WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Fahem Ali Hasan*, Hussein Nizar Ali and Shaimaa Sabri Abdul Amir

ABSTRACT

Background: The abdominal trauma is a commonly presented to emergency wards all over the world especially during wars and disasters. The abdominal trauma is classified into either penetrating or blunt trauma. Aim of study: To assess the incidence and management of penetrating versus blunt abdominal trauma in the causality of Al-Imam Al- Hussein medical city. Patients and methods: A prospective Cohort study carried out in the Trauma center of Al-Imam Al-Hussein Medical city in Karbala City-Iraq during duration of one year from 1st of January, till 31st of December, 2023 on sample of 150 patients with abdominal trauma. Follow up of patients was done by the researcher for duration of one to two weeks in surgical ward. Results: The majority of injured patients were alive, while only two injured patients were died. The penetrating trauma was shown among 34.7% of injured patients and blunt trauma represented 65.3% of injured patients. Blunt abdominal trauma is related to associate injuries of patients, low hemoglobin level and severe external bleeding, while penetrating abdominal trauma is related to younger age, low heart rate, immediate revised trauma score, shorter interval between arrival and resuscitation and operative management. Conclusions: The penetrating and blunt abdominal traumas are variable in incidence, presentation, severity, management and outcomes.