@article{ref1,
title="Frequency, causes and pattern of abdominal trauma: a 4-year descriptive analysis",
journal="Journal of emergencies, trauma and shock",
year="2015",
author="Arumugam, Suresh and Al-Hassani, Ammar and El-Menyar, Ayman and Abdelrahman, Husham and Parchani, Ashok and Peralta, Ruben and Zarour, Ahmad and Al-Thani, Hassan",
volume="8",
number="4",
pages="193-198",
abstract="BACKGROUND: The incidence of abdominal trauma is still underreported from the Arab Middle-East. We aimed to evaluate the incidence, causes, clinical presentation, and outcome of the abdominal trauma patients in a newly established trauma center. <br><br>MATERIALS AND METHODS: A retrospective analysis was conducted at the only level I trauma center in Qatar for the patients admitted with abdominal trauma (2008-2011). Patients demographics, mechanism of injury, pattern of organ injuries, associated extra-abdominal injuries, Injury Severity Score (ISS), Abbreviated Injury Scale, complications, length of Intensive Care Unit, and hospital stay, and mortality were reviewed. <br><br>RESULTS: A total of 6888 trauma patients were admitted to the hospital, of which 1036 (15%) had abdominal trauma. The mean age was 30.6 ± 13 years and the majority was males (93%). Road traffic accidents (61%) were the most frequent mechanism of injury followed by fall from height (25%) and fall of heavy object (7%). The mean ISS was 17.9 ± 10. Liver (36%), spleen (32%) and kidney (18%) were most common injured organs. The common associated extra-abdominal injuries included chest (35%), musculoskeletal (32%), and head injury (24%). Wound infection (3.8%), pneumonia (3%), and urinary tract infection (1.4%) were the frequently observed complications. The overall mortality was 8.3% and late mortality was observed in 2.3% cases mainly due to severe head injury and sepsis. The predictors of mortality were head injury, ISS, need for blood transfusion, and serum lactate. <br><br>CONCLUSION: Abdominal trauma is a frequent diagnosis in multiple trauma and the presence of extra-abdominal injuries and sepsis has a significant impact on the outcome.<p /> <p>Language: en</p>",
language="en",
issn="0974-2700",
doi="10.4103/0974-2700.166590",
url="http://dx.doi.org/10.4103/0974-2700.166590"
}