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Systematic review and meta-analysis reveals low incidence of intra-abdominal injury in blunt trauma patients, suggesting early discharge is often safe.
In patients with blunt abdominal trauma and a negative CT scan, the incidence of intra-abdominal injury is exceedingly low (0.34%). These findings provide robust, contemporary evidence to inform clinical decisions regarding the need for in-hospital observation and support consideration of early discharge in most patients, while recognizing that individuals with high-risk clinical features may warrant closer monitoring.
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Zarama et al. (2026) studied this question.
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