Mortality rate and risk factors in patients with blunt abdominal trauma: A retrospective study of Mukdahan Hospital
Keywords:
Mortality rate, Blunt trauma, risk factorsAbstract
Objective : To investigate the mortality rate and identify the risk factors affecting the death of patients who experienced blunt abdominal trauma at Mukdahan Hospital.
Methods : This study is retrospective and descriptive. The population under investigation consisted of patients with blunt abdominal trauma who were admitted to the emergency room, survived, and received further treatment at Mukdahan Hospital from January 1, 2020, to September 30, 2023. The sample size was determined using the formula for estimating the proportion of a single population, resulting in 104 patients. Data were collected from medical records and analyzed using descriptive statistics. Inferential statistics were employed for analysis, including the Chi-square test, Independent t-test, Mann-Whitney U test, and logistic regression statistics.
Results : A total of 104 patients experienced blunt abdominal trauma, with a mortality rate of 5.8% (6 cases) and an average age of less than 34 years. The majority of accidents occurred while driving motorcycles. The most common joint injury system was appendage fracture, and the most frequently injured abdominal organ was the liver. When analyzing each variable, the significant factors affecting the death of patients with blunt abdominal trauma at the 0.05 level were intubation since the first admission (OR=8.80, 95% CI=1.56-49.58, p=0.014), consciousness score (GCS score) (OR=0.69, 95% CI=0.54-0.88, p=0.003), complications (OR=37.20, 95% CI=5.45-254.02, p<0.001), and serum bicarbonate (-HCO3) (OR=0.70, 95% CI=). However, during multivariate analysis using Multiple logistic regression, it was found that no variables had a statistically significant effect on the death of patients with non-penetrating intraabdominal injuries at the 0.05 level.
Conclusion : The mortality rate for patients with blunt abdominal trauma was 5.8%. When analyzing multivariates, factors affecting the death of patients with blunt abdominal trauma could not be identified. Further studies should be conducted with a larger population.
References
Kumar S, Verma AK. Trends in trauma-related mortality among adolescents: A 6 year snapshot from a teaching hospital’s post mortem data. J Clin Orthop Trauma. 2017 Nov;8(Suppl 2):S1–5.
Hemmila: Management of the Injured Patient. Doherty... - Google Scholar [Internet]. [cited 2023 Sep 17]. Available from: https://scholar.google.com/scholar_lookup?title=Current+Surgical+Diagnosis+and+Tre atment&author=MR+Hemmila&author=WL+Wahl&publication_year=2008&
Penetrating Abdominal Trauma: Practice Essentials, Background, Anatomy. 2023 Jan 10 [cited 2023 Sep 17]; Available from: https://emedicine.medscape.com/article/2036859-overview
Stacey V. Major trauma. In: Stacey V, editor. Revision Notes for MCEM Part B [Internet]. Oxford University Press; 2012 [cited 2023 Sep 17]. p. 0. Available from: https://doi.org/10.1093/med/9780199592777.003.0004
ATLS 10th edition offers new insights into managing trauma patients [Internet]. The Bulletin. 2018 [cited 2023 Sep 24]. Available from: https://bulletin.facs.org/2018/06/atls-10th-edition-offers-new-insights-into-managing- trauma-patients/
Bloom BA, Gibbons RC. Focused Assessment With Sonography for Trauma. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 [cited 2023 Sep 24]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK470479/
อติชาต ชมภูคำ. ปัจจัยพยากรณ์โรคที่ดีของการรักษาผู้ป่วยได้รับอุบัติเหตุบาดเจ็บช่องท้องแบบไม่มี แผลทะลุที่ได้รับการผ่าตัดในโรงพยาบาลมหาสารคาม. วารสารโรงพยาบาลมหาสารคาม. 2020;17(3):199–209.
Smith J, Caldwell E, D’Amours S, Jalaludin B, Sugrue M. Abdominal trauma: a disease in evolution. ANZ J Surg. 2005;75(9):790–4.
Ferrah N, Cameron P, Gabbe B, Fitzgerald M, Martin K, Beck B. Trends in the Nature and Management of Serious Abdominal Trauma. World J Surg. 2019 May 1;43(5):1216–25.
Pekkari P, Bylund PO, Lindgren H, Öman M. Abdominal injuries in a low trauma volume hospital - a descriptive study from northern Sweden. Scand J Trauma Resusc Emerg Med. 2014 Aug 15;22(1):48.
Parra-Romero G, Contreras-Cantero G, Orozco-Guibaldo D, Domínguez-Estrada A, Mercado-Martín del Campo J de J, Bravo-Cuéllar L. Trauma abdominal: experiencia de 4961 casos en el occidente de México. Cir Cir [Internet]. 2019 [cited 2023 Sep 17];87(2). Available from: https://www.cirugiaycirujanos.com/frame_esp.php?id=125
Gönültaş F, Kutlutürk K, Gok AFK, Barut B, Sahin TT, Yilmaz S. Analysis of risk factors of mortality in abdominal trauma. Ulus Travma Ve Acil Cerrahi Derg Turk J Trauma Emerg Surg TJTES. 2020 Jan;26(1):43–9.
Trauma ราชวิทยาลัยศัลยแพทย์แห่งประเทศไทย [Internet]. [cited 2023 Nov 7]. Available from: https://www.rcst.or.th/web-upload/filecenter/CPG/Trauma.html
Ntundu SH, Herman AM, Kishe A, Babu H, Jahanpour OF, Msuya D, et al. Patterns and outcomes of patients with abdominal trauma on operative management from northern Tanzania: a prospective single centre observational study. BMC Surg. 2019 Jun 26;19(1):69.
da Costa LGV, Carmona MJC, Malbouisson LM, Rizoli S, Rocha-Filho JA, Cardoso RG, et al. Independent early predictors of mortality in polytrauma patients: a prospective, observational, longitudinal study. Clinics. 2017 Jan 1;72(8):461–8.
Moffatt SE. Hypothermia in trauma. Emerg Med J. 2013 Dec 1;30(12):989–96.
Management of blunt and penetrating renal trauma [Internet]. [cited 2023 Nov 16]. Available from: https://medilib.ir/uptodate/show/16214
Fevang E, Perkins Z, Lockey D, Jeppesen E, Lossius HM. A systematic review and meta-analysis comparing mortality in pre-hospital tracheal intubation to emergency department intubation in trauma patients. Crit Care [Internet]. 2017 [cited 2023 Nov 16];21. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5535283/
Teasdale G, Jennett B. ASSESSMENT OF COMA AND IMPAIRED CONSCIOUSNESS: A Practical Scale. The Lancet. 1974 Jul 13;304(7872):81–4.
Fischer NJ. Mortality following severe liver trauma is declining at Auckland City Hospital: a 14-year experience, 2006-2020. N Z Med J. 2021 Aug 13;134(1540):16–24.
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