Pattern and Outcome of Anterior Abdominal Injury Patients Admitted in Aabet Hospital Addis Ababa, Ethiopia, 2020/2021.
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Date
2021-06
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Addis Abeba University
Abstract
Background: Abdominal trauma is a major public health problem for all nations and all
socioeconomic strata and associated with high morbidity and mortality in the world. Abdominal
injury is classified as blunt and penetrating trauma. Road traffic accident is the most common
cause of abdominal trauma in the world. Most abdominal injuries are preventable. The main
problems for inadequate treatment outcome are misdiagnosis, delayed arrival of patients to
health institutions.
Objective: The aim of this study was to assess the pattern and outcome of abdominal trauma in
AaBET hospital, Addis Ababa, Ethiopia from March 2021 to April 2021.
Method: Institutional based retrospective cross-sectional study was conducted among abdominal
trauma patients admitted in AaBET Hospital emergency department from January 2018 to
January 2021. Data was collected using a pre-tested structured checklist from patient`s chart
review. The data was checked for its’ completeness and entered into Epi data version 3.1 then
exported to SPSS version 25 software for analysis. Descriptive statistics (graph, table,
proportion, median and IQR) were used to describe frequency distribution of the data. The
Associations between independent variables and dependent variables were analyzed by using
logistic regression models.
RSULT: Out of 124 patients 83.1% were males. The age of respondents was ranged from 5-89
with median (IQR) age of 32 years. Penetrating abdominal injury 58.9% was the greatest
proportion of mechanism of abdominal injury. Stab injury 40(55.56%) was the major cause of
penetrating injury. Road traffic accident 24(47.1%) was the commonest cause of blunt abdominal
trauma. Bowel 41(62.1%) was the highly injured hollow viscous organ in penetrating abdominal
trauma and liver 7(38.9%) was the commonest injured solid organ in blunt abdominal trauma.
Eighty four (67.7%) of patients were treated by operative management and the commonest
reason of intra operative management was hemodynamic instability. Hemodynamic and
respiratory complications were high in number after operational procedure.
Conclusion: Abdominal injury is male disease. Among 124 abdominally injured patient
10(8.1%) died. GCS<9, post-operative hemodynamic complication, past medical history of
illness and bowel evisceration were significantly associated with mortality.
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Keywords
Abdominal trauma, patterns, outcome, AaBET Hospital, Ethiopia