• JNMA J Nepal Med Assoc · Jan 2023

    Hemoperitoneum among Pediatric Abdominal Trauma Patients Visiting in Emergency Department of a Tertiary Care Centre: A Descriptive Cross-sectional study.

    • Samjhana Basnet, Alok Pradhan, Sahil Bade, Grishma Sharma, Latika Giri, Yagya Ratna Shakya, Robin Man Karmacharya, Sushil Dahal, and Sanu Krishna Shrestha.
    • Department of General Practice and Emergency Medicine, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchowk, Nepal.
    • JNMA J Nepal Med Assoc. 2023 Jan 1; 61 (257): 596359-63.

    IntroductionPediatric abdominal trauma presents a major challenge for first-line responders in the Emergency Department for assessment and management. The Focused assessment sonography for trauma is a readily available, easy-to-use, and affordable tool for detecting hemoperitoneum during the initial assessment of trauma in the Emergency Department for adult traumatic patients. The aim of this study was to find the prevalence of hemoperitoneum among pediatric abdominal trauma patients visiting the Emergency Department of tertiary care centre through Focused assessment with sonography for trauma examination technique.MethodsThis was a descriptive cross-sectional study conducted in the Emergency Department of a tertiary care hospital from 7 April 2019 to 7 April 2020. Among 413 pediatric trauma patients, 93 children (1 to 17 years) admitted to the Emergency Department who underwent focused assessment with sonography for trauma examination were included in the study. Ethical approval was obtained from the Institutional Review Committee (Approval number: 111/19). Convenience sampling was used. Point estimate and 90% Confidence Interval were calculated.ResultsAmong 93 children receiving focused assessment with sonography for trauma imaging in the Emergency Department with a history of blunt abdominal trauma, the prevalence of hemoperitoneum was 18 (19.34%) (12.61-26.09, 90% Confidence Interval).ConclusionsThe prevalence of hemoperitoneum was similar to other studies conducted in a similar setting.Keywordsblunt injuries; emergency medicine; focused assessment with sonography for trauma.

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