IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-4-14943 Original Research Paper CLINICO-EPIDEMIOLOGICAL EVALUATION OF BLUNT TRAUMA ABDOMEN PATIENTS IN A TERTIARY CARE CENTER OF KUMAUN REGION OF UTTARAKHAND: A PROSPECTIVE STUDY Amit Kumar Deol Dr. Dr. S. R. Kala Dr. April 2018 7 4 01 02 ABSTRACT

Blunt trauma refers to physical trauma to any body part, either by direct impact, injury or indirect force. Blunt abdominal trauma comprises 75% of all blunt trauma. Road traffic accidents are most common cause & solid organ injury is much more common in blunt abdominal trauma. This study was done to evaluate clinico epidemiological profile of the patients, etiology and various diagnostic investigations for early diagnosis of blunt trauma abdomen. This study is comprises of 74 patients admitted in surgical wards of Dr. Susheela Tiwari Govt. Hospital. wecolleceted the data by direct interview with patient or patient relatives, thorough clinical examination & relevant diagnostics investigation.

In our study Males were 57 and females were 17 (total­ 74) with the male to female ratio of 3.55:1.Most common age group was 15–30 year. Road traffic accidents were the most common cause (58%) & were more common in patients from plains. While, fall from height (35%) was more common in patients from hilly region. Substance abuse was present in 31 patients (41.8%) and alcohol was most common in them (27%). Abdominal pain with tenderness were most common (95 %) presenting features. Ultrasound was done in 66 patients (89%).while C.T. was done in haemo–dynamically stable 58 patients (78.3%).most common organ injured was liver (62%) and next is spleen (40%). Most patients with solid organ injury was managed conservatively. Injuries due to blunt trauma are difficult to diagnosis. Repeated clinical examination and focused Abdominal sonography for trauma are mainstay of diagnosis in emergency department. C.E.C.T. is required for definitive diagnosis.Early diagnosis and appropriate management are key to success.