Abstract
OBJECTIVE: To access the magnitude of these injuries in patients with pelvic fractures at King Abdullah Hospital, Bisha, Saudi Arabia. Abdominal solid organ injuries are life-threatening and results in adverse health effects particularly to patients with pelvic fracture. METHODS: An analytical cross-sectional retrospective hospital-based study that reviewed a total of 236 medical records of patients with abdominal organ injuries and pelvic fractures at King Abdullah Hospital, Bisha, Saudi Arabia. Cleaned data was coded and analyzed with the use of SPSS version 23 to drive key insights. RESULTS: The study comprised of 236 patients in total. Approximately 38 (16.1%) patients had solid organ injuries, while the majority, 198 (83.9%) patients, had non-solid organ injuries. Common abdominal solid organ injuries were liver lacerations (21 cases, 8.9%), followed by spleen lacerations (16 cases, 6.8%), and kidney lacerations (1 case, 0.4%). Patients who had solid organ injury were significantly younger (28.26 ± 12.494) compared to those who had non-solid organ injury (34.52 ± 18.039) with (p = 0.042). Injury Severity Score (ISS) was identified as a significant predictor for abdominal solid organs injuries among patients with pelvic fractures [AOR = 1.126; 95% CI = 1.055 - 1.201; p<0.001]. CONCLUSION: The study found the magnitude of abdominal solid organ injuries to be severe among pelvic fracture patients at King Abdullah Hospital in Saudi Arabia. The most common injuries were liver lacerations, spleen lacerations, and kidney lacerations. Additionally, the ISS was identified as a significant predictor of abdominal solid organ injuries among trauma patients. These findings highlight the need for urgent medical intervention to improve survival and health outcomes in patients with these injuries related to pelvic fractures.