Tanzania Journal of Health Research
Health User's Trust Fund (HRUTF)
Vol. 15, No. 4, 2013, pp. 1-13
Bioline Code: th13034
Full paper language: English
Document type: Review Article
Document available free of charge
Tanzania Journal of Health Research, Vol. 15, No. 4, 2013, pp. 1-13
© Copyright 2013 - Tanzania Journal of Health Research
Abdominal trauma experience over a two-year period at a tertiary hospital in northwestern Tanzania: a prospective review of 396 cases|
CHALYA, PHILLIPO L. & MABULA, JOSEPH B.
Abdominal trauma continues to be a major cause of trauma admissions all over the world and
contributes significantly to high morbidity and mortality. A descriptive prospective study was conducted at
Bugando Medical Centre in north-western Tanzania to describe our experience on the management of
abdominal trauma outlining the causes, injury characteristics and treatment outcome of these patients.
Statistical data analysis was done using SPSS programme. A total of 396 patients were studied. Male to female
ratio was 3.2: 1. The median age was 28 years. More than three quarter of patients sustained blunt abdominal
injuries. Road traffic accidents (RTAs) were the most common cause of injury accounting for 64.9% of cases.
None of our patients received any pre-hospital care. The spleen was the most common injured organ in blunt
abdominal trauma occurring in 176 (75.9%) patients, while in penetrating injury; gastrointestinal tract was the
most common in 24(10.3%) patients. One hundred twenty-four (31.3%) patients had associated extra-abdominal
injuries of which the head/ neck region (46.8%) was commonly affected. A total of 232 (58.6%) patients were
treated surgically with a negative laparotomy rate of 7.8%. Complication and mortality rates were 20.7% and
17.9% respectively. The age of patients, presence of associated extra-abdominal injuries, severity of injury
(Kampala Trauma Score II ≤ 6), admission Systolic Blood Pressure < 90mmHg, injury-arrival time > 24 hours and
presence of postoperative complications mainly surgical site infections significantly predicted mortality (p <
0.001). The overall median length of hospital stay was 12 days. Patients who had severe trauma (KTS II ≤6) and
those with associated injuries stayed longer in the hospital (p < 0.001). Abdominal trauma resulting from RTAs
is still rampant in our environment and remains a major source of morbidity and mortality. Preventive
strategies should be focused on reduction of road traffic accidents, violent crimes and social conflicts.
abdominal trauma; aetiology; injury patterns; treatment; outcome; Tanzania