ASSESSMENT OF BATSS (BLUNT ABDOMINAL TRAUMA SCORING SYSTEM) IN PATIENTS OF BLUNT ABDOMINAL TRAUMA.

  • Tanvi Luthra
  • Shantanu Kumar Sahu SKS
  • Karamjot Singh Bedi
  • Shailendra Raghuvanshi
  • Sayani Banerjee
Keywords: BATSS, Abdominal trauma, Non-operative management

Abstract

Objective: To apply Blunt Abdominal Trauma Scoring System (BATSS) to all patients of polytrauma and to evaluate its role in planning management and predicting outcome of patients with blunt abdominal trauma.

Material and Methods: An observational study was undertaken applying BATSS to polytrauma patients, visiting the Emergency department at Himalayan Institute of Medical Sciences, over a period of 12 months (January 2018 to December 2018) and then recording management protocol done for the patients with blunt abdominal trauma. Outcome assessment was done at 72 hours.

Results: The study included 95 patients of which 46% were in the age group of 20-40 years and 84% were males. The most common mechanism of trauma was road traffic accidents (67%) followed by fall from height. Specific organ injuries were found in 59% of the cases and of all the organ injuries recorded, 38% were injuries to the liver and 34% to the spleen.
BATSS was applied to all patients and 57% patients fell in the high risk category, 4% in moderate risk and 39% in the low risk category. Overall, 21% of all the cases underwent operative management while 79% were managed non operatively. Among the high risk category patients, 65% were managed with non-operative management and no mortality was recorded in these cases.

Conclusion: BATSS was found to be a useful tool for clinical grading of trauma patients in the emergency department but was not found adequate for deciding management or predicting outcome of patients with blunt abdominal trauma in this study cohort.

Keywords: BATSS, Abdominal trauma, Non-operative management

References

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Published
2021-05-04
How to Cite
[1]
T. Luthra, S. Sahu, K. Bedi, S. Raghuvanshi, and S. Banerjee, “ASSESSMENT OF BATSS (BLUNT ABDOMINAL TRAUMA SCORING SYSTEM) IN PATIENTS OF BLUNT ABDOMINAL TRAUMA.”, JSS, vol. 8, no. 1, May 2021.