1

  • 1Department of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Patna (AIIMS Patna), Patna, India.

Journal of Trauma and Injury
|October 1, 2025
PubMed

Insights

Blunt abdominal trauma disproportionately affects young males, with road traffic accidents being the primary cause. Timely intervention and improved trauma care protocols are crucial for reducing mortality in these critical cases.

Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Public Health

Background:

  • Blunt abdominal trauma is a major cause of death and disability.
  • Young males are the most affected demographic.
  • Understanding injury patterns and outcomes is vital for improving care.

Purpose of the Study:

  • To evaluate patient demographics, injury mechanisms, and treatment outcomes.
  • To analyze data from a level I trauma center in Eastern India.
  • To identify factors influencing morbidity and mortality in blunt abdominal trauma.

Main Methods:

  • A descriptive retrospective study was conducted.
  • Data from 118 patients with blunt abdominal trauma were analyzed.
  • The study period spanned 18 months at a level I trauma center.

Main Results:

  • Male patients predominated (6.35:1) with a mean age of 30.2 years.
  • Road traffic accidents caused 56.8% of injuries.
  • Hollow viscus perforation was the most common surgical indication; mortality was 12.7%, linked to shock on admission.

Conclusions:

  • Blunt abdominal trauma remains a significant health issue, especially for young males.
  • Delayed interventions and lack of adherence to protocols impact survival.
  • Enhanced healthcare accessibility and timely Advanced Trauma Life Support are recommended.
Abstract

Keywords:
Blunt trauma abdomenFocused assessment with sonography for trauma (FAST)Hemorrhagic shockIntestinal perforationWounds and injuries

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