PMID- 38357047
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240216
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 16
IP  - 1
DP  - 2024 Jan
TI  - Prevalence, Pattern, Mortality, and Morbidity of Traumatic Small Bowel 
      Perforation at King Abdulaziz Medical City: A Retrospective Cohort Study.
PG  - e52313
LID - 10.7759/cureus.52313 [doi]
LID - e52313
AB  - Introduction Bowel perforation, whether from trauma or other causes, presents 
      with diverse clinical scenarios. Small bowel perforation (SBP), a potentially 
      fatal condition often linked to blunt trauma like motor vehicle accidents, 
      necessitates prompt detection and intervention, crucial for improved outcomes. 
      This study investigated the prevalence, predictors, presentation, diagnostic 
      findings, morbidity, and mortality of traumatic SBP for comprehensive insights. 
      Methodology This was a retrospective cohort study conducted at King Abdulaziz 
      Medical City, Riyadh. A review of 838 cases, which represent all abdominal trauma 
      patients from January 2017 to March 2023, was done. Forty patients who developed 
      SBP and have complete data were included in this study. One case was excluded due 
      to incomplete medical records. Data were collected with the non-probability 
      convenience sampling technique via the BestCare system using a data collection 
      sheet. Data were analyzed with IBM SPSS 29 (IBM Corp., Armonk, NY). Results Out 
      of all abdominal trauma cases (n=838), 40 patients developed SBP (n=40, 4.77%). 
      Males constituted 87.5%, and the most common mechanism was motor vehicle 
      accidents (57.5%). Complications included cardiac arrest, disseminated 
      intravascular coagulation (DIC), and leak (7.5% each). In motor vehicle 
      accidents, SBP primarily affected patients who were in the 
      driver's position (78.3%). Clinical signs at presentation revealed abdominal 
      tenderness (52.5%), abdominal distension (22.5%), and abnormal systolic blood 
      pressure (mean 115.3 mmHg). Linear regression showed gender and age positively 
      associated with morbidity (p=0.474, p=0.543) while BMI exhibited a negative 
      relationship (p=0.314). Logistic regression revealed non-significant predictors 
      of mortality, except for mean initial hematocrit (HCT) (p=0.721, aOR=0.098). 
      Conclusion Our study provides crucial findings on the incidence, patterns, 
      mortality, and morbidity of traumatic bowel perforation, contributing to the 
      existing body of research. The identified prevalence of 4.77% and mortality at 
      17.5% from the studied population underline the serious impact of this condition, 
      and the 37.5% complication rate observed demonstrates the potential risks 
      involved. The average hospital stay is found to be 14 days, adding further to the 
      disease burden. These findings underscore the importance of specific preventative 
      measures, particularly related to motor vehicle accidents (MVAs), and highlight 
      potential markers for predicting outcomes, such as age, gender, and mean initial 
      HCT. This substantiates the need for further research involving larger cohorts 
      and prospective designs to gain comprehensive insights and establish more robust 
      preventative and treatment strategies.
CI  - Copyright (c) 2024, Aljehaiman et al.
FAU - Aljehaiman, Fahad
AU  - Aljehaiman F
AD  - College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, 
      Riyadh, SAU.
AD  - Research, King Abdullah International Medical Research Center, Riyadh, SAU.
FAU - Almalki, Faisal J
AU  - Almalki FJ
AD  - College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, 
      Riyadh, SAU.
FAU - Alhusain, Abdulah
AU  - Alhusain A
AD  - Plastic and Reconstructive Surgery, King Abdulaziz Medical City, Riyadh, SAU.
FAU - Alsalamah, Faris
AU  - Alsalamah F
AD  - College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, 
      Riyadh, SAU.
FAU - Alzahrani, Khaled
AU  - Alzahrani K
AD  - Preventive Medicine, King Abdulaziz Medical City, Riyadh, SAU.
FAU - Alharbi, Abdulkareem
AU  - Alharbi A
AD  - Preventive Medicine, King Abdulaziz Medical City, Riyadh, SAU.
FAU - Alkhulaiwi, Hani
AU  - Alkhulaiwi H
AD  - Trauma and Acute Care Surgery, King Abdulaziz Medical City, Riyadh, SAU.
LA  - eng
PT  - Journal Article
DEP - 20240115
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10866392
OTO - NOTNLM
OT  - blunt abdominal injury
OT  - bowel injury
OT  - motor vehicle collision
OT  - penetrating abdominal injury
OT  - traumatic small bowel perforation
COIS- The authors have declared that no competing interests exist.
EDAT- 2024/02/15 06:43
MHDA- 2024/02/15 06:44
PMCR- 2024/01/15
CRDT- 2024/02/15 04:14
PHST- 2024/01/15 00:00 [accepted]
PHST- 2024/02/15 06:44 [medline]
PHST- 2024/02/15 06:43 [pubmed]
PHST- 2024/02/15 04:14 [entrez]
PHST- 2024/01/15 00:00 [pmc-release]
AID - 10.7759/cureus.52313 [doi]
PST - epublish
SO  - Cureus. 2024 Jan 15;16(1):e52313. doi: 10.7759/cureus.52313. eCollection 2024 
      Jan.