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Original Research

Online Publishing Date:
28 / 05 / 2023

 


An observational study for diagnostic accuracy of clinical abdominal scoring system (CASS) in patients of abdominal organ injury in blunt trauma abdomen in the era of diagnostic modalities

Sandeep Kumar, Rajendra Prasad Bugalia, Hariom Meena, Anuradha Salvi, Richa Jain.


Abstract
Introduction: Following injuries to the extremities and head, the abdomen is the third most commonly injured part of the body. Blunt abdominal trauma is one of the most common causes of morbidity and mortality among younger age groups. Here we study the clinical abdominal scoring system (CASS) in predicting the necessity of laparotomy in blunt abdominal trauma in the era of modern imaging modality.
Methods: 100 patients with blunt abdominal trauma were included in this study at SMS Medical College Jaipur over a period of six months (July 21 to Dec 21). Data were collected about incidence history, medical history, demographics, clinical examination, diagnostic and imaging tests, management, and outcome.
Results: On admission for all 100 patients, CASS was calculated. 29 patients fall into the low-risk group (<9 CASS) planned to be managed conservatively (all improved). 14 patients fall into the high risk group (>12 CASS) planned to be managed with immediate laparotomies (12 improved, 2 died). 57 patients falling into the intermediate risk group (9–11 CASS) were followed by repeated clinical examination and modern imaging modality, i.e., a CT scan. 17 patients (out of 57~29%) were managed with laparotomies (15 improved, 2 died), and 40 patients (out of 57~71%) were managed conservatively (all improved).
Conclusion: CASS is promising in early detection of the need for laparotomies in BAT patients; in equivocal results (intermediate risk group CASS) CT findings are useful for decision-making about surgical vs. conservative management approaches.

Key words: Trauma, CASS, Blunt abdominal trauma, laparotomy


 
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How to Cite this Article
Pubmed Style

Kumar S, Bugalia RP, Meena H, Salvi A, Jain R. An observational study for diagnostic accuracy of clinical abdominal scoring system (CASS) in patients of abdominal organ injury in blunt trauma abdomen in the era of diagnostic modalities. Int J Surg Med. 2023; 9(5): 44-47. doi:10.5455/ijsm.136-1675336056

Web Style

Kumar S, Bugalia RP, Meena H, Salvi A, Jain R. An observational study for diagnostic accuracy of clinical abdominal scoring system (CASS) in patients of abdominal organ injury in blunt trauma abdomen in the era of diagnostic modalities. https://www.ejos.org/?mno=142623 [Access: February 20, 2024]. doi:10.5455/ijsm.136-1675336056

AMA (American Medical Association) Style

Kumar S, Bugalia RP, Meena H, Salvi A, Jain R. An observational study for diagnostic accuracy of clinical abdominal scoring system (CASS) in patients of abdominal organ injury in blunt trauma abdomen in the era of diagnostic modalities. Int J Surg Med. 2023; 9(5): 44-47. doi:10.5455/ijsm.136-1675336056


Vancouver/ICMJE Style

Kumar S, Bugalia RP, Meena H, Salvi A, Jain R. An observational study for diagnostic accuracy of clinical abdominal scoring system (CASS) in patients of abdominal organ injury in blunt trauma abdomen in the era of diagnostic modalities. Int J Surg Med. (2023), [cited February 20, 2024]; 9(5): 44-47. doi:10.5455/ijsm.136-1675336056


Harvard Style

Kumar, S., Bugalia, . R. P., Meena, . H., Salvi, . A. & Jain, . R. (2023) An observational study for diagnostic accuracy of clinical abdominal scoring system (CASS) in patients of abdominal organ injury in blunt trauma abdomen in the era of diagnostic modalities. Int J Surg Med, 9 (5), 44-47. doi:10.5455/ijsm.136-1675336056


Turabian Style

Kumar, Sandeep, Rajendra Prasad Bugalia, Hariom Meena, Anuradha Salvi, and Richa Jain. 2023. An observational study for diagnostic accuracy of clinical abdominal scoring system (CASS) in patients of abdominal organ injury in blunt trauma abdomen in the era of diagnostic modalities. International Journal of Surgery and Medicine, 9 (5), 44-47. doi:10.5455/ijsm.136-1675336056


Chicago Style

Kumar, Sandeep, Rajendra Prasad Bugalia, Hariom Meena, Anuradha Salvi, and Richa Jain. "An observational study for diagnostic accuracy of clinical abdominal scoring system (CASS) in patients of abdominal organ injury in blunt trauma abdomen in the era of diagnostic modalities." International Journal of Surgery and Medicine 9 (2023), 44-47. doi:10.5455/ijsm.136-1675336056


MLA (The Modern Language Association) Style

Kumar, Sandeep, Rajendra Prasad Bugalia, Hariom Meena, Anuradha Salvi, and Richa Jain. "An observational study for diagnostic accuracy of clinical abdominal scoring system (CASS) in patients of abdominal organ injury in blunt trauma abdomen in the era of diagnostic modalities." International Journal of Surgery and Medicine 9.5 (2023), 44-47. Print. doi:10.5455/ijsm.136-1675336056


APA (American Psychological Association) Style

Kumar, S., Bugalia, . R. P., Meena, . H., Salvi, . A. & Jain, . R. (2023) An observational study for diagnostic accuracy of clinical abdominal scoring system (CASS) in patients of abdominal organ injury in blunt trauma abdomen in the era of diagnostic modalities. International Journal of Surgery and Medicine, 9 (5), 44-47. doi:10.5455/ijsm.136-1675336056


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