Research Article

Comparison of Clinical Characteristics, Therapy, and Short-Term Prognosis between Blunt and Penetrating Abdominal Trauma: A Multicentric Retrospective Cohort Study

Table 2

Clinical characteristics of enrolled abdominal trauma patients.

All patientsPenetrating abdominal traumaBlunt abdominal traumaPAT vs BAT
value

Age (years, n%)
 <1838 (6.87)13 (7.65)25 (6.53)0.002
 18–44339 (61.31)122 (71.77)217 (56.66)
 45–59124 (22.42)27 (15.88)97 (25.33)
 >5952 (9.40)8 (4.70)44 (11.49)
Sex
 Male481 (86.80)151 (88.82)330 (86.16)0.391
 Female72 (13.20)19 (11.18)53 (13.84)
Injury factor (n%)
 Traffic accident injury225 (40.69)5(2.94)220 (57.44)0.001
 High fall injury71 (12.84)6 (3.53)65 (16.97)
 Mechanical injury25 (4.52)10 (5.88)15 (3.92)
 Sharps injury137 (24.77)137 (80.59)0
 Fall injury29 (5.24)1 (0.59)28 (7.31)
 Firearm injury8 (1.45)8 (4.71)0
 Other violent injuries58 (10.49)3 (1.76)55 (14.36)
AIS value (n%)
 144 (7.96)23 (13.52)21 (5.48)0.019
 2160 (28.93)47 (27.65)113 (29.50)
 3287 (51.90)79 (46.47)208 (54.31)
 454 (9.76)19 (11.18)35 (9.14)
 58 (1.45)2 (1.18)6 (1.57)
Severe abdominal trauma (AIS ≥ 4, n%)
 AIS < 4491 (88.79)149 (87.65)342 (89.30)0.570
 AIS ≥ 462 (11.21)21 (12.35)41 (10.70)
ISS value (n%)
 <16209 (55.70)112 (72.26)97 (44.09)0.001
 16–25134 (35.70)38 (24.52)96 (43.64)
 >2532 (8.60)5 (3.23)27 (12.27)
Initial systolic blood pressure (mmHg)119 (100–136)118.5 (101–113.30120 (99–137)0.853
Initial heart rates104.70 ± 20.23105.4 ± 19.99103.00 ± 20.730.187
Initial hemoglobin (mg/dl)121 (101–142.50)130 (111.50–147.00)118 (99.00–139.00)0.001
Lactate (mmol/L)2.40 (1.50–3.45)2.50 (1.38–3.70)2.30 (1.60–3.40)0.780
Potential of hydrogen (PH)7.32 ± 0.137.32 (7.22–7.40)7.31 ± 0.130.680
Hemodynamic stability (n%)476134342
 Solid organ injury282612210.001
 Hollow viscus injury1586098
 Solid & hollow organ injury361323
Hemodynamic instability (n%)622141
 Solid organ injury288200.718
 Hollow viscus injury281117
 Solid & hollow organ injury624
Laparoscopy surgery (n%)65 (18.11)28 (16.47)37 (9.66)0.044
 Mortality (n%)66 (11.93)18 (10.59)48 (12.53)0.335
 Complications (n%)59 (10.66)13 (7.65)46 (12.01)0.164