[Home ] [Archive]    
:: Main About journal Editorial Board Current Issue Archive Submit an article Site Map Contact ::
:: Volume 8, Issue 2 (5-2019) ::
Int J Med Invest 2019, 8(2): 6-11 Back to browse issues page
Prediction of the need for laparotomy considering clinical and laboratory findings in abdominal blunt trauma patients referred to Rajaei hospital in year 2017 and 2018
Ali Jangjou *, Peyman Izadpanah
Emergency Medicine Department, Shiraz University of medical sciences, Shiraz, Iran.
Abstract:   (1424 Views)
Background and aim: Trauma is the most common cause of death in persons aged 1-44 years and the third most common cause of death regardless of age. Abdominal trauma is one of the most prevalent cases of trauma. Laparatomy is a therapeutic method which is applied for abdominal trauma. The aim of this study was prediction of the need for laparotomy considering clinical and laboratory findings in abdominal blunt trauma patients referred to Rajaei hospital.
Methods: This retrospective study was done on all patients who had undergone emergency laparatomy in at Shahid Rajaei hospital at Shiraz for abdominal trauma during, the years 2017-2018.The data were collected through a questionnaire. The statistical analysis was performed using the SPSS 21. P value was significant if was less than 0.05.
Results: Of the 81 trauma patients who had undergone laparotomy, 66 cases (81.5%) was male and 15 (18.5%) was female. 95.1% of laparotomies were positive. Patients who had positive laparotomy had lower systolic blood pressure (p=0.02), Glasgow coma scale (GCS) (p<0.001) and hemoglobin (p=0.03) and higher respiratory rate (p=0.04). Spleen and liver were the common damage organs.
Conclusion: This study showed that blood pressure, GCS, hemoglobin and respiratory rate can predict the need for laparotomy.
Keywords: Laparotomy, blunt trauma, abdominal trauma
Full-Text [PDF 132 kb]   (261 Downloads)    
Type of Study: Research | Subject: General
1. 1. Amirbeiky Tafty M, Davoud Abadi A, Amirbeigy MK. Evaluating Frequency and Cause of Laparotomy in Penetrating and Blunt Abdominal Trauma in at Shahid Beheshti Hospital of Kashan during the Years 2009-2012. Iranian Journal of Surgery. 2014;22(2):34-41. 2. Motie MR, Behnampour N, Alinezhad H. Epidemiology of blunt abdominal trauma in Gorgan–Iran (2001-05). Journal of Gorgan University of Medical Sciences. 2009;10(4):55-9. 3. Saadat S, Soori H. Epidemiology of traffic injuries and motor vehicles utilization in the Capital of Iran: A population based study. BMC public health. 2011;11(1):1-8. 4. Peden M. Word Health Organization: World report on road traffic injury prevention. 2004. 5. Soori H, Royanian M, Zali AR, Movahedinejad A. Road traffic injuries in Iran: the role of interventions implemented by traffic police. Traffic injury prevention. 2009;10(4):375-8. 6. Toroyan T. Global status report on road safety. Injury prevention. 2009;15(4):260-8. 7. Smith J, Caldwell E, D’Amours S, Jalaludin B, Sugrue M. Abdominal trauma: a disease in evolution. ANZ journal of surgery. 2005;75(9):790-4. 8. Malhotra AK, Ivatury RR, Latifi R. Blunt abdominal trauma: evaluation and indications for laparotomy. Scandinavian journal of surgery. 2002;91(1):52-7. 9. Afifi RY. Blunt abdominal trauma: back to clinical judgement in the era of modern technology. International Journal of Surgery. 2008;6(2):91-5. 10. Khorasani B, Gholizadeh Pasha A. Evaluating the frequency and cause of negative laparatomy in penetrating and non-penetrating trauma. Horizon Med Sci. 2006; 12(2): 21-6. 11. Rose JS, Richards JR, Battistella F, Bair AE, McGahan JP, Kuppermann N. The fast is positive, now what? Derivation of a clinical decision rule to determine the need for therapeutic laparotomy in adults with blunt torso trauma and a positive trauma ultrasound. The Journal of emergency medicine. 2005;29(1):15-21. 12. Erfantalab-Avini P, Hafezi-Nejad N, Chardoli M, Rahimi-Movaghar V. Evaluating clinical abdominal scoring system in predicting the necessity of laparotomy in blunt abdominal trauma. Chinese Journal of Traumatology. 2011;14(3):156-60. 13. Musiitwa PC, Galukande M, Bugeza S, Wanzira H, Wangoda R. Emergency Ultrasound Predicting the Need for Therapeutic Laparotomy among Blunt Abdominal Trauma Patients in a Sub-Saharan African Hospital. Emergency medicine international. 2014;1(1):1-7. 14. Quaas J, Derrick B, Mitrani L, Baarbe S, Yarusi B, Wiener D, et al. Survey of patient and physician influences and decision-making regarding CT utilization for minor head injury. Injury. 2014;45(9):1503-8. 15. Ono K, Wada K, Takahara T, Shirotani T. Indications for computed tomography in patients with mild head injury. Neurologia medico-chirurgica. 2007;47(7):291-8. 16. Türedi S, Hasanbasoglu A, Gunduz A, Yandi M. Clinical decision instruments for CT scan in minor head trauma. The Journal of emergency medicine. 2008;34(3):253-9. 17. Cherkasov M, Sitnikov V, Sarkisyan B, Degtirev O, Turbin M, Yakuba A. Laparoscopy versus laparotomy in management of abdominal trauma. Surgical endoscopy. 2008;22(1):228-31. 18. Zareh M, Kargar S, Amoie AH. Evaluation of the Diagnostic Value of Peritoneal Lavage Test in Intra-Abdominal Injuries Due to Abdominal Trauma and Comparison with Laparotomy and Conservative Treatment. JSSU. 2004;12(1):23-8. 19. Stewart BT, Lee V, Danne PD. Laparotomy for trauma in a regional centre: the effect of delay on outcome. Australian and New Zealand Journal of Surgery. 1994;64(7):484-7.
Add your comments about this article
Your username or Email:


XML     Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Jangjou A, Izadpanah P. Prediction of the need for laparotomy considering clinical and laboratory findings in abdominal blunt trauma patients referred to Rajaei hospital in year 2017 and 2018. Int J Med Invest. 2019; 8 (2) :6-11
URL: http://intjmi.com/article-1-394-en.html

Volume 8, Issue 2 (5-2019) Back to browse issues page
International Journal of Medical Investigation
Persian site map - English site map - Created in 0.06 seconds with 32 queries by YEKTAWEB 4056