Abstract

Background: The absolute numbers vary across global locations, but the epidemiological fact remains unchanged - that penetrating injuries, in particular, GSW-related injuries, are highly lethal.[1] Penetrating abdominal trauma affects approximately 35% of those patients admitted to urban trauma centers and 1-12% of those admitted to suburban or rural centers.[2] To minimize the mortality rate associated with trauma, the factors affecting mortality should be identified to take care of patients. In recent years, studies have aimed to identify preventable trauma cases [3, 4]. Further studies showed that in penetrating pediatric abdominal trauma, ISS and PATI scores were the most critical indicators found to be independently associated with morbidity [3].

Material and Methods: To carry out our study, we standardized the registration of trauma patients who were presented to the University Hospital of Trauma in Tirana, Albania, with penetrating abdominal Injury in a period from January 2019 to July 2019. Results: Data were collected from the trauma registry of the University Hospital of Trauma. Out of a total of 32,037 patients admitted to the emergency department, 22,875 (71.4%) had a diagnosis of trauma. Five hundred ten patients were selected according to specific inclusion criteria, and patients with abdominal injuries were further selected. One hundred two patients were recorded with Penetrating Abdominal Trauma.

Conclusion: The study's findings highlight the substantial impact of hemodynamic instability, ISS, and PATI on morbidity and mortality in penetrating abdominal trauma. The correlation between ISS and PATI, despite the relatively small sample size, reinforces the robustness of the study's methodology and the reliability of its results.

Keywords: hemodynamic instability, ISS, PATI index…