Pattern and presentation of blunt chest trauma among different age groups

Hanafi, Moataz; Al-Sarraf, Nael; Sharaf, Hazem; Abdelaziz, Atef

doi:10.1177/0218492310395954

Cited by 24 publications

(36 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[1,4,11] Gerek gelişmiş ve gerekse gelişmekte olan ülke-lerde, trafik kazaları künt toraks travmalarının en sık sebebidir. [1,3,4,6,[12][13][14] Bu çalışmada da, gerek araç içi-dışı ve gerekse motosiklet kazaları dikkate alındığında, olguların %63'ünde trafik kazaları etyolojik sebep olarak tespit edilmiştir. Bazı çalışmalarda travma sebebi olarak darbın %28 gibi yüksek oranda bildirilmesi, bu oranların toplumlara göre değişebileceğini göstermek-tedir.…”

Section: Discussionunclassified

“…Travmaya bağlı ölümlerin ise %25'inden toraks travmaları sorumlu tutulmakta, künt toraks travmaları genellikle diğer sistem travmaları ile birlikte görülmektedir. [1][2][3][4] Toraks travmalarının en önemli sebebi trafik kazaları olmakla birlikte (%70-80), toplumların sosyal yapılarına göre farklı oranlarda diğer sebepler de yol açabilir. [1,4,5] Az gelişmiş ya da gelişmekte olan ülkelerde ateşli silahlar, delici ve kesici aletler ile oluşan penetran toraks travmaları önemli bir yer tutmaktadır.…”

unclassified

“…[1][2][3][4] Toraks travmalarının en önemli sebebi trafik kazaları olmakla birlikte (%70-80), toplumların sosyal yapılarına göre farklı oranlarda diğer sebepler de yol açabilir. [1,4,5] Az gelişmiş ya da gelişmekte olan ülkelerde ateşli silahlar, delici ve kesici aletler ile oluşan penetran toraks travmaları önemli bir yer tutmaktadır. Gelişmiş ülkelerde ise, trafik kazalarının yanında özellikle yaş-lı popülasyonda yürürken ya da merdivenden düşme gibi değişik mekanizmalarla gerçekleşen künt toraks travmalarına rastlanabilmektedir.…”

unclassified

See 2 more Smart Citations

Factors Affecting Mortality in Blunt Thoracic Trauma

Hasbahçeci¹,

Özpek²,

Başak³

et al. 2013

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

AMAÇKünt toraks travması, travma hastalarında sıklıkla toraks dışı yaralanmalarla birlikte görülmekte fakat mortaliteye etkisi tam olarak bilinmemektedir. GEREÇ VE YÖNTEMKünt toraks travmalı hastalar, klinik özellikler ve mortaliteye etki eden faktörler açısından değerlendirildi. BULGULARÇalışma grubu 76 hastadan (37,2±15 yıl) oluştu. Trafik kazası %63 oranıyla en sık görülen travma sebebiydi. Hastalarda görülen torasik yaralanmalar pnömotoraks (%54), kot kırığı (%42), hemotoraks (%22) ve akciğer kontüzyonu (%22) olarak saptandı. Ekstremite (%46) ve karın (%40) toraks dışı travmaların en sık görüldüğü bölgeler idi. Glasgow koma skoru, yaralanma şiddet skoru ve revize edilmiş travma skoru ortalamaları sırası ile 14±2,6, 19±13 ve 7,4±1,5 olarak hesaplandı. Sadece nonoperatif yönetim 37 (%48,7) hastada yeterli olurken, 37 (%48,7) hastada tüp torakostomi ve 2 (%2,6) hastada torakotomi gerekli oldu. Toplam 8 hastada (%10,5) mortalite görüldü. İlk başvuruda 90 mmHg'nin dü-şük sistolik kan basıncı değeri, yüzeyel ve apneik solunum ve travma skorlama sistemi sonuçlarının mortalite üzerinde anlamlı etkisi olduğu tespit edildi (p<0,05). SONUÇKünt toraks travmaları toraks dışı sistem yaralanmaları ile genellikle beraber görülmektedir. Toraks patolojisinin tipi ve sayısı ile mortalite arasında bir ilişki gösterilememiştir. Yüzeyel ve apneik solunum, 90 mmHg'den düşük sistolik kan basıncı ve travma skorlama sistemi sonuçları mortalite ile yakından ilişkilidir. Nonoperatif yönetim ve tüp torakostomi tedavi açısından çoğu hastada yeterli olmaktadır.

