Clinical profile and outcome of chest trauma: a four year retrospective analysis at a tertiary care centre

Khursheed, Syed Quibtiya; Ashraf, Waseem; Rather, Ajaz Ahmad; Shams-ul-Bari,

doi:10.18203/2349-2902.isj20192985

Cited by 8 publications

(15 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the other hand the nding of this study is lower than the studies done in England (35.6%)(2), India(20.84%) (21) and Tanzania (24.4%)(8). The possible justi cation for being lower might be due to difference in sample size (large sample size) in the above studies.…”

Section: Discussioncontrasting

confidence: 83%

“…1 & 2 to get the rst participant (The number was 1). Therefore, every kth = 2nd interval study subjects (charts) were selected until the sample size of 422.The data were collected using a pre-tested and structured data extraction checklist adapted from different literature (10,11,15,21,27). The checklist was developed in English language and contains ve parts to extract relevant information such as sociodemographic characteristics of the participants, injury related factors, patient condition at admission, treatment modality related factors and co-morbid diseases.…”

Section: Methodsmentioning

confidence: 99%

“…Different measures were taken in order to assure the quality of the data.The rst measure was giving training for data collectors and supervisor on data collection technique for a day. Pretest was done on 5% ( 21) of the charts in order to test the clarity in University of Gondar Comprehensive Specialized Hospital. After the pre-test, corrective measures were taken.…”

Section: Methodsmentioning

confidence: 99%

“…From a total of 230 road tra c accident victims chest trauma accounts for 13.9% of road tra c related injuries in Ethiopia(18). Besides, a study conducted in Zewditu memorial hospital Ethiopia revealed that chest region is the fourth mostly affected area by road tra c accident and accounts for 9.5% of all body region injured as a result of road tra c accident (19) Studies showed that the main cause of chest trauma were road tra c accident, fall down injury, stab injury and gunshot (20)(21)(22).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Magnitude of chest trauma mortality and associated factors among adult patients admitted at University of Gondar Comprehensive Specialized Hospital, North West Ethiopia, 2019

Taye

Mersha

Kindie

2022

Preprint

View full text Add to dashboard Cite

Objective Globally, Chest trauma is one of the major contributors of morbidity and mortality among trauma patients. There are different studies conducted in Ethiopia about the prevalence of chest injury and overall trauma mortality but not mortality related to chest trauma. Therefore this study aimed to assess the magnitude of chest trauma mortality and associated factors among adult patients admitted at University of Gondar Comprehensive Specialized Hospital, North West Ethiopia, 2019. Results out of a total of 400 chest trauma patients about 7.2%( 95% confidence interval (CI) 4.8, 10.0) of them were died. Being aged [Adjusted odds ratio (AOR) = 3.52(1.46, 8.48)], having associated injury [AOR = 4.23(1.49, 12.01)], late presentation [AOR = 2.93(1.22, 7.04)] and having complications [AOR = 4.43(1.9, 10.3)] were significantly significant with chest trauma mortality.

show abstract

Section: Discussioncontrasting

confidence: 83%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Magnitude of chest trauma mortality and associated factors among adult patients admitted at University of Gondar Comprehensive Specialized Hospital, North West Ethiopia, 2019

Taye

Mersha

Kindie

2022

Preprint

View full text Add to dashboard Cite

show abstract

“…While gunshot injuries were the main cause of penetrating chest injuries, road traffic accidents (RTA) were the main source of blunt chest injuries. Most frequently, TT was used to treat patients (65%), and conservative treatment was used to treat 28% of the patients [ 20 ]. Sikander et al (2020) found that hemothorax and hemopneumothorax were the most frequent primary presentations, with rib fracture encountered in 90% of the patients.…”

Section: Introductionmentioning

confidence: 99%

A Prospective Observational Study on the Outcome Assessment of Conservative Management Versus Intercostal Drainage (ICD) in Blunt Chest Injury Patients With ≤3 Rib Fractures in a North Indian Tertiary Care Center

