背景:腹部创伤是急诊就诊的常见原因之一,但在非洲之角,有关该主题的数据却很少。这项研究旨在确定WolaitaSodo大学教学和转诊医院手术患者的钝性腹部创伤不良治疗结果的决定因素,埃塞俄比亚。
方法:这是一项为期三年的回顾性研究,对128份患者记录进行了前瞻性抽样,其中包括了研究期间诊断为腹部钝性外伤的患者的所有记录。使用预先测试的检查表来提取与患者的不良后果和特征有关的数据。进行了描述性分析,然后进行了逻辑回归。
结果:在128名患者中,与腹部闭合性损伤相关的不良治疗结局发生率为52%.居住在农村地区的患者(调整后的比值比3.23,95%置信区间:1.13-9.24)和心动过速患者,(调整后的比值比=3.25,95%置信区间:1.19-8.83)或呼吸急促(调整后的比值比3.25,95%置信区间:1.19-8.83)更有可能产生不良管理结果。
结论:不良管理结果相对较高,并且与农村居住和生命体征紊乱(心动过速和呼吸急促)相关。建议针对农村居民以及心动过速和呼吸急促的患者进行密切监测。
BACKGROUND: Abdominal trauma is one of the common reasons for emergency visits yet there is paucity of data about the subject in the horn of Africa. This study was aimed at determining the determinants of adverse management outcomes of blunt abdominal trauma among operated patients at Wolaita Sodo University Teaching and Referral Hospital, Ethiopia.
METHODS: This was a three-year retrospective
review conducted among 128 patient records selected using purposive sampling in which all records for the patients operated for a diagnosis of blunt abdominal trauma during the study period were included. A pretested checklist was used to extract the data relating to adverse outcomes and characteristics of the patients. A descriptive analysis followed by logistic regression was done.
RESULTS: Of the 128 patients, adverse management outcomes related to blunt abdominal trauma occurred in 52%. Patients residing in rural areas (adjusted odds ratio 3.23, 95% confidence interval: 1.13-9.24) and those with tachycardia, (adjusted odds ratio = 3.25, 95% confidence interval: 1.19-8.83) or tachypnea (adjusted odds ratio 3.25, 95% confidence interval: 1.19-8.83) were more likely to have adverse management outcomes.
CONCLUSIONS: Adverse management outcomes are relatively high and associated with rural residence and deranged vital signs (tachycardia and tachypnea). Close monitoring targeting patients from rural residence and those presenting with tachycardia and tachypnea is recommended.