الفهرس 
List of ContentsOnly 14 pages are availabe for public view
 |  | from | 116 |  |  |
| | | from | 116 | | |
Abstract
Trauma is a serious worldwide public health problem. Morbidity and mortality in Solid organ injuries in blunt abdominal trauma patients are often related to the severity of associated injuries. The hemodynamic status of the patients with SOIs is the prime key in management. Hemodynamically unstable patients often require surgical management. Nonoperative management is prior in patients hemodynamically stable. NOM has increased over years, and recently becomes more accepted. This study was conducted to detect both incidence of solid organs injuries in blunt abdominal trauma patients and pattern of injuries as well as outcome in operative management comparing to non-operative management patients and to utilize an evidence-based approach across all levels of care in Mansoura University Emergency Hospital. During the study period, total number of 6908 polytrauma patients presented to MUEH. Among them 685 (9.9%) presented by abdominal trauma. There were 173 cases with penetrating abdominal trauma and 512 cases with blunt abdominal trauma. Among the cases with BAT, 268 cases were excluded and the remaining 244 were included in the current study. All patients were subjected to the initial resuscitation that conducted concurrently with primary assessment. After initial resuscitation effort, all patients were subjected to full history taking including age, gender, mode and time of trauma, time of arrival and resuscitation. The follow up of the cases were conducted with determination of the type of management either operative or non-operative, length of hospital stay and mortality. The results of this study showed that : * The mean age of the cases is 33.34 ± 15.1 years. There were 204 (83.6%) of the cases were males and 40 cases were females (16.4 %). * The most common cause of trauma was RTA (64.3%) of the cases. * Solid organs were affected in (70.1%) of the cases, bowels were affected in (24.2%), other causes of injuries were detected in (5.7%) of the cases. * Spleen was the most affected organ in 55.1% of the cases, liver was the second most affected organ in 45.9%, kidney in 19.5% of the cases, pancreas in 2.2% of the cases. * Total operative management (OM) was required in 70 cases (37.8%) and Total Non-operative management (NOM) was required in 115 cases (62.2%). * The overall incidence of mortality was 5.4%. * There was no statistically significant difference in the length of hospital stay between the cases according to management (operative or non-operative).