TY  - JOUR
PY  - 2022//
TI  - A study on trauma mechanisms and injury sites in patients with blunt abdominal trauma
JO  - Emergency medicine international
A1  - Choi, YoungUn
A1  - Kim, SuHyun
A1  - Ko, JiWool
A1  - Kim, MyoungJun
A1  - Shim, Hongjin
A1  - Han, JaeHun
A1  - Lim, JiHye
A1  - Kim, Kwangmin
SP  - e2160766
EP  - e2160766
VL  - 2022
IS  - 
N2  - BACKGROUND: Although blunt abdominal trauma is sometimes readily identified in patients with trauma, its diagnosis and treatment can be delayed due to various limitations including unconsciousness or unstable vital functions, which may cause shock due to blood loss and sepsis. Confirming the correlation between the specific damage of the abdominal organ and the recommended surgical intervention will allow for predicting abdominal damage based on the specific underlying trauma mechanisms. <br><br>OBJECTIVES: This study aimed to assess the proportion of patients with blunt trauma resulting from intraabdominal injury who received surgical intervention (surgery and angioembolization [A/E]), stratified by trauma mechanism and to examine which organs were damaged per different trauma incident. <br><br>METHODS: We retrospectively analyzed the clinical characteristics of 2,291 patients in a tertiary trauma center. Clinical characteristics included age, sex, injury severity score, trauma mechanism (car, motorcycle, pedestrian, bicycle, ship or train accident, fall, slipping or rolling down, bumping, crush injury, explosion burn, and others), abdominal surgical intervention, damaged organ, and A/E site. <br><br>RESULTS: One-fourth of the patients with blunt trauma required surgical intervention in the abdomen. In particular, the mesentery or bowel was the main injured area for abdominal surgery in all mechanisms, and the spleen or liver was the main damaged organ subjected to A/E. Therefore, we should consider that a substantial proportion of patients with trauma do require abdominal surgery. In particular, repeated physical examination and imaging tests are necessary when the patients are unconscious or their vital functions are unstable for accurate confirmation of injury.<p />  <p>Language: en</p>
LA  - en
SN  - 2090-2840
UR  - http://dx.doi.org/10.1155/2022/2160766
ID  - ref1
ER  -