title: [The effect of clinical, laboratory and radiologic results on treatment decision and surgical results in patients admitted to the emergency department with blunt abdominal trauma due to traffic accident].
abstract: BACKGROUND
  The purpose of this study was to evaluate the effect of clinical, laboratory and radiological results on treatment decision and surgical results in patients with blunt abdominal trauma, who were admitted to the emergency department due to traffic accident.
  
  
  METHODS
  Two hundred and twenty-two patients with blunt abdominal trauma were included into this retrospective study. Pearson chi square, Mann-Whitney U test and logistic regression methods were used for statistical analysis.
  
  
  RESULTS
  All patients were analyzed by complete blood count and biochemistry and abdominal sonography. Eighty-two patients were also evaluated by CT. Twenty-three patients underwent surgery. Positive findings on physical examination, sonography and CT, increased white blood cell count and liver function tests, decreased hemoglobin were associated with the need for surgery.
  
  
  CONCLUSIONS
  For the surgical evaluation of patients with blunt abdominal trauma, a reliable physical examination is not possible when the patients have concomitant injuries causing disturbing pain, or when the patients are unconscious. Laboratory tests should be interpreted with the clinical and radiologic analysis. Radiologic procedures play an important role in the management of patients with blunt abdominal trauma, especially for intubated patients.
authors.affiliation: Department of Radiology, Dışkapı Training and Research Hopital, Ankara, Turkey. idilttr@yahoo.com.
authors.forename: İdil
authors.initials: İ
authors.lastname: Güneş Tatar
authors.affiliation: Department of General Surgery, Dışkapı Training and Research Hopital, Ankara, Turkey.
authors.forename: Kerim Bora
authors.initials: KB
authors.lastname: Yılmaz
authors.affiliation: Department of Radiology, Dışkapı Training and Research Hopital, Ankara, Turkey.
authors.forename: Onur
authors.initials: O
authors.lastname: Ergun
authors.affiliation: Department of General Surgery, Dışkapı Training and Research Hopital, Ankara, Turkey.
authors.forename: Şener
authors.initials: Ş
authors.lastname: Balas
authors.affiliation: Department of General Surgery, Dışkapı Training and Research Hopital, Ankara, Turkey.
authors.forename: Melih
authors.initials: M
authors.lastname: Akıncı
authors.affiliation: Department of General Surgery, Dışkapı Training and Research Hopital, Ankara, Turkey.
authors.forename: Rıza
authors.initials: R
authors.lastname: Deryol
authors.affiliation: Department of General Surgery, Dışkapı Training and Research Hopital, Ankara, Turkey.
authors.forename: Gaye Ebru
authors.initials: GE
authors.lastname: Şeker
authors.affiliation: Department of General Surgery, Dışkapı Training and Research Hopital, Ankara, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Kulaçoğlu
authors.affiliation: Department of Radiology, Dışkapı Training and Research Hopital, Ankara, Turkey.
authors.forename: Baki
authors.initials: B
authors.lastname: Hekimoğlu
mesh_terms: D000007:Abdominal Injuries / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000369:Aged, 80 and over; D004636:Emergency Service, Hospital; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D010808:Physical Examination; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D055815:Young Adult