The Progress of Patients with Blunt Abdominal Trauma Depending on the Number of the Damaged Organs.
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Summary
This retrospective study investigates the clinical progression and management outcomes of patients with blunt abdominal trauma (BAT), specifically analyzing how the number of damaged organs influences prognosis. BAT is a leading cause of morbidity and mortality, yet clinical examination alone is often inadequate for diagnosis. The authors aimed to assess 308 trauma cases to determine the relationship between injury complexity, management strategies, and patient outcomes. The study was conducted at the University Hospital of Trauma in Tirana, Albania, covering the period from January 2016 to December 2018. The cohort consisted of 308 patients, predominantly male (75%), with motor vehicle accidents accounting for 62% of injuries. Patients were evaluated using primary surveys, resuscitation, physical examinations, laboratory tests, and imaging modalities including Focused Assessment with Sonography in Trauma (FAST) and Computed Tomography (CT). Management was categorized into Non-Operative Management (NOM) or Operative Management (OM) based on hemodynamic stability and injury severity. Data collected included demographic information, mechanism of injury, admission time, hemodynamic status, specific organ injuries, and extra-abdominal injuries (EAI). Key findings indicate that the spleen was the most frequently injured organ (38.3%), followed by the liver (31.8%) and intestine (17.8%). NOM was employed in 51.6% of cases, while OM was required for 48.4%, with splenectomy being the most common surgical procedure (35.5% of operations). The majority of patients (65.9%) sustained only one injured organ, while 19.8% had two and 14.2% had more than two. Hemodynamically stable patients comprised 47.1% of the cohort. The study identified a significant correlation between transportation mode and hemodynamic conditions upon admission. Mortality was low at 2% (six cases), primarily due to irreversible shock and multiple organ failure. Post-operative complications were rare, with wound infection (2.6%) and dehiscence (1.6%) being the most frequent. The authors conclude that patient progress is closely tied to the number of injured organs and the presence of extra-abdominal injuries, which worsen prognosis. Hospitalization duration and outcomes are influenced by the degree of organ damage, hemodynamic status, and age. The study emphasizes that early diagnosis and prompt treatment are critical for saving lives, particularly given that clinical signs may be absent in up to 40% of patients with hemoperitoneum. The findings support the utility of NOM for stable solid organ injuries while highlighting the necessity of rapid surgical intervention for unstable patients or those with cavitary organ involvement.
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| Stage | Outcome | Tool | Model | Prompt | Attempts | Completed |
|---|---|---|---|---|---|---|
| discover | success | Crossref | — | — | 1 | 2026-06-18 |
| archive | success | canonical_url | — | — | 1 | 2026-06-25 |
| extract | success | cached | — | — | 2 | 2026-06-26 |
| clean | success | clean | — | — | 1 | 2026-06-18 |
| chunk | success | chunk | — | — | 1 | 2026-06-18 |
| embed | success | embed | Qwen/Qwen3-Embedding-8B | — | 1 | 2026-06-18 |
| promote | success | — | — | — | 1 | 2026-06-18 |
| summarize | success | llm | qwen3.6-27b-prismaquant | summ-v5 | 1 | 2026-06-26 |
| tag | success | vector_similarity | — | — | 6 | 2026-06-18 |
| verify | success | — | — | — | 1 | 2026-06-26 |
Summary generated by qwen3.6-27b-prismaquant on 2026-06-26; verification: verified.
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