Abdominal Injuries, Blunt Abdominal Trauma, Intra-Abdominal Injury
Conditions
Keywords
Blunt Abdominal Trauma Severity Score, BATSS, Focused Assessment with Sonography for Trauma, FAST examination, Trauma scoring system, Operative management, Emergency trauma assessment
Brief summary
Blunt abdominal trauma (BAT) is a leading cause of trauma-related morbidity and mortality, commonly caused by motor vehicle collisions, falls, and assaults. Early identification of significant intra-abdominal injury remains a major diagnostic challenge because physical examination alone has limited sensitivity in patients with altered consciousness or distracting injuries. The Blunt Abdominal Trauma Severity Score (BATSS) is a rapid bedside assessment tool that integrates clinical signs, hemodynamic parameters, and Focused Assessment with Sonography for Trauma (FAST) findings to risk-stratify patients presenting with blunt abdominal trauma. This prospective observational cohort study aims to evaluate the diagnostic accuracy and clinical utility of BATSS in adult patients presenting with blunt abdominal trauma to the Emergency Department at Assiut University Hospitals. Enrolled participants will be scored upon initial presentation and categorized into low-, moderate-, or high-risk groups to assess the score's ability to predict the definitive mode of management (operative intervention versus conservative observation), intensive care unit (ICU) admission, in-hospital mortality, and post-traumatic complications.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged 18 years or older * Patients presenting with blunt abdominal trauma * Patients presenting within 24 hours of injury * Patients who undergo initial trauma assessment including Focused Assessment with Sonography for Trauma (FAST) examination * Patients (or their legal guardians) who provide written informed consent
Exclusion criteria
* Penetrating abdominal trauma * Patients younger than 18 years of age * Pregnant women * Patients referred after definitive surgical intervention at another hospital * Patients with incomplete clinical or radiological data * Patients who refuse participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Requiring Operative Management | 7 days | Number of participants with blunt abdominal trauma who undergo surgical operative intervention (such as exploratory laparotomy) during hospitalization. |