Citation

Hasbahçeci M, Ozpek A, Başak F, Calışkan M, Ener BK, Alimoglu O. Ulus. Travma Acil Cerrahi Derg. 2013; 19(2): 127-132.

Vernacular Title

Künt toraks travmasında mortaliteye etki eden faktörler.

Affiliation

Department of General Surgery, Ümraniye Training and Research Hospital, İstanbul, Turkey. hasbahceci@yahoo.com.

Copyright

(Copyright © 2013, Ulusal Travma ve Acil Cerrahi Dernegi)

DOI

unavailable

PMID

23599196

Abstract

BACKGROUND: Blunt thoracic trauma is usually associated with extra-thoracic injuries, but the effect of blunt thoracic trauma on mortality is not known. METHODS: Patients with blunt thoracic trauma were evaluated with regard to clinical findings and factors affecting mortality. RESULTS: There were 76 patients (37.2±15 years) in the study group. Traffic accidents (63%) were the most common cause of trauma. Pneumothorax (54%), rib fracture (42%), hemothorax (22%) and lung contusion (22%) were common thoracic injuries. Extra-thoracic injuries were most commonly seen in the extremities (46%) and abdomen (40%). Glasgow Coma, Injury Severity and Revised Trauma Scores were 14±2.6, 19±13 and 7.4±1.5, respectively. Non-operative management was effective in 37 (48.7%) patients, tube thoracotomy and thoracotomy were performed in 37 (48.7%) and 2 (2.6%) patients, respectively. Mortality rate was 10.5%. Systolic blood pressure lower than 90 mmHg and superficial and apneic respiration at the first admission, and values of trauma scoring systems were significantly associated with mortality (p<0.05). CONCLUSION: The effect of thoracic trauma on mortality with regard to thoracic pathology is not shown, although it is usually associated with extra-thoracic injuries. There was a close relationship between the pattern of respiration, values of systolic blood pressure and trauma scoring systems, and mortality. Non-operative management and tube thoracotomy were effective in most of the cases.

Language: tr