title: Factors affecting morbidity and mortality in hollow visceral injuries following blunt abdominal trauma.
abstract: OBJECTIVE
  Hollow visceral injuries following blunt abdominal trauma are uncommon. The potential risk factors affecting morbidity and mortality are not well known. The purpose of our study was to evaluate the outcomes of hollow viscus perforation after blunt abdominal trauma.
  
  
  METHODS
  Patient files of 56 adult patients who were treated with diagnosis hollow viscus injuries due to blunt abdominal trauma between the years 2000 and 2011 at the Dicle University Medical School General Surgery Clinic were retrospectively evaluated by analyzing the relationship between morbidity-mortality and potential risk factors.
  
  
  RESULTS
  Fifty-six patients formed the study group, with median age of 37.5 ± 17,0 (range, 16-78) years and a significant male (80.3%) predominance. The median Injury Severity Score was 4 (1-25). The median length of hospital stay 7.5 (1-21) days. The mean age in the group with morbidity (47.1 ± 17.4) was significantly higher than the group without morbidity (34.3 ± 15.8) (p<0.05). Also, re-operation (p=0.0013), treatment modality (p=0.037), cause of injuries (0.0046) were other factors that affect morbidity.
  
  
  CONCLUSIONS
  These findings suggest that factors affecting morbidity were cause of injuries, re-operation and treatment in patients with hollow viscus injury caused by blunt abdominal trauma. And factors affecting mortality were the injured organ, the presence of shock and median injury severity score.
authors.affiliation: Department of General Surgery, Dicle University Faculty of Medicine, 21280, Diyarbakir, Turkey.
authors.forename: Z
authors.initials: Z
authors.lastname: Arikanoglu
authors.affiliation: Department of General Surgery, Dicle University Faculty of Medicine, 21280, Diyarbakir, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Turkoglu
authors.affiliation: Department of General Surgery, Dicle University Faculty of Medicine, 21280, Diyarbakir, Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Taskesen
authors.affiliation: Department of General Surgery, Dicle University Faculty of Medicine, 21280, Diyarbakir, Turkey.
authors.forename: B V
authors.initials: BV
authors.lastname: Ulger
authors.affiliation: Department of General Surgery, Dicle University Faculty of Medicine, 21280, Diyarbakir, Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Uslukaya
authors.affiliation: Department of General Surgery, Dicle University Faculty of Medicine, 21280, Diyarbakir, Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Basol
authors.affiliation: Department of General Surgery, Dicle University Faculty of Medicine, 21280, Diyarbakir, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Aldemir
mesh_terms: D000007:Abdominal Injuries / Q000401:mortality / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D012189:Retrospective Studies; D012307:Risk Factors; D014949:Wounds, Nonpenetrating / Q000401:mortality / Q000628:therapy*; D055815:Young Adult