An observational study of the healing time, associated factors, and complications during non-operative management of patients with blunt abdominal trauma
Background: Non-operative management (NOM) has shown success in the management of cases of blunt abdominal trauma (BAT), especially in hemodynamically stable patients, even if there is a higher grade of injury.Objectives: The aim of this study was to determine the healing rate with NOM and associate...
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| Format: | Article |
| Language: | English |
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Kashan University of Medical Sciences
2023-07-01
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| Series: | Archives of Trauma Research |
| Subjects: | |
| Online Access: | https://archtrauma.kaums.ac.ir/article_175288_2005b17107095397a7e5c0e90365a264.pdf |
| _version_ | 1797680941888438272 |
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| author | Ishita Chugh Peeyush Kumar Charu Paruthi Ketan Garg Vivek Agrawal |
| author_facet | Ishita Chugh Peeyush Kumar Charu Paruthi Ketan Garg Vivek Agrawal |
| author_sort | Ishita Chugh |
| collection | DOAJ |
| description | Background: Non-operative management (NOM) has shown success in the management of cases of blunt abdominal trauma (BAT), especially in hemodynamically stable patients, even if there is a higher grade of injury.Objectives: The aim of this study was to determine the healing rate with NOM and associated risk factors of non-healing in patients with BAT.Methods: This prospective study was conducted on 20 hemodynamically stable patients of BAT who were treated in a tertiary care hospital by NOM. Clinical monitoring and biochemical investigations were done. The patients were followed-up for three months. The outcome measures were the average time of healing and complications. A p-value less than 0.05 was considered statistically significant.Results: The mean age of the patients was 24.5 years with 18 (90%) males and 2(10%) females. Nine patients (45%) had isolated liver injury, 8 (40%) had isolated splenic injury, 1 (5%) had isolated left renal injury, 1 (5%) had combined liver and splenic injury and 1 (5%) had combined liver and right renal injury. At 3 months of follow-up, 16 (80%) cases showed complete healing, 3(15%) showed incomplete healing and 1 (5%) patient with grade 4 splenic injury had failure of NOM. On performing univariate regression analysis, grade 3/4 was an independent risk factor of non-healing with an odds ratio of 5.667.Conclusion: In conclusion, NOM appears to be a safe and effective management protocol for patients with BAT, provided regular follow-ups and monitoring are done. |
| first_indexed | 2024-03-11T23:37:51Z |
| format | Article |
| id | doaj.art-430dafaf872d4b00b0d3c16e532b1794 |
| institution | Directory Open Access Journal |
| issn | 2251-953X 2251-9599 |
| language | English |
| last_indexed | 2024-03-11T23:37:51Z |
| publishDate | 2023-07-01 |
| publisher | Kashan University of Medical Sciences |
| record_format | Article |
| series | Archives of Trauma Research |
| spelling | doaj.art-430dafaf872d4b00b0d3c16e532b17942023-09-19T17:49:45ZengKashan University of Medical SciencesArchives of Trauma Research2251-953X2251-95992023-07-01122768310.48307/atr.2023.175288175288An observational study of the healing time, associated factors, and complications during non-operative management of patients with blunt abdominal traumaIshita Chugh0Peeyush Kumar1Charu Paruthi2Ketan Garg3Vivek Agrawal4Department of Surgery, UCMS and GTB hospital, Delhi, IndiaDepartment of Surgery, ABVIMS & Dr. Ram Manohar Lohia hospital, Delhi, IndiaDepartment of Radiodiagnosis, VMMC & Safdarjung Hospital, New DELHI, IndiaDepartment of Pathology, Jyoti Gupta Clinic, Delhi, IndiaDepartment of Surgery, UCMS and GTB hospital, Delhi, IndiaBackground: Non-operative management (NOM) has shown success in the management of cases of blunt abdominal trauma (BAT), especially in hemodynamically stable patients, even if there is a higher grade of injury.Objectives: The aim of this study was to determine the healing rate with NOM and associated risk factors of non-healing in patients with BAT.Methods: This prospective study was conducted on 20 hemodynamically stable patients of BAT who were treated in a tertiary care hospital by NOM. Clinical monitoring and biochemical investigations were done. The patients were followed-up for three months. The outcome measures were the average time of healing and complications. A p-value less than 0.05 was considered statistically significant.Results: The mean age of the patients was 24.5 years with 18 (90%) males and 2(10%) females. Nine patients (45%) had isolated liver injury, 8 (40%) had isolated splenic injury, 1 (5%) had isolated left renal injury, 1 (5%) had combined liver and splenic injury and 1 (5%) had combined liver and right renal injury. At 3 months of follow-up, 16 (80%) cases showed complete healing, 3(15%) showed incomplete healing and 1 (5%) patient with grade 4 splenic injury had failure of NOM. On performing univariate regression analysis, grade 3/4 was an independent risk factor of non-healing with an odds ratio of 5.667.Conclusion: In conclusion, NOM appears to be a safe and effective management protocol for patients with BAT, provided regular follow-ups and monitoring are done.https://archtrauma.kaums.ac.ir/article_175288_2005b17107095397a7e5c0e90365a264.pdfblunt abdominal traumacomplicationsnon-operative management |
| spellingShingle | Ishita Chugh Peeyush Kumar Charu Paruthi Ketan Garg Vivek Agrawal An observational study of the healing time, associated factors, and complications during non-operative management of patients with blunt abdominal trauma Archives of Trauma Research blunt abdominal trauma complications non-operative management |
| title | An observational study of the healing time, associated factors, and complications during non-operative management of patients with blunt abdominal trauma |
| title_full | An observational study of the healing time, associated factors, and complications during non-operative management of patients with blunt abdominal trauma |
| title_fullStr | An observational study of the healing time, associated factors, and complications during non-operative management of patients with blunt abdominal trauma |
| title_full_unstemmed | An observational study of the healing time, associated factors, and complications during non-operative management of patients with blunt abdominal trauma |
| title_short | An observational study of the healing time, associated factors, and complications during non-operative management of patients with blunt abdominal trauma |
| title_sort | observational study of the healing time associated factors and complications during non operative management of patients with blunt abdominal trauma |
| topic | blunt abdominal trauma complications non-operative management |
| url | https://archtrauma.kaums.ac.ir/article_175288_2005b17107095397a7e5c0e90365a264.pdf |
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