TY - JOUR PY - 2015// TI - The effect of clinical, laboratory and radiologic results on treatment decision and surgical results in patients admitted to the emergency department with blunt abdominal trauma due to traffic accident JO - Ulusal travma ve acil cerrahi dergisi A1 - Güneş Tatar, İdil A1 - Yılmaz, Kerim Bora A1 - Ergun, Onur A1 - Balas, Şener A1 - Akıncı, Melih A1 - Deryol, Rıza A1 - Şeker, Gaye Ebru A1 - Kulaçoğlu, Hakan A1 - Hekimoğlu, Baki SP - 256 EP - 260 VL - 21 IS - 4 N2 - BACKGROUND: The purpose of this study was to evaluate the effect of clinical, laboratory and radiological results on treatment decision and surgical results in patients with blunt abdominal trauma, who were admitted to the emergency department due to traffic accident.

METHODS: Two hundred and twenty-two patients with blunt abdominal trauma were included into this retrospective study. Pearson chi square, Mann-Whitney U test and logistic regression methods were used for statistical analysis.

RESULTS: All patients were analyzed by complete blood count and biochemistry and abdominal sonography. Eighty-two patients were also evaluated by CT. Twenty-three patients underwent surgery. Positive findings on physical examination, sonography and CT, increased white blood cell count and liver function tests, decreased hemoglobin were associated with the need for surgery.

DISCUSSION: For the surgical evaluation of patients with blunt abdominal trauma, a reliable physical examination is not possible when the patients have concomitant injuries causing disturbing pain, or when the patients are unconscious. Laboratory tests should be interpreted with the clinical and radiologic analysis. Radiologic procedures play an important role in the management of patients with blunt abdominal trauma, especially for intubated patients.

Language: tr

LA - tr SN - 1306-696X UR - http://dx.doi.org/ ID - ref1 ER -