Pattern of Intra-Abdominal Injuries among Patients Presented with Blunt Abdominal Trauma

Abstract

Background: Blunt abdominal trauma (BAT) represents a significant challenge in trauma care, particularly in developing countries where road traffic accidents (RTA) predominate as a cause. Understanding the demographic characteristics, etiology, and injury patterns associated with BAT is crucial for effective management and preventive strategies. Objective: This study aims to evaluate the patterns of BAT in patients presenting to Lady Reading Hospital, Peshawar, focusing on identifying the leading causes, affected demographic groups, and organ-specific injuries to inform better clinical practice and preventive measures. Methods: Conducted from January 1, 2023, to June 1, 2023, this cross-sectional study included 60 patients with BAT. Participants underwent comprehensive evaluations involving clinical assessments, radiological imaging, and laboratory tests, following Advanced Life Trauma Support guidelines. Data analysis utilized SPSS version 25, focusing on categorical and numerical variables to assess injury etiology, demographics, and organ involvement. Results: The majority of BAT patients were male (percentage provided in the full study), with a mean age of 35.42±11.31 years. RTAs were identified as the leading cause of BAT, contributing to (specific percentage) of cases. The liver (48.3%) and spleen (36.7%) were the most commonly injured organs. Other significant findings included injury rates for the intestine (13.3%), mesentery (10%), and kidney (5%). Conclusion: BAT predominantly affects younger males, with RTAs serving as the principal etiological factor. The high incidence of liver and spleen injuries necessitates prompt and precise diagnostic approaches. The study underscores the need for improved road safety measures and public health interventions to reduce BAT incidences, alongside enhancing emergency and trauma care capabilities.