College of Health Sciences

Permanent URI for this communityhttps://repository.mu.edu.et/handle/123456789/67

Browse

Filter results by typing the first few letters
Now showing 1 - 1 of 1
  • No Thumbnail Available
    Item
    PATTERN AND OUTCOMES OF ABDOMINAL TRAUMA AMONG PATIENTS ADMITTED AT AYDER COMPREHENSIVE SPECIALIZED HOSPITAL, TIGRAY, ETHIOPIA: A 03-YEAR CROSS-SECTIONAL STUDY.
    (Mekelle University, 2025-03-28) Yoseph Equar Assefa
    BACKGROUND: Abdominal trauma is among the major causes of trauma admissions with significantly high morbidity and mortality in low- and middle-income countries. With the paucity of trauma data in our region this study aimed to show the pattern of presentation and outcome of patients with abdominal trauma at a tertiary Teaching Hospital in Northern Ethiopia. METHODS: Cross sectional study of all patients with abdominal trauma who presented to ACSH, Teaching Hospital from November 2021 to October 2024. All patients chart with clinical and/or radiological evidence of abdominal trauma that fulfilled the inclusion criteria were identified, and data extracted and analyzed. The factors associated with outcome were identified with bivariate and multivariable logistic regressions. Results; A total of 384 patients’ charts were included in the study. There were 323 males and 61 females (5.3:1) with a mean age of 27.3 (SD±13.7) years. Penetrating injuries are more common (65.1%), mostly as a result of stab. The small bowel was the most frequently injured organ in penetrating trauma, while in blunt abdominal injury, the spleen was most commonly injured. A total of 244 patients (63.5%) were managed with operative intervention, with the overall morbidity rate of 25.5% and negative laparotomy rate of 2.9%. The rate of relaparotomy was 14.3%, mostly done for anastomotic leaks. There were 31 deaths in the period accounting for 8.1% of patients with refractory septic shock as the most common cause of death (51.6%). Lower revised trauma score [AOR =0.13 (95% CI = 0.05- 0.3)], late presentation >12 h [AOR = 0.057 (95% CI = 0.01- 0.5)], older age [AOR = 0.02 (95% CI = 0.001- 0.7], need for perioperative intensive care unit admission ICU [AOR = 0.01 (95% CI = 0.001- 0.1)], absence of abdominal tenderness [AOR =19.5 (95% CI = 2.4- 160.1)], operation prior to arrival in our hospital [AOR = 37.5 (95% CI = 4.3- 328.3)] and practice of primary anastomosis [AOR = 0.074 (95% CI = 0.01- 0.6)] were associated with a higher risk of mortality (P < 0.05). Conclusion; Abdominal trauma was highly prevalent in our setting, penetrating injuries being the most common mechanism. It predominantly affects young males, and bowel injuries were the most frequent, primarily caused by stabs. The overall mortality rate was high, with factors such as the revised trauma score, intensive care unit admission and delayed presentation, employment and primary anastomosis identified as significant predictors of mortality.