Relationship Between Degree of Solid Organ Trauma to Intra-Abdominal Pressure (IAP) In Blunt Abdomen Trauma at Prof. Dr. I G.N.G. Ngoerah General Hospital, Bali, Indonesia

Abstract

Background: Blunt abdominal trauma is a common trauma case with a high mortality rate. Increased Intra-Abdominal Pressure (IAP) is one of the factors that affect the morbidity and mortality rates of blunt abdominal trauma. In this condition the authors are interested in examining the relationship between the Degree of Solid Organ Trauma and Intra-Abdominal Pressure (IAP) in Blunt Abdominal Trauma. Objective: To determine the relationship between the degree of hepatic, spleen and multi-organ trauma to intra-abdominal pressure (IAP) in patients with blunt abdominal trauma. Methods: This study used a prospective observational design, with an analytic cross-sectional design to assess the relationship between the degree of solid organ trauma and intra-abdominal pressure (IAP) in blunt abdominal trauma involving 45 samples of patients with blunt abdominal trauma at Prof. Dr. I.G.N.G. Ngoerah Denpasar Hospital in the period November 2021 – November 2022. Results: Intra-abdominal pressure (IAP) was significantly correlated with the degree of spleen trauma with an r value of 0.403 (p: 0.046) which indicated that intra-abdominal pressure (IAP) increased with increasing degree of splenic trauma. Conclusion: Splenic trauma is associated and significantly correlated with increased intra-abdominal pressure (IAP) and its degree in blunt abdominal trauma patients.