Trial reportInternational surgery
Abdominal trauma in durban, South Africa: factors influencing outcome.
Trial report in International surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Mortality and its predictors in abdominal injury across sub-Saharan Africa: systematic review and meta-analysis.BMC emergency medicine · 2024Pooled it
- Prevalence and mortality rate of abdominal surgical emergencies in Sub-Saharan Africa: a systematic review and meta-analysis.BMC surgery · 2024Pooled it
- Thefeasibility, appropriateness, and applicability of trauma scoring systems in low and middle-income countries: a systematic review.Trauma surgery & acute care open · 2020Pooled it
- Outcomes of selective nonoperative management of civilian abdominal gunshot wounds: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2018Pooled it
- A prospective study on abdominal trauma: patterns of injury, clinical presentation, organ involvement, associated injuries, and outcomes at a tertiary hospital in Mogadishu, Somalia.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Duration to recovery and its predictors among hospitalized road traffic injury patients in Southern Ethiopia: a cohort study.Scientific reports · 2026Article
- Penetrating Abdominal Injuries: A 10-Year Retrospective Analysis of 49 Patients at a German Trauma Center.Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- Mobile triage units for abdominal trauma in sub-Saharan Africa: current evidence, implementation barriers, and strategies for scale-up.Annals of medicine and surgery (2012) · 2026Review
- The clinical profile of abdominopelvic injury and the determinants of length of stay and mortality in the intensive care unit of a tertiary hospital.The Southern African journal of critical care : the official journal of the Critical Care Society · 2025Article
- Outcomes and Its Associated Factors among Patients with Abdominal Trauma Requiring Laparotomy at Asella Referral and Teaching Hospital, South Central Ethiopia: A Retrospective Cross-Sectional Study.TheScientificWorldJournal · 2024Article
- The Role for Preperitoneal Pelvic Packing in Low-to-Middle-Income Countries: A 16-Year Experience at a Johannesburg Trauma Unit.World journal of surgery · 2023Article
- Epidemiology and outcomes of patients with penetrating trauma in Incheon Metropolitan City, Korea based on National Emergency Department Information System data: a retrsopective cohort study.Journal of trauma and injury · 2023Article
- The impact of colon injuries on the outcome of gunshot wounds to the abdomen.Langenbeck's archives of surgery · 2023Observational
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- Introduction of Laparoscopy in an Urban High-Volume Sub-Saharan Trauma Centre.World journal of surgery · 2023Review
- Accuracy of CT Scan for Detecting Hollow Viscus Injury in Penetrating Abdominal Trauma.World journal of surgery · 2023Article
- Iliopsoas Hematoma and Abscess Formation as a Complication of an Anterior Abdominal Penetrating Injury: a Case Report and Review of Literature.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2022Review
- Epidemiological Characteristics, Antimicrobial Susceptibility Profile, and Surgical Outcome of Complicated Intra-Abdominal Infection at a Tertiary Hospital in Somalia.International journal of general medicine · 2022Article
- Outcomes of stab wounds presenting to Kamuzu Central Hospital in Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2021Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Abdominal injury as a result of both blunt and penetrating trauma has an appreciable mortality rate from hemorrhage and sepsis. In this article, we present our experience with the management of abdominal trauma in Durban and investigate factors that influence outcome. We performed a prospective study of patients with abdominal trauma in one surgical ward at King Edward VIII Hospital in Durban over a period of 7 years, from 1998 through 2004. Demographic details, cause of injury, delay before surgery, clinical presentation, findings at surgery, management and outcome were documented. There were 488 patients with abdominal trauma with a mean age of 29.2 ± 10.7 years. There were 440 penetrating injuries (240 firearm wounds; 200 stab wounds) and 48 blunt injuries. The mean delay before surgery was 11.7 ± 16.4 hours, and 55 patients (11%) presented in shock. Four hundred and forty patients underwent laparotomy, and 48 were managed nonoperatively. The Injury Severity Score was 11.1 ± 6.7, and the New Injury Severity Score was 17.1 ± 11.1. One hundred and thirty-seven patients (28%) were admitted to the intensive care unit (ICU), with a mean ICU stay of 3.6 ± 5.5 days. One hundred and thirty-two patients developed complications (28%), and 52 (11%) died. Shock, acidosis, increased transfusion requirements, number of organs injured, and injury severity were all associated with higher mortality. Delay before surgery had no influence on outcome. Hospital stay was 9.2 ± 10.8 days. The majority of abdominal injuries in our environment are due to firearms. Physiological instability, mechanism of injury, severity of injury, and the number of organs injured influence outcome.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.