Survival proportion and prognostic factor after damage control laparotomy in blunt abdominal injured patients
Keywords:
Damage control laparotomy, Blunt abdominal injured, Survival rateAbstract
This study aims to investigate survival proportion and factors that influence survival in patients who had blunt abdominal injury and received damage control laparotomy at Udonthani Hospital. The study used retrospective data of patients from Udon Thani Hospital who suffered severe abdominal injuries between January 1, 2018 and December 31, 2022. The research tool comprised two parts: 1) patient’s demographic data and 2) clinical data. For patient characteristics and survival rates, descriptive statistics was employed. Logistic regression was used to investigate risk factors that influence survival rates.
The results of 64 patients who underwent damage control laparotomy revealed a survival percentage of 76.56%, predominantly among males (78.13%), those under the age of 55 (76.56%), and victims of traffic accidents (87.50%). The results showed that patients who had 2 or more injured organs in the abdominal cavity accounted for 71.81%. The internal abdominal organs that were the primary causes of bleeding were the liver (57.81%), followed by the mesentery (15.63%), and the spleen (12.50%). The most prevalent surgical technique in first operation was abdominal packing (93.75%), followed by Hepatorrhaphy (18.75%) and bowel repair (15.62%).Blood loss (AOR=9.61, 95% CI=1.62-56.95), blunt abdominal injuries with severe brain injury (AOR=40.89, 95% CI=2.12-786.85), and serum bicarbonate level (AOR=10.00, 95%CI=1.65-60.51) were discovered as significant factors affecting survival rates in the study.
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