Abstract

Introduction: Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. Identification of severe intra-abdominal pathology is often challenging; many injuries may not manifest during the initial assessment and treatment period.

Materials and Methods: The study was conducted in a tertiary trauma center from January 2019 to January 2021. Our comprehensive study included 240 patients who presented in the UHT in Tirana, Albania. We meticulously analyzed a wide range of data to examine the relationships among age, comorbidities, and the mechanism of injury. We also examined injury severity, blood loss, and the presence of associated injuries, as well as management factors such as the time to definitive surgery, postoperative care, and operational technique. Our analysis's focus on blunt abdominal trauma, intra-abdominal injury, and hemodynamic status is crucial, as these factors are pivotal in determining the severity of injuries and guiding appropriate treatment strategies. The correlations identified in our results section provide valuable insights into the interplay between various variables, contributing to a more comprehensive understanding of the factors that influence trauma outcomes. Kendall's tau was used as the correlation coefficient. The data were presented in various tables and charts. Was considered significant if p values <0.05 (or 5%)

Results: Through the coefficient of correlation of Kendal is seen that there is a difference statistically significant between the mode of transport and the state of patient in admission (r = 0199, n = 240, p = 0.001), type of trauma and tactic of treatment (r = 0301, n = 254, p <0.001), ISS and complications (n = 240, p <0.001), ISS and form of treatment (r = 0318, n = 240, p <0.001), between the ISS and hospital stay (r = 0279, n = 240, p <0.001) …

Conclusions: The outcomes of trauma treatment, as revealed by our study, are intricately linked to several factors, including hemodynamic status, patient age, mechanism of trauma, and the duration between trauma occurrence and hospital presentation. These findings underscore the importance of a nuanced approach to trauma management and inspire the need for tailored interventions based on individual patient characteristics.

Keywords: blunt abdominal trauma, intra-abdominal injury, hemodynamic status, evaluative elements, prognostic elements