Practice and Management Outcome of Abdominal Trauma at Jimma Medical Center, Southwest Ethiopia.

Abstract

Introduction: Trauma is the leading cause of morbidity and mortality across the world. Majority of trauma related death occur because of bleeding from intra-abdominal injuries, which are preventable. To improve patients’ morbidity and mortality related to abdominal trauma knowledge update on the local pattern of abdominal injuries’, practice of management and patient outcome is essential. Objective: This study aimed at assessing patterns of practice and management outcomes of abdominal trauma patients admitted to JMC, General Surgery in patient ward from January 1, 2021, G.C. to December 31, 2023, G.C. Methods: A single institution based; retrospective cross-sectional study design was employed. A pretested structured data extraction checklist developed, and 126 patients admitted between January 1, 2021, G.C. to December 31, 2023, G.C. medical record charts reviewed and data on Sociodemographic, Circumstance of injury and clinical presentation, and pattern of management and patient outcome extracted. Result: the current study examined 126 patients medical record charts. Seventy-two percents of patients were from rural and male patients accounted for 85%. Blunt abdominal trauma (76%0 was the most frequently observed trauma type and road traffic accident (56%) was the main cause of injury. More than half of the patients had concomitant extra-abdominal trauma and chest (27.0%) was more frequently involved part. The mortality rate from abdominal trauma was 6.34% and 62.5% death were among patients with blunt trauma. Complication during the current hospital stay occurred in 13.5% and the mean length of hospital was 12.8 days.