Visceral Injury in Abdominal Trauma: A Retrospective Study

Detalhes bibliográficos
Autor(a) principal: Leite, Sara
Data de Publicação: 2013
Outros Autores: Taveira-Gomes, António, Sousa, Hugo
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2104
Resumo: Background: Abdominal trauma is a major cause of morbi-mortality all over the world which makes it essential an approach focused on rapid diagnosis and treatment. The main goals of this study are to identify global epidemiologic data of abdominal trauma in our tertiary trauma center and to study traumatic lesions, treatment and outcome.Material and Methods: Retrospective analysis of the clinical file of all patients admitted with abdominal trauma, over a period of 5 years, in a tertiary trauma center.Results: the total mean of ages was 42.6 years and the male gender was the most affected (74.2%). At admission, most patients had a Revised Trauma Score > 4. The mainly causes of trauma were blunt from motor-vehicle collisions (39.9% as motor-vehicle occupant and 10.7% from pedestrian collisions) and falls (25.5%). Penetrating trauma, by abdominal stab wounds and gunshot wounds, occurred only in 12.3% of the cases. Hollow visceral injuries were more frequent in that context. In 19.5% of the cases multiple abdominal organinjury occurred. Conservative treatment was performed in 65.3% of the cases. Global mortality was 12%, being null after penetrating lesions.Conclusions: Abdominal trauma, more frequently, is the result of motor-vehicle crashes and falls, being blunt in the majority of the cases. The most affected organs are solid and the approach is conservative. Hollow visceral lesions continue to be of difficult diagnose.
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spelling Visceral Injury in Abdominal Trauma: A Retrospective StudyLesão Visceral em Trauma Abdominal: Um Estudo RetrospetivoBackground: Abdominal trauma is a major cause of morbi-mortality all over the world which makes it essential an approach focused on rapid diagnosis and treatment. The main goals of this study are to identify global epidemiologic data of abdominal trauma in our tertiary trauma center and to study traumatic lesions, treatment and outcome.Material and Methods: Retrospective analysis of the clinical file of all patients admitted with abdominal trauma, over a period of 5 years, in a tertiary trauma center.Results: the total mean of ages was 42.6 years and the male gender was the most affected (74.2%). At admission, most patients had a Revised Trauma Score > 4. The mainly causes of trauma were blunt from motor-vehicle collisions (39.9% as motor-vehicle occupant and 10.7% from pedestrian collisions) and falls (25.5%). Penetrating trauma, by abdominal stab wounds and gunshot wounds, occurred only in 12.3% of the cases. Hollow visceral injuries were more frequent in that context. In 19.5% of the cases multiple abdominal organinjury occurred. Conservative treatment was performed in 65.3% of the cases. Global mortality was 12%, being null after penetrating lesions.Conclusions: Abdominal trauma, more frequently, is the result of motor-vehicle crashes and falls, being blunt in the majority of the cases. The most affected organs are solid and the approach is conservative. Hollow visceral lesions continue to be of difficult diagnose.Introdução: O trauma abdominal é uma importante causa de morbi-mortalidade em todo o mundo, o que leva a que seja fulcral uma bordagem focada no rápido diagnóstico e tratamento. Este estudo tem como objetivos principais, por um lado, identificar dados epidemiológicos lobais do trauma abdominal no Centro Hospitalar de São João e, por outro, estudar as lesões traumáticas, tratamento e outcome.Material e Métodos: Análise retrospetiva do processo clínico de todos os doentes admitidos com traumatismo abdominal, durante um período de cinco anos, num hospital central universitário.Resultados: A média total de idades foi de 42,6 anos e o sexo masculino, foi o mais afetado (74,2%). A maior parte dos doentes tinha um Revised Trauma Score > 4, na admissão. Os mecanismos traumáticos mais frequentes foram fechados por acidente de viação (39,9% em ocupantes de veículo e 10,7% por atropelamento) e queda (25,5%). O trauma perfurante, por lesão de arma branca ou de fogo, ocorreu