Incidence, Pattern and Mortality of Traumatic Abdominal Injury, a Three-Year Study at the Largest Trauma Center in Southern Iran: A Cross-Sectional Study

IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL

Health Science Reports Pub Date : 2025-06-23 DOI:10.1002/hsr2.70941

Mahnaz Yadollahi, Hosein Fazeli, Mehdi Ghasemian, Mohammad Reza Yousefi, Mehrdad Karajizadeh, Hanie Farajpour

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Abstract

Background and Aims

Trauma remains a significant contributor to global mortality rates, with abdominal trauma being a prevalent diagnosis among traumatic patients and often leading to substantial mortality rates. The objective of this study was to investigate the nature of abdominal trauma, ascertain associated injury characteristics, and identify independent factors associated with mortality in patients referred to a level-one trauma center located in the southern region of Iran.

Methods

This cross-sectional study was conducted at the largest trauma center in the southern region of Iran from June 2018 to June 2021. The study included all adult patients diagnosed with abdominal trauma based on the criteria outlined in the Abbreviated Injury Scale guidelines. Data were collected on patient characteristics, injury anatomy, injury mechanism, duration of hospitalization, blood pressure levels, injury severity, and outcomes.

Results

The study analyzed 844 cases among 4755 individuals admitted to the emergency department (17.75% prevalence) with an 18.40% mortality rate. Liver injuries were associated with increased mortality, while spleen injuries, although common, were not. Most patients were male, with an average age of 36. The most common causes were road traffic accidents and falls, with blunt trauma being predominant. Variables with observed association with mortality included age (p value < 0.001, OR = 1.057), GCS = 3–8 (p value < 0.001, OR = 10.780), retroperitoneal hemorrhage (p value < 0.001, OR = 3.052), higher ISS (p value < 0.001, OR = 1.039), and length of hospital stay (p value = 0.002, OR = 0.974).

Conclusion

This study highlights the significant burden of abdominal trauma on mortality rates in traumatic patients. Understanding the nature and predictors of abdominal trauma can help improve outcomes and guide future interventions in trauma care.

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在伊朗南部最大的创伤中心进行的一项为期三年的横断面研究：外伤性腹部损伤的发生率、模式和死亡率

背景和目的创伤仍然是全球死亡率的一个重要因素，腹部创伤是创伤患者的普遍诊断，往往导致大量死亡率。本研究的目的是调查腹部创伤的性质，确定相关的损伤特征，并确定与伊朗南部地区一级创伤中心转诊患者死亡率相关的独立因素。方法本横断面研究于2018年6月至2021年6月在伊朗南部地区最大的创伤中心进行。该研究包括所有根据简略损伤量表指南中列出的标准诊断为腹部创伤的成年患者。收集患者特征、损伤解剖、损伤机制、住院时间、血压水平、损伤严重程度和结局等数据。结果4755例急诊科住院患者中844例（患病率17.75%），死亡率18.40%。肝损伤与死亡率增加有关，而脾损伤虽然常见，但与之无关。大多数患者为男性，平均年龄36岁。最常见的原因是道路交通事故和跌倒，钝性创伤占主导地位。观察到与死亡率相关的变量包括年龄（p值<； 0.001, OR = 1.057）、GCS = 3-8 （p值<； 0.001, OR = 10.780）、腹膜后出血（p值<； 0.001, OR = 3.052）、较高的ISS （p值<； 0.001, OR = 1.039）和住院时间（p值= 0.002,OR = 0.974）。结论本研究强调了腹部创伤对创伤患者死亡率的重要影响。了解腹部创伤的性质和预测因素可以帮助改善结果并指导创伤护理的未来干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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