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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2015 / Cilt: 21 - Sayı: 4

The effect of clinical, laboratory and radiologic results on treatment decision and surgical results in patients admitted to the emergency department with blunt abdominal trauma due to traffic accident

Acil servise trafik kazasına bağlı künt abdominaltravma ile başvuran hastalarda klinik değerlendirme,laboratuvar parametreleri ve radyolojik sonuçlarıntedavi kararına ve cerrahi sonuçlarına etkisi

İdil GÜNEŞ TATAR
Kerim Bora YILMAZ
Onur ERGUN
Şener BALAS
MELİH AKINCI
Rıza DERYOL
Gaye Ebru ŞEKER
Hakan KULAÇOĞLU
BAKİ HEKİMOĞLU
Pages
256–260
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Radiologic procedures play an important role in the management of patients with blunt abdominal trauma, especially for intubated patients.

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: The purpose of this study was to evaluate the effect of clinical, laboratory and radiological results on treatment decision and surgical results in patients with blunt abdominal trauma, who were admitted to the emergency department due to traffic accident.METHODS: Two hundred and twenty-two patients with blunt abdominal trauma were included into this retrospective study.
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Key Findings & Data:Positive findings on physical examination, sonography and CT, increased white blood cell count and liver function tests, decreased hemoglobin were associated with the need for surgery.DISCUSSION: For the surgical evaluation of patients with blunt abdominal trauma, a reliable physical examination is not possible when the patients have concomitant injuries causing disturbing pain, or when the patients are unconscious.
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Conclusion & Impact:Radiologic procedures play an important role in the management of patients with blunt abdominal trauma, especially for intubated patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: The purpose of this study was to evaluate the effect of clinical, laboratory and radiological results on treatment decision and surgical results in patients with blunt abdominal trauma, who were admitted to the emergency department due to traffic accident.METHODS: Two hundred and twenty-two patients with blunt abdominal trauma were included into this retrospective study. Pearson chi square, Mann-Whitney U test and logistic regression methods were used for statistical analysis.RESULTS: All patients were analyzed by complete blood count and biochemistry and abdominal sonography. Eighty-two patients were also eva-luated by CT. Twenty-three patients underwent surgery. Positive findings on physical examination, sonography and CT, increased white blood cell count and liver function tests, decreased hemoglobin were associated with the need for surgery.DISCUSSION: For the surgical evaluation of patients with blunt abdominal trauma, a reliable physical examination is not possible when the patients have concomitant injuries causing disturbing pain, or when the patients are unconscious. Laboratory tests should be interpreted with the clinical and radiologic analysis. Radiologic procedures play an important role in the management of patients with blunt abdominal trauma, especially for intubated patients.

Özet

AMAÇ: Acil servise trafik kazasına bağlı künt karın travması ile başvuran hastalarda klinik değerlendirme, laboratuvar parametreleri ve radyolojik sonuçların tedavi kararına ve cerrahi sonuçlarına etkisi araştırıldı.GEREÇ VE YÖNTEM: Bu geriye dönük çalışmaya künt karın travması geçirmiş 222 hasta alındı. Pearson ki kare, Mann-Whitney U ve lojistik regresyon testleri istatistiksel analiz için kullanıldı.BULGULAR: Tüm hastalar tam kan, biyokimya analizi, karın ultrasonografisi ile değerlendirildi. Seksen iki hasta ayrıca karın bilgisayarlı tomografisi ile incelendi. Yirmi üç hasta ameliyat edildi. Fiziksel inceleme, ultrasonografi ve bilgisayarlı tomografide pozitif bulgular, beyaz küre sayısında ve karaciğer fonksiyon testlerinde artış, hemoglobinde düşüş cerrahi girişim ihtiyacında artış ile ilişkiliydi (p<0.05). Cerrahi girişime ihtiyaç riskini pozitif fiziksel inceleme bulguları 3.5 kat, karaciğer fonksiyon testlerinde artış 3.8 kat ve pozitif ultrasonografik bulgular 3.5 kat artırmaktaydı.SONUÇ:Künt karın travmalı hastaların cerrahi girişim açısından değerlendirilmesinde rahatsız edici ağrıya yol açan ek yaralanmaları olan ya da şuuru kapalı hastalarda güvenilir bir fizik muayene sağlanması mümkün olmamaktadır. Laboratuvar testlerinin fiziksel inceleme ve radyolojik incelemeler ile birlikte değerlendirilmesi gerekmektedir. Radyolojik yöntemler ise künt karın travmalı hastalara yaklaşımda özellikle entübe ve yeterli fiziksel inceleme yapılamayan hastalarda karar vermede önemli bir role sahiptir

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Cite This Article

TATAR, İ. G., YILMAZ, K. B., ERGUN, O., BALAS, Ş., AKINCI, M., DERYOL, R., ŞEKER, G. E., KULAÇOĞLU, H., HEKİMOĞLU, B. (2015). The effect of clinical, laboratory and radiologic results on treatment decision and surgical results in patients admitted to the emergency department with blunt abdominal trauma due to traffic accident. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 21 - Sayı: 4, 256–260. https://ajindex.com/articles/324071

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