Shandilya¹,

Roy²,

Rai³

et al. 2023

Cureus

View full text Add to dashboard Cite

Introduction Trauma is the third most common cause of death in all age groups. One out of four trauma patients die due to thoracic injury or its complications. Seventy percent of thoracic traumas are due to blunt injury. This indicates the importance of chest trauma among all traumas. Quick and precise assessment bears paramount importance in deciding life-saving and definitive management. Often, the initial management in blunt injury patients is based on subjective assessment by the attending clinician. A scoring system that provides early identification of the patients at the greatest risk for respiratory failure and more likely to require mechanical ventilation and require prolonged care, as well as those with a higher mortality risk, may allow the early institution of intervention to improve outcomes. Thoracic Trauma Severity Score (TTSS) poses to be a precise tool in directing the management modality to be employed. Methodology This was an observational study including 112 patients of age >12 years, with blunt chest injury, sustaining ≤3 rib fractures, and with a stable chest wall. The patients with penetrating injury, those with blunt chest injury having flail segment, patients in the pediatric age group (<12 years), or polytrauma patients were excluded from our study. Of the 112 patients, 56 had been managed by intercostal drainage (ICD), and the rest (56) had been managed conservatively. Result Road traffic accidents (RTA) were the most common mode of injury in both groups. The percentage of the patients with one, two, and three rib fractures was 57.14%, 32.14%, and 10.71%, respectively, in the ICD group and 85.71%, 7.14%, and 7.14%, respectively, in the conservative management group (p = 0.124). The mean TTSS score was significantly more in the ICD group as compared to the conservative management group in the single rib fracture patients (p = 0.001*), as well as all patients of any number of rib fractures (p < 0.01*) (significance was defined as a value of p less than 0.05 {indicated by an asterisk}). The mean hospital stay was significantly lower in the conservative group as compared to the ICD group (p < 0.01*). The mean SF-36 (outcome) was significantly more in the conservative management group as compared to the ICD group (p = 0.020*). The mean cost of treatment was significantly more in the ICD group as compared to the conservative management group (p < 0.001*). Conclusion In our study, a TTSS (as measured by the primary care surgeon) of >7, across any number of rib fractures, was preferably predictive of management by ICD, while a <7 value was favorable for conservative management. TTSS can be used as an important tool to predict the management modality in blunt chest injury patients with ≤3 rib fractures.

show abstract

Mortality rate and factors associated with death in traumatic chest injury patients: A retrospective study

Yimam

Mustofa

Amare

et al. 2021

International Journal of Surgery Open

View full text Add to dashboard Cite

Background: Traumatic chest injury is responsible for 10%–15% of all trauma-related hospital admissions across the world. It is also responsible for approximately 25% of trauma related death. Several predictors have been described for mortality following chest trauma however, limited published studies were available in Ethiopia. Objective: To assess mortality rate and factors associated with death in traumatic chest injury patients over five year's period from June 2016 to June 30, 2020 G.C. Method: A retrospective cross-sectional study was done from June 2016 to June 30, 2020. Data was collected from patients’ chart. The collected data was entered into Epi-info version 7 and transferred to SPSS version 20.0 for processing and analysis. Bivariable and multivariable logistic regression was used to show factors associated with mortality. P- Value < 0.05 was considered statistically significant. Result: A total of 419 patient charts were eligible for this study. The majority of patients (55.8%) sustained blunt chest injuries and violence (52.5%) was the leading cause of injuries. Hemopneumothorax (27.7.0%), hemothorax (22.9%) and rib fracture (17.2%% were the most common type of injuries. Associated extra-thoracic injuries were noted in 70.4% of patients, from those, extremity injury (22.2%), head/neck injuries (21.7%) and abdominal injuries (18.1%) were the commonest. Most patients (64.7%) were treated successfully with chest tube. Nearly, one third (35.3%) had complications including pneumonia (13.8%) and Atelectasis (12.6%). The mean length of hospital stay was 9.40 days. The overall traumatic chest injury mortality rate was 26%. Mortality was significantly associated with age >50 year [AOR 9.32, 95% CI, 2.72–31.86], late presentation beyond 6hr (AOR 7.17, 95% CI 1.76–29.21), bilateral chest injury (AOR 3.58 95% CI 1.53–8.38), penetrating chest injury (AOR 3.63 95% CI 1.65–7.98), presence of extra-thoracic injury (AOR 4.80, 95% CI, 1.47–15.72) and need for mechanical ventilation (AOR 11.18, 95% CI 2.11–59.23). Conclusion: The mortality rate in traumatic chest injury was high. Late presentation beyond 6hr, age >50-year, penetrating injury, bilateral chest injury, associated extra thoracic injury, and need for mechanical ventilation were identified as possible risk factors for mortality in traumatic chest injury patients. Highlights

show abstract

Clinical profile and outcome of chest trauma: a four year retrospective analysis at a tertiary care centre

Cited by 8 publications

References 11 publications

Magnitude of chest trauma mortality and associated factors among adult patients admitted at University of Gondar Comprehensive Specialized Hospital, North West Ethiopia, 2019

Magnitude of chest trauma mortality and associated factors among adult patients admitted at University of Gondar Comprehensive Specialized Hospital, North West Ethiopia, 2019

A Prospective Observational Study on the Outcome Assessment of Conservative Management Versus Intercostal Drainage (ICD) in Blunt Chest Injury Patients With ≤3 Rib Fractures in a North Indian Tertiary Care Center

Mortality rate and factors associated with death in traumatic chest injury patients: A retrospective study

Contact Info

Product

Resources

About