5 / 20
Volume 4
Journal of Pediatric Care
ISSN: 2471-805X
Page 32
JOINT EVENT
Pediatric Critical Care 2018 &
World Pediatrics 2018
October 18- 20 , 2018
October 18- 20, 2018 Warsaw, Poland
&
6
th
International Conference on
25
th
World Pediatrics Conference
Pediatric Critical Care and Emergency Medicine
Reduction of the need for laparotomy considering clinical and laboratory findings in abdominal blunt
trauma patients referred to Rajaei Hospital in year 2014 and 2015
Ali Jangjou
Shiraz University of medical sciences, Shiraz, Iran
Background & Aim
: Trauma is the most common cause of death in persons aged 1-44 years and the third most common cause
of death regardless of age. Abdominal trauma is one of the most prevalent cases of trauma. Laparotomy is a therapeutic method
which is applied for abdominal trauma. The aim of this study was prediction of the need for laparotomy considering clinical
and laboratory findings in abdominal blunt trauma patients referred to Rajaei Hospital.
Materials & Methods
: This retrospective study was done on all patients who had undergone emergency laparotomy at Shahid
Rajaei Hospital at Shiraz for abdominal trauma during, the years 2014-2016. The data were collected through a questionnaire.
The statistical analysis was performed using the SPSS 21. P value was significant if was less than 0.05.
Results
: Of the 81 trauma patients who had undergone laparotomy, 66 cases (81.5%) was male and 15 (18.5%) was female.
95.1% of laparotomies were positive. Patients who had positive laparotomy had lower systolic blood pressure (p=0.02), Glasgow
coma scale (GCS) (p<0.001) and hemoglobin (p=0.03) and higher respiratory rate (p=0.04). Spleen and liver were the common
damage organs.
Conclusion
: This study showed that blood pressure, GCS, hemoglobin and respiratory rate can predict the need for laparotomy.
Biography
Ali Jangjoo has completed his Postgraduation in Emergency Medicine at Shiraz University of Medical Science. He is the Director of Motahhari Clinic in Shiraz. He
is an Assistant Professor at Shiraz University of Medical Sciences.
ali_Jangjou@ymail.comAli Jangjou, J Pediatr Care 2018, Volume 4
DOI: 10.21767/2471-805X-C4-015