Good prognostic factors of operated blunt abdominal injured patients in Mahasarakham hospital

Abstract

The Patients with abdominal trauma that have undergone surgery Often the treatment effect is uncertain. Because it contributes to a good prognosis Therefore, it is important to plan treatment in patients injured by surgery accident.

Objective: To study the favorable prognostic factors for the treatment of surgical abdominal trauma patients.                                                                                   

Methods: This was retrospective by studying information of patients who have been diagnosed Abdominal trauma (Blunt abdominal trauma) and surgery. Surgery between 1 July 2016 - 31 June 2020. The patients of 214 person were analyzed the data to find the relationship of various factors Regarding mortality among patients using Chi-square test, the sample group was selected of inclusion criteria

Rresults: The majority of 214 persons undergone surgery were male, 180 (84.1%) survived 165 (77.1%) and 49 died (22.9%). Found that the factors contributing to good prognosis or survival in the treatment of surgical abdominal injuries were patients with systolic blood pressure (SBP) of ≥90 mmHg The heart rate <100 bpm , Hematocrit ≥ 25 mg%, Length of hospital stay ≥7 days ,Period of accident before coming to the hospital < 6 hours , non-CPR patients,patients without intubation, CT scan finding or sign of peritonitis as indication for laparotomy,patients receiving abdominal CT scan before surgery , Intraoperative bleeding <1500 cc ,Operation: repair mesentery, repair small bowel or large bowel ,Patients receiving one organ injury, patients not receiving temporary abdominal closure and the patients underwent one time for abdominal surgery.