Assessment of Blunt Abdominal Trauma Severity Score in Predicting the Necessity of Laparotomy

Authors

Mohammed Hamed El-Meligy, General Surgery department, Faculty of Medicine, Menoufia University, Menoufia, Egypt
Ahmed Sayed Aboshosha, Emergency Medicine department, Faculty of Medicine, Menoufia University, Menoufia, Egypt.Follow
Naglaa Fathy Amer, General Surgery department, Faculty of Medicine, Menoufia University, Menoufia, Egypt.

Subject Area

Emergency Medicine

Article Type

Original Study

Abstract

Objectives: The aim of this study is to assess the role of the Blunt abdominal trauma severity score in predicting the need for laparotomy in the Emergency Department.

Background: Abdominal trauma is the third most prevalent type of injuries. Diagnosis of abdominal trauma can be challenging, so trauma scoring systems have been created to facilitate determining the most effective management strategy including allocating suitable resources.

Methods: This prospective observational study was conducted on 243 patients who presented to the Emergency Department with blunt trauma and were aged >18 years old. Patients presented with penetrating trauma, pediatric patients, pregnant females and patients with disturbed consciousness level were excluded. The patients were categorized into three groups by BATSS scoring system. The first group comprised low-risk patients with a score below 8, the second group comprised moderate-risk patients with a score between 8 and 12, and the third group comprised high-risk patients between 12 and 24.

Results: The mean age of the cases was 31.52 ± 12.75 years. The cases included 165 males (67.9%). The mean BATTS in the included cases was 9.73 ± 6.09, ranging between 1 and 24. According to the BATSS score, there were 116 cases (47.7%) with low risk, 49 cases (20.2%) with intermediate risk, and 78 cases (32.1%) with high risk.

Conclusion: Blunt Abdominal Trauma Severity Score is an excellent predictor of intra-abdominal injury; it has a high sensitivity and specificity. It decreases the need for laparotomy and further imaging.

Recommended Citation

El-Meligy, Mohammed Hamed; Aboshosha, Ahmed Sayed; and Amer, Naglaa Fathy (2024) "Assessment of Blunt Abdominal Trauma Severity Score in Predicting the Necessity of Laparotomy," Menoufia Medical Journal: Vol. 37: Iss. 2, Article 4.
DOI: https://doi.org/10.59204/2314-6788.3054