CERTIFICATE

IMPACT FACTOR 2021

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

Penetrating abdominal trauma index as predictive factor affecting mortality and morbidity in penetrating abdominal trauma

Author: 
Dr. Qasim Hamza Eriby and Luai Farhan Zghair
Subject Area: 
Health Sciences
Abstract: 

Background: Trauma remains a big health problem in every country. Regardless of the level of socioeconomic development, trauma is responsible for 25% of the death in the USA. It is also the leading cause of death in the people from 1 to 44 years of age. Penetrating trauma is still the most frequent cause of death in the first four decades of life, and the rate of trauma causing morbidity and mortality increase in war time and violent conditions. In order to minimize the morbidity and mortality rate associated with penetrating trauma, the factors affecting morbidity and mortality were evaluated to choose those patients who need more intensive care and put them in the suitable ward with high facility or refer them to better centers. Study of these predictive factors also gives an idea about the efficacy of surgical team and hospital facilities and help in comparison between different trauma centers. Objectives: The aim of this study is to evaluate and analyze predictive factors for developing mortality and morbidity in penetrating abdominal trauma by using penetrating abdominal trauma index (PATI), number of intra abdominal organs injured, associated extra- abdominal injuries , age, sex, and type of injuring agent. Patients and methods: In this study 96 patients managed at Hospital for a period of 2 years. Patient age, sex, causative agent, severity of injury according to PATI and number of intra abdominal injured organ, associated extra- abdominal injuries and time between injury and arrival to hospital were studied. Results: Eighty Patients (83.3%) were males,16 (16.7%) were females. The male to females ratio was 5:1. The age of Patients were ranged from 1.5 to 60 years, with a mean age of 27.9 years ± SD 10.9 years, and the majority being in the third decade. Our study showed that the Injured intra-abdominal organs in decreasing frequency were large bowel (35.4%), liver (33.3%), small bowel (33.3%), diaphragm (22.9%), kidney (19.8%), stomach (19.8%), spleen (16.6%) and pancreas (7.3%). The extra- abdominal organ injured was chest (35.4%), upper limb (8.3%), lower limb (4.1%), head and neck (4.1%) and spinal cord (2.1 %). PATI was calculated in every operated Patient, the range of PATI was between (0 to 70) with a mean value (20.8 ± S.D 14). The study showed that PATI in dead Patients was the highest value while in morbid patients was more than 25, while patients with smooth post operative course was less than 25. Thirteen patients died (13.5%), 11 males (11.4%) and 2 females (2.1%) due to severe hemorrhage and consequences of dissaminating intravascular coagulation (DIC) and multiorgan failure (MOF). Seven (7.3%) of the dead Patients had extra- abdominal injuries. The morbidity rate was (37.5%) and the main cause of morbidity was wound sepsis (15.6%). Conclusion: Patients with penetrating abdominal trauma index more than 20 have greater possibility for developing complications and may need admition to intensive care unit (ICU) or respiratory care unit (RCU). Recommendation: 1. Efficient ambulance service, blood bank and regional trauma center are important to the reduction of the mortality and morbidity in trauma patients. 2. Increase the beds with good staff and equipments in ICU and RCU is important for decrease the mortality and morbidity in postoperative period. 3. Libral use of blood products is essential in management of penetrating abdominal trauma. 4. PATI is useful in planning management of patients with penetrating abdominal trauma.

PDF file: 

CALL FOR PAPERS

 

ONLINE PAYPAL PAYMENT

IJMCE RECOMMENDATION

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

 

EDITORIAL BOARD

CHUDE NKIRU PATRICIA
Nigeria
Dr. Swamy KRM
India
Dr. Abdul Hannan A.M.S
Saudi Arabia.
Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran