Pediatric Blunt Abdominal Trauma- Demography in a Tertiary Care Set Up of a Developing Nation

Abstract

Purpose: Pediatric patients represent nearly 10 percent of all trauma admissions in major trauma centers. The study attempts to study the different patterns of demography in patients suffering from trauma to the abdomen in a tertiary care hospital in a developing nation. Methods: The study was done in a tertiary care center over a duration of one year. The study was retrospective based on hospital records of the patients. The demographic parameters were studied and compared to available literature. Results: A total of 288 cases of blunt trauma to the abdomen were recorded in one year. The demographic trends with respect to the etiology, organ injured, management protocol and mortalities were comparable to standard literature. Conclusion: Pediatric trauma is a neglected topic in developing nations due to absence of infrastructure and trained personnel. The high incidence illustrates the need to have proper training programs and education in this stream.

Paediatric blunt abdominal trauma with organ injury: a comprehensive analysis of cases at a tertiary hospital in Bangladesh

“…However, in a study, surgical intervention was required for 50% of splenic injuries, 44% of liver injuries, 25% of pancreatic injuries, and 23% of renal injuries. This is higher than numerous findings, such as those by Ghosh et al 14 About 6% of patients had gastrointestinal (GI) perforations, and 25% of patients required surgical intervention. In similar study large gut perforation was found in 3.5% of cases, bile duct injury (1.4%) and small gut perforation (2.1%).…”