Prognostic factors in chest traumas: A prospective study of 500 patients

Perna, Valerio; Morera, Ricardo

doi:10.1016/s2173-5077(10)70177-0

Cited by 16 publications

(18 citation statements)

References 28 publications

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“…Many studies found that up to 50% of major blunt trauma patients presented a chest effusion on admission [10,29]. We observed a comparable rate in our series.…”

Section: Consideration Of Thoracic Bleeding Sourcesupporting

confidence: 85%

A simple assessment of haemothoraces thickness predicts abundant transfusion: A series of 525 blunt trauma patients

Gignon

Charbit

Maury

et al. 2015

Injury

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“…Many studies found that up to 50% of major blunt trauma patients presented a chest effusion on admission [10,29]. We observed a comparable rate in our series.…”

Section: Consideration Of Thoracic Bleeding Sourcesupporting

confidence: 85%

A simple assessment of haemothoraces thickness predicts abundant transfusion: A series of 525 blunt trauma patients

Gignon

Charbit

Maury

et al. 2015

Injury

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“…[7] About 12% of cases of severe pulmonary contusion caused by chest wall injury have a high mortality from 14% to 40%. [8] Pulmonary contusion is an independent risk factor for ALI and ventilator-associated pneumonia [9,10] and is also a risk factor for ALI patients with poor prognosis. [11] Endothelial injury promotes platelet aggregation and triggers the coagulation cascade leading to micro vessels thrombosis.…”

Section: Discussionmentioning

confidence: 99%

Expression patterns of plasma von Willebrand factor and serum interleukin-8 in patients with early-stage severe pulmonary contusion

Qian¹

2011

World J Emerg Med

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BACKGROUND: von Willebrand factor (vWF) is only released from endothelial cells and platelets and is an in vivo and in vitro marker of endothelial injury in septic patients with acute lung injury (ALI). Interleukin-8 (IL-8), as a proinfl ammatory mediator causing recruitment of infl ammatory cells, induces an increase in oxidant stress mediators and makes it as a key parameter for localized inflammation. However, it has not been well established whether the level of serum IL-8 is associated with the severity of lung injury and whether it is a prognosis marker for severe lung contusion. This study was to investigate the expression of plasma vWF and IL-8 and their association with the severity and outcomes of severe pulmonary contusion. METHODS: A total of 63 patients were divided into a severe pulmonary contusion with acute respiratory distress syndrome (ARDS) group and a non-ARDS group, or a survivor group and a nonsurvivor group, or an injury severity score (ISS) <20 group and an ISS ≥20 group. Another 20 healthy volunteers served as controls. The levels of plasma vWF and serum IL-8 were measured by enzymelinked immunosorbent assay (ELISA) at 1, 3, 5 and 7 days after injury. The expression patterns of the plasma vWF and serum IL-8 were compared between different groups. Funding: None. Ethical approval: Not needed. Conflicts of interest: No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. Contributors: Qian JX proposed and wrote the main body of the article. All authors contributed to the design and interpretation of the study and to further drafts.

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“…Studies done on scoring systems for thoracic trauma recognise age, rib fractures, pulmonary contusions and bilateral injury as the most important factors affecting prognosis of chest trauma patients. [ 2 14 15 ] These factors individually or combined may help in predicting outcome. The Chest Trauma Score (CTS) was derived from number of above factors, devised by Pressley et al .…”

Section: Introductionmentioning

confidence: 99%

“…and validated by Chen. [ 6 14 ] Chen et al . found that this simple score can predict the possibility of poor outcome like complications and mortality in thoracic trauma patients if CTS ≥5.…”

Section: Introductionmentioning

confidence: 99%

Prediction of outcomes in chest trauma patients using chest trauma scoring system: A prospective observational study

2019

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Background and Aims:Prognostication of chest trauma patients by scoring systems is of vital importance to predict morbidity and mortality. We aimed to predict outcomes in chest trauma patients using chest trauma scoring system (CTS) in Indian patients.Methods:This was a prospective observational study done in a trauma care centre at a tertiary care teaching public hospital. CTS was calculated by scores of age, severity of pulmonary contusion, number of rib fractures and presence of bilateral rib fractures. Final CTS ranges from 2 to 12. We evaluated CTS to predict outcome that is mortality as primary objective and development of complications like pneumonia and need for ventilator support as secondary objective in Indian population.Results:Data were collected from 30 patients and they were divided into two groups, CTS <5 (15) and CTS ≥5 (15). High CTS ≥5 was statistically significantly associated with high incidence of pneumonia (P = 0.046), increased requirement of mechanical ventilation (P = 0.025) and mortality (P = 0.035) in chest trauma. Area under the ROC for mortality shows that the test is acceptable (0.75) and at CTS score 5.5 maximum sensitivity is 87.5% and specificity is 68%.Conclusion:This study concludes that a CTS ≥5 is associated with poor outcomes. This scoring system may be used to identify patients at risk of complications and institute early intensive focussed care.

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Prognostic factors in chest traumas: A prospective study of 500 patients

Cited by 16 publications

References 28 publications

A simple assessment of haemothoraces thickness predicts abundant transfusion: A series of 525 blunt trauma patients

A simple assessment of haemothoraces thickness predicts abundant transfusion: A series of 525 blunt trauma patients

Expression patterns of plasma von Willebrand factor and serum interleukin-8 in patients with early-stage severe pulmonary contusion

Prediction of outcomes in chest trauma patients using chest trauma scoring system: A prospective observational study

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