em apenas 12,3% dos casos. As lesões de víscera oca ocorreram mais neste contexto. Em 19,5% dos casos ocorreu lesão de mais do que uma víscera abdominal. O tratamento conservador foi feito em 65,3% dos casos. A mortalidade total foi de 12%, sendo nula nos casos de lesão penetrante.Conclusão: O trauma abdominal resulta de acidentes de viação e quedas, mais frequentemente, sendo fechado na maioria doscasos. Os órgãos mais vezes afetados são maciços e o tratamento conservador. As lesões de víscera oca continuam a ser de difícil diagnóstico.Ordem dos Médicos2013-12-20info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2104oai:ojs.www.actamedicaportuguesa.com:article/2104Acta Médica Portuguesa; Vol. 26 No. 6 (2013): November-December; 725-730Acta Médica Portuguesa; Vol. 26 N.º 6 (2013): Novembro-Dezembro; 725-7301646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2104https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2104/3815https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2104/3914Leite, SaraTaveira-Gomes, AntónioSousa, Hugoinfo:eu-repo/semantics/openAccess2022-12-20T10:59:44Zoai:ojs.www.actamedicaportuguesa.com:article/2104Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:17:31.944861Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Visceral Injury in Abdominal Trauma: A Retrospective Study
Lesão Visceral em Trauma Abdominal: Um Estudo Retrospetivo
title Visceral Injury in Abdominal Trauma: A Retrospective Study
spellingShingle Visceral Injury in Abdominal Trauma: A Retrospective Study
Leite, Sara
title_short Visceral Injury in Abdominal Trauma: A Retrospective Study
title_full Visceral Injury in Abdominal Trauma: A Retrospective Study
title_fullStr Visceral Injury in Abdominal Trauma: A Retrospective Study
title_full_unstemmed Visceral Injury in Abdominal Trauma: A Retrospective Study
title_sort Visceral Injury in Abdominal Trauma: A Retrospective Study
author Leite, Sara
author_facet Leite, Sara
Taveira-Gomes, António
Sousa, Hugo
author_role author
author2 Taveira-Gomes, António
Sousa, Hugo
author2_role author
author
dc.contributor.author.fl_str_mv Leite, Sara
Taveira-Gomes, António
Sousa, Hugo
description Background: Abdominal trauma is a major cause of morbi-mortality all over the world which makes it essential an approach focused on rapid diagnosis and treatment. The main goals of this study are to identify global epidemiologic data of abdominal trauma in our tertiary trauma center and to study traumatic lesions, treatment and outcome.Material and Methods: Retrospective analysis of the clinical file of all patients admitted with abdominal trauma, over a period of 5 years, in a tertiary trauma center.Results: the total mean of ages was 42.6 years and the male gender was the most affected (74.2%). At admission, most patients had a Revised Trauma Score > 4. The mainly causes of trauma were blunt from motor-vehicle collisions (39.9% as motor-vehicle occupant and 10.7% from pedestrian collisions) and falls (25.5%). Penetrating trauma, by abdominal stab wounds and gunshot wounds, occurred only in 12.3% of the cases. Hollow visceral injuries were more frequent in that context. In 19.5% of the cases multiple abdominal organinjury occurred. Conservative treatment was performed in 65.3% of the cases. Global mortality was 12%, being null after penetrating lesions.Conclusions: Abdominal trauma, more frequently, is the result of motor-vehicle crashes and falls, being blunt in the majority of the cases. The most affected organs are solid and the approach is conservative. Hollow visceral lesions continue to be of difficult diagnose.
publishDate 2013
dc.date.none.fl_str_mv 2013-12-20
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identifier_str_mv oai:ojs.www.actamedicaportuguesa.com:article/2104
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dc.relation.none.fl_str_mv https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2104
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2104/3815
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2104/3914
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 26 No. 6 (2013): November-December; 725-730
Acta Médica Portuguesa; Vol. 26 N.º 6 (2013): Novembro-Dezembro; 725-730
1646-0758
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