|Assessment of profile of patients with blunt abdominal trauma: An observational study|
|Mukesh Kumar Jamwal, Suneet Katoch, Sanjay Kumar|
Background: Trauma is still the most frequent cause of death in the first four decades of life, and it remains a major public health problem in every country, regardless of the level of socioeconomic development. Hence; the present study was conducted with the aim of assessing the profile of patients with blunt abdominal trauma. Materials & methods: The present study was conducted on 100 patients admitted in the surgical ward, with blunt trauma abdomen (BAT). On presentation, an assessment of the vital functions was done. Primary survey was focus on the ABC of resuscitation i.e. restoration of airway, breathing and circulation. Simultaneously recording detailed history including demographic profile, mode of presentation, time of presentation, clinical profile and haematological investigations was done. All the results were analysed by SPSS software. Results: The patients most commonly afflicted were young adults in the age group of 21-40 years, forming almost 64% of total sample size. The mean age of distribution was 36.56 years. 88 percent of the patients were males. The frequency distribution of the road traffic accident (RTA) as the aetiology of the blunt trauma abdomen showed that, it was the leading cause of the patients suffering forming a large percentage of 80% of the total. Abdominal distension was seen in 78 percent of the patients while abdominal tenderness was seen in 96 percent of the patients. Hematemesis and hematuria were seen in 8 percent and 12 percent of the patients respectively. Pallor and obliteration of liver dullness was seen in 42 percent and 56 percent of the patients respectively. Conclusion: Blunt trauma accounts for large majority of civilian trauma. Prompt evaluation of the abdomen is necessary to minimize preventable morbidity and mortality.
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