ArticleCureus2026
Patterns, Severity, and Outcomes of Solid Organ Injuries in Abdominal Trauma: A Prospective Observational Study.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Validation of the Japanese Association for the Surgery of Trauma Type 3 Subclassification of Renal Trauma Using the Japan Trauma Data Bank.International journal of urology : official journal of the Japanese Urological Association · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSolid organ injuries in blunt abdominal trauma cause significant morbidity and mortality, necessitating early severity assessment.
objectivesThe primary aim is to evaluate the pattern and severity of solid organ injuries after abdominal trauma. The secondary objectives of the study are to correlate injury severity with clinical, biochemical, and radiological parameters and to evaluate management strategies and short-term outcomes.
methodThis prospective observational study included patients presenting with blunt abdominal trauma and radiologically confirmed solid organ injuries. Injuries to the liver, spleen, kidney, and pancreas were graded according to the American Association for the Surgery of Trauma (AAST) classification. Clinical parameters, shock index, laboratory values, imaging findings, and management strategies were recorded and analyzed.
resultsYoung males predominated, and road traffic accidents were the leading cause of injury. The liver and spleen were the most frequently injured organs. Higher AAST grades were associated with increased shock index values (>0.9), greater hemodynamic instability, and significant derangement of biochemical parameters, including elevated serum transaminases in liver injury, declining hemoglobin levels in splenic injury, raised creatinine in renal injury, and elevated amylase and lipase in pancreatic injury. Non-operative management was successful in most hemodynamically stable patients, whereas operative intervention was required primarily in patients with persistent instability or failure of conservative management.
conclusionBlunt abdominal solid organ injuries are commonly managed successfully with non-operative strategies. The shock index is a useful predictor of injury severity, and combined clinical, biochemical, and radiological assessment aids in timely decision-making.
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