Evaluative and prognostic factors in the management of penetrating abdominal trauma

Abstract text (incl. references and figure legends)

Background: The absolute numbers vary across global locations but the epidemiological fact remains unchanged - that penetrating injuries in particular, GSW related injury, are highly lethal.[1]

In order to minimize the mortality rate associated with trauma, the factors affecting mortality should be evidenced to take care of patients. In the late years, the studies have been aimed at determining the preventable trauma cases [3, 4]. Further studies showed that in penetrating pediatric abdominal trauma, ISS and PATI score were the most important indicators found to be independently associated with morbidity [3].

Material and Methods: To carry out our study, we standardized the registration of trauma patients who were presented to University Hospital of Trauma in Tirana, Albania, with penetrating abdominal Injury in a period of time from January 2019 to July 2019.

Results: Data was collected from the trauma registry of the University Hospital of Trauma, were 22.875 patients (71.4%) with the diagnosis of trauma out of a total of 32.037 patients admitted to the emergency department. 510 patients were selected according to specific inclusion criteria and patients with abdominal injuries were further selected., 102 patients were recorded with Penetrating Abdominal Trauma…

Conclusion: The hemodynamic instability, ISS and PATI were found to have a significant effect on morbidity & mortality in this study. Applicability and prognostic effects of both ISS and PATI in penetrating abdominal trauma are validated in this relatively small group of trauma patients as they were found to be correlated with each other and mortality.

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