Advanced Biomedical Research
The demographics and outcome of patients with penetrating abdominal trauma admitted to emergency medicine department: A descriptive cross-sectional study
Authors
1 Department of Emergency Medicine, Shaheed Beheshti Medical University, Tehran, Iran
2 Department of Emergency Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Emergency Medicine, Hormozgan University of Medical Sciences, Hormozgan, Iran
Abstract
Background: This study was performed to determine the demographic and outcome of penetrating abdominal trauma in patients attending to emergency medicine department.
Materials and Methods: This was a descriptive cross-sectional study in Imam Hossein Medical Center. Seventy five patients who came to our department with penetrating abdominal trauma during a 1 year period were enroled into this study and their demographic data and outcome (during the hospitalization) were recorded. The study was at Imam Hossein Medical Center, Tehran, Iran, from 2009 to 2010.
Results: Our findings indicate these notable results: 84% of patients were less than 40 years old, most patients attended emergency department during the spring and summer, 72 patients (96%) arrived between 7 pm and 7 am, 74 patients (98.7%) had stab wound and one person (1.3%) was shot, eventually 46 patients (61%) had laparatomy performed and 2 patients (2.7%) died. 59 patients out of 75 study cases appealed to police department and legal medicine council.
Conclusions: The incidence of abdominal penetrating trauma due to stab wound is much higher than gunshot in our community, which indicates the importance of educating the emergency staff and preparing the emergency department work place to attend to these patients, especially during the night hours.
Keywords
| 1. | David J. Epidemiology of trauma. Surg Clin North Am 1996;76:168-70.  |
| 2. | Poitzman A, Makaroum T, Slasky S. Prospective study of CT in initial management of blunt abdominal trauma. J Trauma 1996;26:585-9. |
| 3. | Mao J, Mateer JR, Ogata M, Kefer MP, Wittmann D, Aprahamian C. Perspective analysis of a rapid trauma unrasound examination performed by emergency physicians. J Trauma 1995;38:879-85. |
| 4. | Schwartz S, Spencer D, Fischer G. Trauma. In: Principles of Surgery (Hand Book). 6th ed. New York: McGraw-Hill; 1994. p. 370-3, 465-70. |
| 5. | Franciscol K. GI obstruction. Surg Clin North Am 1997;75 Suppl 6:231-3. |
| 6. | John M, Burch J, Ernest E. Trauma. In: Caries F, Dana K, Schwartz S, editors. Principles of Surgery. 8th ed. USA: McGraw Hill; 2005. |
| 7. | Clarke DL, Allorto NL, Thomson SR. An audit of failed non-operative management of abdominal stab wounds. Injury 2010;41:488-91. |
| 8. | McCarthy MC, Lowdermilk GA, Canal DF, Broadie TA. Prediction of injury caused by penetrating wounds to the abdomen, flank, and back. Arch Surg 1991;126:962-5; discussion 965-6. |
| 9. | Butt MU, Zacharias N, Velmahos GC. Penetrating abdominal injuries: Management controversies. Scand J Trauma Resusc Emerg Med 2009;17:19. |
| 10. | Eckert KL. Penetrating and blunt abdominal trauma. Crit Care Nurs Q 2005;28:41-59. |
)