show abstract

Section: Discussionunclassified

unclassified

See 1 more Smart Citation

Factors Affecting Mortality in Blunt Thoracic Trauma

Hasbahçeci¹,

Özpek²,

Başak³

et al. 2013

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…It is widely accepted that the number of fractured ribs indicates the severity of trauma and closely correlates with morbidity and mortality (1,3,13,14). In fact, it is noted that with an increase in the number of fractured ribs, the associated morbidity and mortality also increases (1).…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis of the Correlation Between Rib Fractures and Prognosis in Multiple Trauma Patients

Hashemzadeh¹,

Kermani²,

Kakaei³

et al. 2018

Trauma Mon

View full text Add to dashboard Cite

Background: Thoracic trauma is an important cause of morbidity and mortality in trauma patients and rib fracture due to blunt trauma to the chest wall is the most common etiology. Objectives: This study analyzed the correlation between rib fractures and prognosis in multiple trauma patients. Methods: One hundred eighty-four trauma patients suffering from rib fracture due to the blunt trauma were studied. Demographic data, injury characteristics, rib fracture characteristics, the associated injuries, and injury severity score (ISS) were recorded. The rib fracture was classified according to location (left, right, and bilateral) and level (upper [1st -2nd rib], middle [3rd -8th rib], and lower [9th -12th rib]); it also was categorized as lateral and posterolateral. Results: The rib fractures were posterolateral (69.6%), lateral (30.4%), upper (4.3%), middle (92.4%), and lower (3.3%). Patients with posterolateral fracture had significantly more complications leading to airway intubation and more intensive care support, higher ISS, associated with pelvic and clavicular fracture. Upper rib fractures were associated with more length-of-stay (LOS) while lower rib fractures were associated more with abdominal trauma and lumbar/thoracolumbar vertebral fractures. A significant positive correlation was seen between the number of fractured ribs and ISS, hospital, and ICU LOS. There were no complications during a two-month follow-up. Conclusions: Upper rib fractures are associated with severe traumas requiring more hospitalization and ICU support due to the more surgical and medical complications. Morbidity is higher in posterolateral fractures and these patients need more medical care.

show abstract

“…The identification of the profile of patients with Traumas like BCI and the determinants of mortality will aid in implementing strategies for care of patients with chest trauma, reduce the burden of BCI. 2,5,8,[15][16][17] and putting measures in place to in other to ensure prompt, and adequate patients care. 12 …”

Section: Introductionmentioning

confidence: 99%

Blunt Chest Injury: epidemiological profile and determinant of mortality

Okonta¹,

Ocheli²

2018

Int Surg J

View full text Add to dashboard Cite

Background: The identification of the epidemiological profile and the determinants of mortality for blunt chest injuries (BCI) ensures the proper documentation of susceptible patients, and the implementation of strategies for prompt and improved patients’ care.Methods: This is a prospective study for a 4-year period at two tertiary hospitals in Nigeria. The inclusion criteria were patients who had BCI, did chest radiograph and admitted for treatment. The statistical software for analysis was SPSS version 22 and using Pearson’s X2 and spearman’s X2 for correlation of mortality with the Injury Severity Score (ISS), Glasgow Coma Scale(GCS) and Hemi-thorax affected. The p-value was significant at <0.001.Results: I One-hundred and twenty-six (52.3%) of 241 patients had BCI, the average age was 40.4years with a range of 0.8-79years.There were 104 (82.5%) male with a ratio of 4.7:1. Most patients 86(68.3%) were between 19-59 years of age, 85 (67.5%)were unskilled workers and 57 (45%) had no formal education. Most 66.7% of the injuries occurred in the first half of the year with a peak (16.3%) in March. Mondays and Fridays,and, morning hours were the peak periods. BCI was by motor vehicular accidents 94 (74.6%), falls 28 (22.2%), and other causes 4 ((3.2%). The associated injuries were extremities 25(19.8%,), cranio-spinal injuries 17(13.5%) and blunt abdominal injuries13 (10.3%). Eleven (8.7%) patients died within one-month of admission. The determinants of mortality were high ISS (p<0.001), severe head injury (p<0.001) and bilateral chest injury (p<0.001).Conclusions: The contribution of falls to BCI is on the increase with BCI occurring at periods of increased activities like Mondays, Fridays and morning hours.The determinants of mortality were high ISS ,severe head injury and bilateral chest injury.

show abstract

Pattern and presentation of blunt chest trauma among different age groups

Cited by 24 publications

References 9 publications

Factors Affecting Mortality in Blunt Thoracic Trauma

Factors Affecting Mortality in Blunt Thoracic Trauma

Clinical Analysis of the Correlation Between Rib Fractures and Prognosis in Multiple Trauma Patients

Blunt Chest Injury: epidemiological profile and determinant of mortality

Contact Info

Product

Resources

About