Correlating abdominal pain and intra-abdominal injury in patients with blunt abdominal trauma

Trauma Surgery & Acute Care Open
Michael M NeekiDavid Wong

Abstract

A thorough history and physical examination in patients with blunt abdominal trauma (BAT) is important to safely exclude clinically significant intra-abdominal injury (IAI). We seek to evaluate a correlation between self-reported abdominal pain, abdominal tenderness on examination and IAI discovered on CT or during exploratory laparotomy. This retrospective analysis assessed patients with BAT ≥13 years old who arrived to the emergency department following BAT during the 23-month study period. Upon arrival, the trauma team examined all patients. Only those who underwent an abdominal and pelvic CT scan were included. Patients were excluded if they were unable to communicate or lacked documentation, had obvious evidence of extra-abdominal distracting injuries, had a positive drug or alcohol screen, had a Glasgow Coma Scale ≤13, or had a positive pregnancy screening. The primary objective was to assess the agreement between self-reported abdominal pain and abdominal tenderness on examination and IAI noted on CT or during exploratory laparotomy. Among the 594 patients included in the final analysis, 73.1% (n=434) had no self-reported abdominal pain, 64.0% (n=384) had no abdominal tenderness on examination, and 22.2% (n=132) had posi...Continue Reading

References

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Citations

Dec 14, 2018·World Journal of Surgery·Kathryn M ChuSarah Rayne
Dec 18, 2019·Anaesthesia Critical Care & Pain Medicine·Pierre BouzatEmmanuel Weiss
Mar 23, 2021·Curēus·Blake DruryMichael M Neeki
Jan 9, 2022·Surgical Endoscopy·Iman SimmondsKatia Noyes

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Methods Mentioned

BETA
pregnancy test
ISS
lavage

Software Mentioned

SAS

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