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Abdominal injuries in communal crises: The Jos experience
BACKGROUND: Abdominal injuries contribute significantly to battlefield trauma morbidity and mortality. This study sought to determine the incidence, demographics, clinical features, spectrum, severity, management, and outcome of abdominal trauma during a civilian conflict. MATERIALS AND METHODS: A p...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4766761/ https://www.ncbi.nlm.nih.gov/pubmed/26957819 http://dx.doi.org/10.4103/0974-2700.173867 |
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author | Ojo, Emmanuel Olorundare Ozoilo, Kenneth N. Sule, Augustine Z. Ugwu, Benjamin T. Misauno, Michael A. Ismaila, Bashiru O. Peter, Solomon D. Adejumo, Adeyinka A. |
author_facet | Ojo, Emmanuel Olorundare Ozoilo, Kenneth N. Sule, Augustine Z. Ugwu, Benjamin T. Misauno, Michael A. Ismaila, Bashiru O. Peter, Solomon D. Adejumo, Adeyinka A. |
author_sort | Ojo, Emmanuel Olorundare |
collection | PubMed |
description | BACKGROUND: Abdominal injuries contribute significantly to battlefield trauma morbidity and mortality. This study sought to determine the incidence, demographics, clinical features, spectrum, severity, management, and outcome of abdominal trauma during a civilian conflict. MATERIALS AND METHODS: A prospective analysis of patients treated for abdominal trauma during the Jos civil crises between December 2010 and May 2012 at the Jos University Teaching Hospital. RESULTS: A total of 109 victims of communal conflicts with abdominal injuries were managed during the study period with 89 (81.7%) males and 20 (18.3%) females representing about 12.2% of the total 897 combat related injuries. The peak age incidence was between 21 and 40 years (range: 3–71 years). The most frequently injured intra-abdominal organs were the small intestine 69 (63.3%), colon 48 (44%), and liver 41 (37.6%). Forty-four (40.4%) patients had extra-abdominal injuries involving the chest in 17 (15.6%), musculoskeletal 12 (11%), and the head in 9 (8.3%). The most prevalent weapon injuries were gunshot 76 (69.7%), explosives 12 (11%), stab injuries 11 (10.1%), and blunt abdominal trauma 10 (9.2%). The injury severity score varied from 8 to 52 (mean: 20.8) with a fatality rate of 11 (10.1%) and morbidity rate of 29 (26.6%). Presence of irreversible shock, 3 or more injured intra-abdominal organs, severe head injuries, and delayed presentation were the main factors associated with mortality. CONCLUSION: Abdominal trauma is major life-threatening injuries during conflicts. Substantial mortality occurred with loss of nearly one in every 10 hospitalized victims despite aggressive emergency room resuscitation. The resources expenditure, propensity for death and expediency of timing reinforce the need for early access to the wounded in a concerted trauma care systems. |
format | Online Article Text |
id | pubmed-4766761 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-47667612016-03-08 Abdominal injuries in communal crises: The Jos experience Ojo, Emmanuel Olorundare Ozoilo, Kenneth N. Sule, Augustine Z. Ugwu, Benjamin T. Misauno, Michael A. Ismaila, Bashiru O. Peter, Solomon D. Adejumo, Adeyinka A. J Emerg Trauma Shock Original Article BACKGROUND: Abdominal injuries contribute significantly to battlefield trauma morbidity and mortality. This study sought to determine the incidence, demographics, clinical features, spectrum, severity, management, and outcome of abdominal trauma during a civilian conflict. MATERIALS AND METHODS: A prospective analysis of patients treated for abdominal trauma during the Jos civil crises between December 2010 and May 2012 at the Jos University Teaching Hospital. RESULTS: A total of 109 victims of communal conflicts with abdominal injuries were managed during the study period with 89 (81.7%) males and 20 (18.3%) females representing about 12.2% of the total 897 combat related injuries. The peak age incidence was between 21 and 40 years (range: 3–71 years). The most frequently injured intra-abdominal organs were the small intestine 69 (63.3%), colon 48 (44%), and liver 41 (37.6%). Forty-four (40.4%) patients had extra-abdominal injuries involving the chest in 17 (15.6%), musculoskeletal 12 (11%), and the head in 9 (8.3%). The most prevalent weapon injuries were gunshot 76 (69.7%), explosives 12 (11%), stab injuries 11 (10.1%), and blunt abdominal trauma 10 (9.2%). The injury severity score varied from 8 to 52 (mean: 20.8) with a fatality rate of 11 (10.1%) and morbidity rate of 29 (26.6%). Presence of irreversible shock, 3 or more injured intra-abdominal organs, severe head injuries, and delayed presentation were the main factors associated with mortality. CONCLUSION: Abdominal trauma is major life-threatening injuries during conflicts. Substantial mortality occurred with loss of nearly one in every 10 hospitalized victims despite aggressive emergency room resuscitation. The resources expenditure, propensity for death and expediency of timing reinforce the need for early access to the wounded in a concerted trauma care systems. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4766761/ /pubmed/26957819 http://dx.doi.org/10.4103/0974-2700.173867 Text en Copyright: © Journal of Emergencies, Trauma, and Shock http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Ojo, Emmanuel Olorundare Ozoilo, Kenneth N. Sule, Augustine Z. Ugwu, Benjamin T. Misauno, Michael A. Ismaila, Bashiru O. Peter, Solomon D. Adejumo, Adeyinka A. Abdominal injuries in communal crises: The Jos experience |
title | Abdominal injuries in communal crises: The Jos experience |
title_full | Abdominal injuries in communal crises: The Jos experience |
title_fullStr | Abdominal injuries in communal crises: The Jos experience |
title_full_unstemmed | Abdominal injuries in communal crises: The Jos experience |
title_short | Abdominal injuries in communal crises: The Jos experience |
title_sort | abdominal injuries in communal crises: the jos experience |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4766761/ https://www.ncbi.nlm.nih.gov/pubmed/26957819 http://dx.doi.org/10.4103/0974-2700.173867 |
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