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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 11 No. 1-2 (2020)

Evaluation of BATICH Score for the management of Paediatric Blunt Abdominal Trauma

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2020
CONTENTSVolume 11Number 1 & 2January - July 2020
Editorial
Pediatric Fluid Prescription, Close Monitoring and Raising Awareness
Mohammed Shadrul Alam
01
Original Articles
Cancer Status in Pediatric Population of Chittagong, Bangladesh
Tasmiah Tahera Aziz, Samira Hayee, Orindom Shing Pulock, Maliha Haider, Tahmina Banu
03
Snodgrass Procedure (TIP), game changing procedure: A single Surgeon’s Experience
Md Samidur Rahman, Md Shahin Reza, Zinat Tanjida, Elora Afroz Leema, Nazmul Haider Chowdhury Sonet, Md Ashekin Abir, Prosenjit Datta
11
Surgical Management and Outcome of Neural Tube Defects in Children
Anupam Das, Md Nurul Alam, Md Shamsur Rahman, Md Oyes Ahmed Chowdhury, Habib Ullah Khan, Md Sirajul Islam
17
Neonatal Surgical Situation in Bangladesh: Challenges and Way Forward
Md Sharif Imam, Tanvir Kabir Chowdhury, Md Mozammel Hoque, Tahmina Banu
24
Ultrasonographic guided Fine Needle Aspiration Cytology (FNAC) in the Diagnosis of Intra-abdominal Solid Mass in Children
Abdur Razzaque, Towhidul Islam, AKM Mizanur Rahman, Nazmun Naher Poly, Diponkar Kumar Saha
33
Evaluation of BATICH Score for the management of Paediatric Blunt Abdominal Trauma
Kamrul Ahasan Chowdhury, Rajib Khastagir, MA Mushfiqur Rahman, Rivu Raj Chakraborty, Tanvir Kabir Chowdhury
40
Understanding the Epidemiology of Labial Adhesion among Paediatric Age-groups in Bangladesh: A Single-center Cross-Sectional Study
Rifah Sanjeedah Tahsin, Sakibul Alam, Arpita Biswangree, Bijita Biswangree, Md Fahadul Islam, Debjyoti Barua, Md Sharif Imam
45
Case Reports
Tubercular ulcer on the dorsum of the penis in a toddler, a case report
Dipankar Kumar Saha, Khondoker Moynul Hasan, Sajal Kumar Majumdar, Mirza Kamrul Zahid, Abhi Kumar Chakraborty, Syed Mahmudur Rahman, AKM Maruf Reza, Soma Podder
52
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Kamrul Ahasan ChowdhuryResident, Department of Paediatric Surgery, Chittagong Medical College, Chattogram
  • Rajib KhastagirAssociate professor, Department of Paediatric Surgery, Cox’s Bazar Medical College, Cox’s Bazar
  • MA Mushfiqur RahmanAssociate professor, Neonatal Surgery, Department of Paediatric Surgery, Chittagong Medical College, Chattogram
  • Rivu Raj ChakrabortyAssistant professor, Department of Casualty, Chittagong Medical College, Chattogram
  • Tanvir Kabir ChowdhuryAssociate Professor, Paediatric Urology, Department of Paediatric Surgery, Chittagong Medical College, Chattogram

Keywords

Blunt abdominal trauma Children BATiCH score conservative treatment laparotomy

Abstract

Introduction: Blunt abdominal trauma is a frequent reason for hospital admission and a significant cause of death in children. Early diagnosis is important to reduce the mortality and morbidity. Computed tomography (CT) scan is currently the best diagnostic, but due to the cost and availability of CT scan, a non-invasive scoring system calculated using readily available parameters such as physical examination findings, abdominal ultrasound, and routine laboratory parameters may be useful. The aim of the study was to evaluate the association of Blunt Abdominal Trauma in Children (BATiCH) score between conservative and operatively treated patients of paediatric blunt abdominal trauma. Methods: It was a hospital based prospective comparative observational study carried out in Paediatric Surgery Department of Chittagong Medical College Hospital (CMCH) from June 2021 to September 2023. Patients with blunt abdominal trauma were enrolled prospectively as per set inclusion and exclusion criteria. Physical examination findings, abdominal ultrasound, and routine laboratory profile were recorded. Patients were discharged when discharge criteria were achieved, and they were followed up for 1 month after discharge. BATiCH score was compared between patients who needed laparotomy and those who were treated conservatively. Results: Mean ±SD BATiCH score was 8.74 ±3.324 in conservative treatment group and 15.25 ±2.315 in surgical treatment group (p<0.001). Median (IQR) length of hospital stay was 5 (4-8) days in conservative treatment group and 20 (12.5-25.5) days in surgical treatment group (p<0.001). The length of hospital stays (days) of the patients according to BATiCH score ≤7 and >7. Median (IQR) length of hospital stay was 4 (3-6.25) days in patients with BATiCH score ≤7 and 7.5 (5-12) days patients with BATiCH score >7 (P=0.001). Conclusion: BATiCH score was significantly greater in patient who needed laparotomy after blunt abdominal trauma than those of patient, treated conservatively.

Journal of Paediatric Surgeons of Bangladesh (2020) Vol. 11 (1 & 2): 40–44

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