Clinico epidemiological study of blunt abdominal trauma in a tertiary care hospital in north western Himalayas

Abstract

Background: Blunt abdominal trauma (BAT), a common form of trauma, is one of the major causes of morbidity and mortality. The study was aimed at the study of spectrum of injuries to various intra-abdominal organs after blunt trauma and to ascertain cause/mode of BAT in a hospital of hilly locality of Shimla.Methods: A prospective study was designed to conduct in the department of Surgery, IGMC, Shimla, India during the period of one year from 1st June 2005 to 31st May 2006. A total of 30 patients who had sustained BAT with or without other associated injuries were selected. In all patient’s history was taken and detailed physical examination done while concomitant resuscitation was performed. Chest and abdominal radiographs were done in all patients.Results: BAT is a major cause of morbidity and mortality especially in young people in the 11-40 years’ age group. Males are affected more than females. Road traffic accidents are the predominant mode of injury however, a relatively high incidence of blunt abdominal trauma due to falls is observed in a hilly state like ours. Spleen and liver are the two commonly injured organs after blunt abdominal trauma.Conclusions: Proper early diagnosis with initial and adequate resuscitation is beneficial in having a good outcome in patients of BAT.

Management of liver trauma in urban university hospitals in India: an observational multicentre cohort study

“…Demographics and Liver trauma Pro le (Table 1) (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)]. Univariate analysis showed no difference between these two cohorts in their age and GCS ( Table 2).…”

“…LMICs like India contribute to 90% of all the global injury burden, which is a critical public health issue [11]. Most published literature from India are anecdotal or single centre studies with small database [12][13][14][15][16][17]. A multi-centre hospital-based registry can help in better understanding the outcomes in the management of organ-speci c injuries.…”

“…In one patient SBP was not recordable.As per the WSES grades of injury, of who underwent OM; 26 (20.3%) were Grade 1, 32 (33.3%) were Grade 2, 11 (15.9%) Grade 3 and 37 (49.3%) Grade 4. The operative management cohort differed from the nonoperative cohort signi cantly in their mean SBP 99(26.2%) vs. 111(21.0%), proportion of penetrating injury 21.7% vs. 4.4%, heart rate 103 (2.4) vs. 97 (18.5)] & ISS 14(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) vs. 17…”

Management of liver trauma in urban university hospitals in India: an observational multicentre cohort study

“…LMICs like India contribute to 90% of all the global injury burden, which is a critical public health issue [11]. Most published literature from India is anecdotal or single-centre studies with small database [12][13][14][15][16]. A multicentre hospital-based registry can help in better understanding the outcomes in the management of organ-specific injuries.…”

Management of liver trauma in urban university hospitals in India: an observational multicentre cohort study

“…LMICs like India contribute to 90% of all the global injury burden, which is a critical public health issue [11]. Most published literature from India are anecdotal or single centre studies with small database [12][13][14][15][16]. A multi-centre hospital-based registry can help in better understanding the outcomes in the management of organ-speci c injuries.…”