Abdominal trauma in a semi-urban tertiary health institution
Objective: There has been a global increase in the incidence of abdominal trauma in surgical patients. We conducted this study to evaluate the pattern of abdominal injuries, patient characteristics and the management outcome in our setting. Methods: It was a descriptive (combined retrospective and...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2018-06-01
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| Series: | Journal of Emergency Practice and Trauma |
| Subjects: | |
| Online Access: | http://www.jept.ir/article_63117_7887ff254b7313357ec3a6e3a3f9ed64.pdf |
| _version_ | 1811298397221552128 |
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| author | Julius Gbenga Olaogun Olusoga Olusola Akute Amarachuku Chiduziem Etonyeaku Joshua Taye Ige David Brown Ajibola Jide Michael Afolayan Eyitayo Ebenezer Emmanuel |
| author_facet | Julius Gbenga Olaogun Olusoga Olusola Akute Amarachuku Chiduziem Etonyeaku Joshua Taye Ige David Brown Ajibola Jide Michael Afolayan Eyitayo Ebenezer Emmanuel |
| author_sort | Julius Gbenga Olaogun |
| collection | DOAJ |
| description | Objective: There has been a global increase in the incidence of abdominal trauma in surgical patients. We conducted this study to evaluate the pattern of abdominal injuries, patient characteristics and the management outcome in our setting.
Methods: It was a descriptive (combined retrospective and prospective) study of all patients with abdominal trauma admitted and managed at Ekiti State University Teaching Hospital, Ado-Ekiti between January 2013 and December 2016. Data on socio-demographics, clinical profile, investigations, treatments and outcome were entered into a spread sheet and analyzed using SPSS version 20.0.
Results: A total of 2728 trauma patients presented during the study period. Of these, 68 (2.5%) suffered from abdominal injuries. Their ages ranged from 6 to 72 years (mean 30.3±13.2). Fifty-nine (86.8%) were males while 9 (13.2%) were females (M: F ratio = 6.6:1). Forty-nine (72.1%) sustained blunt trauma while 19 (27.9%) had penetrating injuries. Road traffic incident (RTI) (n=41; 60.3%) was the most common source of trauma, followed by assault: gunshot (n=9; 13.2%), and stab (n=7; 10.3%). Spleen (n=23; 33.8%) was the most common solid organ injured followed by the liver (n=7; 10.3%) while small bowel (n=8; 11.8%) was the most common hollow viscous injured. Forty-seven (69.1%) required operative intervention. Post-operative complication rate was 17% with wound infection (12.5%) predominating. The mortality rate was 4 (5.9%).
Conclusion: RTI and assault are major causes of abdominal injury. Measures to reduce RTI, youth restiveness and criminal activities will stem the tide. |
| first_indexed | 2024-04-13T06:19:36Z |
| format | Article |
| id | doaj.art-0dc41474dbf5416e89eee095752f51aa |
| institution | Directory Open Access Journal |
| issn | 2383-4544 |
| language | English |
| last_indexed | 2024-04-13T06:19:36Z |
| publishDate | 2018-06-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | Journal of Emergency Practice and Trauma |
| spelling | doaj.art-0dc41474dbf5416e89eee095752f51aa2022-12-22T02:58:42ZengKerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45442018-06-0142677210.15171/jept.2018.07Abdominal trauma in a semi-urban tertiary health institutionJulius Gbenga Olaogun0 Olusoga Olusola Akute1Amarachuku Chiduziem Etonyeaku2 Joshua Taye Ige3 David Brown Ajibola4 Jide Michael Afolayan5Eyitayo Ebenezer Emmanuel61Department of Surgery, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria 2Department of Surgery, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti State, Nigeria1Department of Surgery, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria 2Department of Surgery, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti State, NigeriaDepartment of Surgery, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti State, NigeriaDepartment of Surgery, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti State, NigeriaDepartment of Surgery, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti State, NigeriaDepartment of Anaesthesia, Ekiti State University, Ado-Ekiti, Ekiti State, NigeriaDepartment of Epidemiology and Community Health, Ekiti State University, Ado-Ekiti, NigeriaObjective: There has been a global increase in the incidence of abdominal trauma in surgical patients. We conducted this study to evaluate the pattern of abdominal injuries, patient characteristics and the management outcome in our setting. Methods: It was a descriptive (combined retrospective and prospective) study of all patients with abdominal trauma admitted and managed at Ekiti State University Teaching Hospital, Ado-Ekiti between January 2013 and December 2016. Data on socio-demographics, clinical profile, investigations, treatments and outcome were entered into a spread sheet and analyzed using SPSS version 20.0. Results: A total of 2728 trauma patients presented during the study period. Of these, 68 (2.5%) suffered from abdominal injuries. Their ages ranged from 6 to 72 years (mean 30.3±13.2). Fifty-nine (86.8%) were males while 9 (13.2%) were females (M: F ratio = 6.6:1). Forty-nine (72.1%) sustained blunt trauma while 19 (27.9%) had penetrating injuries. Road traffic incident (RTI) (n=41; 60.3%) was the most common source of trauma, followed by assault: gunshot (n=9; 13.2%), and stab (n=7; 10.3%). Spleen (n=23; 33.8%) was the most common solid organ injured followed by the liver (n=7; 10.3%) while small bowel (n=8; 11.8%) was the most common hollow viscous injured. Forty-seven (69.1%) required operative intervention. Post-operative complication rate was 17% with wound infection (12.5%) predominating. The mortality rate was 4 (5.9%). Conclusion: RTI and assault are major causes of abdominal injury. Measures to reduce RTI, youth restiveness and criminal activities will stem the tide.http://www.jept.ir/article_63117_7887ff254b7313357ec3a6e3a3f9ed64.pdfAbdominal traumaSemi-urban tertiary institutionTreatment outcome |
| spellingShingle | Julius Gbenga Olaogun Olusoga Olusola Akute Amarachuku Chiduziem Etonyeaku Joshua Taye Ige David Brown Ajibola Jide Michael Afolayan Eyitayo Ebenezer Emmanuel Abdominal trauma in a semi-urban tertiary health institution Journal of Emergency Practice and Trauma Abdominal trauma Semi-urban tertiary institution Treatment outcome |
| title | Abdominal trauma in a semi-urban tertiary health institution |
| title_full | Abdominal trauma in a semi-urban tertiary health institution |
| title_fullStr | Abdominal trauma in a semi-urban tertiary health institution |
| title_full_unstemmed | Abdominal trauma in a semi-urban tertiary health institution |
| title_short | Abdominal trauma in a semi-urban tertiary health institution |
| title_sort | abdominal trauma in a semi urban tertiary health institution |
| topic | Abdominal trauma Semi-urban tertiary institution Treatment outcome |
| url | http://www.jept.ir/article_63117_7887ff254b7313357ec3a6e3a3f9ed64.pdf |
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