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Arumugam S, Al-Hassani A, El-Menyar A, et al. Frequency, causes and pattern of abdominal trauma: A 4-year descriptive analysis. J Emerg Trauma Shock. 2015;8(4):193-8doi: 10.4103/0974-2700.166590.
Arumugam, S., Al-Hassani, A., El-Menyar, A., Abdelrahman, H., Parchani, A., Peralta, R., Zarour, A., & Al-Thani, H. (2015). Frequency, causes and pattern of abdominal trauma: A 4-year descriptive analysis. Journal of emergencies, trauma, and shock, 8(4), 193-8. https://doi.org/10.4103/0974-2700.166590
Arumugam, Suresh, et al. "Frequency, causes and pattern of abdominal trauma: A 4-year descriptive analysis." Journal of emergencies, trauma, and shock vol. 8,4 (2015): 193-8. doi: https://doi.org/10.4103/0974-2700.166590
Arumugam S, Al-Hassani A, El-Menyar A, Abdelrahman H, Parchani A, Peralta R, Zarour A, Al-Thani H. Frequency, causes and pattern of abdominal trauma: A 4-year descriptive analysis. J Emerg Trauma Shock. 2015 Oct-Dec;8(4):193-8. doi: 10.4103/0974-2700.166590. PMID: 26604524; PMCID: PMC4626935.
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J Emerg Trauma Shock. 2015 Oct-Dec;8(4):193-8. doi: 10.4103/0974-2700.166590.

Frequency, causes and pattern of abdominal trauma: A 4-year descriptive analysis.

Journal of emergencies, trauma, and shock

Suresh Arumugam, Ammar Al-Hassani, Ayman El-Menyar, Husham Abdelrahman, Ashok Parchani, Ruben Peralta, Ahmad Zarour, Hassan Al-Thani

Affiliations

  1. Department of Surgery, Trauma Surgery Section, Hamad Medical Corporation (HMC), Doha, Qatar.
  2. Department of Surgery, Trauma Surgery Section, Clinical Research, HMC, Doha, Qatar ; Department of Clinical Medicine, Weill Cornell Medical College, Doha, Qatar.

PMID: 26604524 PMCID: PMC4626935 DOI: 10.4103/0974-2700.166590

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.

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.

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.

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.

Keywords: Abdominal trauma; Qatar; mortality; sepsis

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