Assessment of Pattern of Abdominal Injury over a Two-Year Period at St Paul’s Hospital Millenium Medical College and AaBET Hospital, Addis Ababa, Ethiopia: A Retrospective Study,Emergency Medicine International

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Assessment of Pattern of Abdominal Injury over a Two-Year Period at St Paul’s Hospital Millenium Medical College and AaBET Hospital, Addis Ababa, Ethiopia: A Retrospective Study
Emergency Medicine International ( IF 1.2 ) Pub Date : 2022-9-27 , DOI: 10.1155/2022/3036876
Kassaye Demeke Altaye ₁ , Ayalew Zewdie Tadesse ₂ , Mahteme Bekele Muleta ₃ , Woldesenbet Wagenew Dode ₂

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Background. Globally, injury continues to be an important cause of morbidity and mortality both in developed and developing countries. Abdominal injuries are among the major causes of trauma admissions. This study aimed to assess patterns of abdominal injury at AaBET and St. Paul’s Hospital Millennium Medical College. Methods. A cross-sectional study was done on all adult patients who sustained abdominal injuries presented to the emergency department and managed at AaBET and St. Paul’s Hospital Millennium Medical College over a two-year period from January 2018 to December 2019. Results. A total of 165 abdominal injured patients presented during the study period. Among those patients, 140 (84.8%) were male, with a male-to-female ratio of 5.61. The mean age of patients was 29.3 years. 85 (51.5%) of the patients sustained penetrating injuries. 53 (32.1%) patients sustained road traffic accidents, 47 (32.1%) had stab injuries, and 34 (20.6%) had gunshots. Thirty-four (20.6%) of the patients were managed conservatively and 79.4% (n = 131) were managed surgically. The commonest complications found were shock (n = 20 (12.1%)), peritonitis (n = 18(10.9%)), HAP (n = 9 (5.5%)), and surgical site infection (n = 4 (2.4%)).The mortality rate was 3.6% (n = 6), of which 4 (67%) had the penetrating mechanism of injury. Conclusion. Abdominal trauma predominantly affects the male and economically productive age. The three main causes of abdominal injuries in this study were road traffic accidents, stab injuries, and gunshots, which require increased public awareness of the need to prevent road traffic accidents and to handle weapons and sharp items properly.

更新日期：2022-09-27

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