Examination of patients admitted to the emergency department with blunt chest trauma
Examination of patients admitted to the emergency department with blunt chest trauma
Blunt chest trauma is an important and common cause of morbidity and mortality. It constitutes an important part of the admissions to the emergency department. For this purpose, we evaluated the demographic characteristics, type of trauma, accompanying traumas, trauma scoring systems and results, duration of stay in the emergency department, and hospital outcomes of patients with chest trauma admitted to the emergency department of our hospital. In our study, patients who admitted to the emergency department of our hospital within one year with blunt chest trauma were evaluated retrospectively. Of the 156 patients examined, 114 (73%) were male and the mean age was 52.83±17.9 years. Pneumothorax (35%) and rib fracture (55%) were the most common thoracic injuries. When the duration of hospitalization was examined, the presence of lower extremity and abdomen pathologies, pneumothorax, hemothorax, and (>3) rib fracture prolonged the hospitalization period (p
___
- 1. Battistella FD, Benfield JR. Blunt and penetrating injuries of the chest wall, pleura, and lungs. In: Shields TW. General Thoracic Surg. 2000;815-63.
- 2. Kulshrestha P, Munshi I, Wait R. Profile of chest trauma in a level I trauma center. J Trauma. 2004;576–81.
- 3. Schellenberg M, Inaba K. Critical Decisions in the management of Thoracic Trauma. Emerg Med Clin North Am. 2018;36:135-47. 4. Mühling B. Blunt and Penetrating Thoracic Trauma. Chirurg. 2017;88:807- 16.
- 5. Kishen R, Lomas G. Thoracic trauma In: Trauma resuscitation the team approach. Carl, L., Gwinnutt, Driscoll, P., eds. BIOS Scientific Publishers Ltd, Oxford, 2003 pp. 52-78.
- 6. Van Vugt R, Deunk J, Brink M et al. Influence of routine computed tomography on predicted survival from blunt thoracoabdominal trauma. Eur J Trauma Emerg Surg. 2011;37:185-90.
- 7. Oikonomou, A., Prassopoulos, P. CT imaging of blunt chest trauma. Insights Imaging. 20112, 281-95.8. Karadaş S, Gönüllü H, Çobanoğlu U et al. Comparison of pediatric and adult patients with thoracic trauma in emergency department. J Experimental Cli Med. 2013;30:323-6.
- 9. Marc Eckstein, Sean O. Henderso. Thoracic Trauma. Rosen Emergency Medicine 8th edition ed.(JA Marx):431-458. Pheledelphia, Elsevier Sounders, 2014
- 10. Yazkan R, Berkant Özpol at B. GThoracic trauma: analysis of 132 cases. Bidder J Med.Science. 2010;2:15-20.
- 11. Öncel M, Akyol KG. Analysis of 255 cases with chest trauma. Selcuk Med J. 2011;27:11-13.
- 12. Ateşçelik M, Gürger M. Study of patients with blunt trauma in emergency department. Firat Med J. 2013;18:103-8.
- 13. Mayberry JC. Imaging in thoracic trauma: the trauma surgeon's perspective. J Thorac Imaging. 2000,15:76–86.
- 14. Forouzanfar MM, Safari S, Niazazari M et al. Clinical decision rule to prevent unnecessary chest X-ray in patients with blunt multiple traumas. Emergency Medicine Australasia. 2014;26(6):561-6.
- 15. Rodriguez RM, Anglin D, Langdorf MI et al. NEXUS chest: validation of a decision instrument for selective chest imaging in blunt trauma. J. Surg. 2013;148:940-6.
- 16. Battle CE, Hutchings H, Evans PA. Risk factors that predict mortality in patients with blunt chest wall trauma: a systematic review and metaanalysis. Injury. 2012;43:8-17.
- 17. Mühling B. Blunt and penetrating thoracic trauma. Chirurg. 2017;88:807- 816.
- 18. Schuurmans J, Goslings JC, Schepers T. Operative Management Versus Non-Operative Management of Rib Fractures in Flail Chest Injuries: A Systematic Review. Eur J Trauma Emerg Surg. 2017;43:163-8.
- 19. Hasbahçeci M, Ozpek A, Başak F et al. Factors affecting mortality in blunt 20. thoracic trauma. Turkish journal of trauma & emergency surgery: TJTES. 2013;1;19:127-32.
- 21. Langenbach A, Krinner S, Hennig FF et al. Injuries of the Posterior and Lateral Chest Wall-Importance of an Additional Clavicular Fracture. Unfallchirurg. 2018;121:615-23.
- 22. Klei DS, de Jong MB, Öner FC et al. Current treatment and outcomes of traumatic sternal fractures-a systematic review. Int Orthop. 2019;43:1455- 64.
- 23. Mizushima Y, Hiraide A, Shimazu T et al. Changes in contused lung volume and oxygenation in patients with pulmonary parenchymal injury. After blunt chest trauma. Am J Emerg Med. 2000;18:385–9.
- 24. Graeber MG, Prabhakar G, Shields TW. Blunt and penetrating injuries of the chest wall, pleura, and lungs. In Shields TW, Locicero J, Ponn RB, Ruch VW, ed. General Thoracic Surgery, vol 1, 6th ed. Philadelphia: Lippincott Williams and Wilkins; 2005: 951-71.
- 25. Costa G, Tomassini F, Tierno SM et al. The prognostic significance of thoracic and abdominal trauma in severe trauma patients (Injury severity score > 15). Ann Ital Chi. 2010;81:171-6.
- 26. Kidher E, Krasopoulos G, Coats T et al. The effect of prehospital time related variables on mortality following severe thoracic trauma. Injury. 2012;43:1386-92.
- 27. Harrington DT, Phillips B, Machan J et al. Factors associated with survival following blunt chest trauma in older patients: results from a large regional trauma cooperative. Arch Surg. 2010;145:432-7.
- 28. Lema MK, Chalya PL, Mabula JB et al. Pattern and outcome of chest injuries at Bugando Medical Centre in Northwestern Tanzania. J Cardiothorac Surg. 2011;6:7.
- 29. Thomas MO, Ogunleye EO. Etiopathology and management challenges of blunt chest trauma in Nigeria. Asian Cardiovasc Thorac Ann. 2009;17:608- 11.