Challenges in the Management of Penetrating Abdominal Trauma, Predictive Factors.

Background: Nowadays penetrating trauma is increasing because of the growth of violence in our society. The penetrating injury constitutes about 6% of the hospitalized cases and 10% of visits to the emergency department they are calculated to be the second leading cause of death after motor vehicle accidents and occupied 20% of deaths related to injuries in the USA.[1] P.A.T.I. score stands for Penetrating Abdominal Trauma Index score [1, 2]. When developed in 1981 by Moore and colleagues the Penetrating Abdominal Trauma Index was used to identify trauma patients at risk of postoperative complications [1]. Material and Methods: To carry out our study, we standardized the registration of trauma patients who were presented to the University Hospital of Trauma in Tirana, Albania, with penetrating abdominal Injury for a period of time from January 2019 to July 2019. Results: Data was collected from the trauma registry of the University Hospital of Trauma, where 22.875 patients (71.4%) with the diagnosis of trauma out of a total of 32.037 patients were admitted to the emergency department. 510 patients were selected according to specific inclusion criteria and patients with abdominal injuries were further selected., 102 patients were recorded with Penetrating Abdominal Trauma Conclusion: Management of Penetrating Abdominal Trauma remains a serious issue in the emergency department. The outcome of treatment is depended on the Presence of shock in admission, Mechanism of injury, Age, Number of injuries organ, and Associations with extra-abdominal injuries… The principle of guiding surgical management on the basis of a good clinical exam appropriate imaging tests…OM remains the main approach in the treatment of Penetrating Abdominal Trauma … Keywords; hemodynamic instability, ISS, PATI index