Outcome of Chest Trauma Patients in One Year in Sohag University Hospital
Study Details
Study Description
Brief Summary
The history of chest trauma is as old as that of man himself. One of the earliest writings about chest trauma is found in the Edwin Smith Surgical Papyrus, written in 3000 bc.
Over the last century, there has been considerable reduction in the mortality of chest trauma owing to improved pre-operative care, availability of positive pressure ventilation, increasing availability of antibiotics, improvement of radiological techniques and improved lung toilets measures etc.
Chest trauma implies trauma to any or combination of different thoracic structures, which can be divided into 4 anatomical regions i.e. the chest wall, the pleural space, the lung parenchyma, and the mediastinum.
Trauma is one of the top ranking causes of accidental or unnatural deaths. Chest trauma is a significant source of morbidity and mortality worldwide. overall, it accounts for 25%-30% of all trauma related deaths and is implicated in an additional 25% of patients, who died from injuries.
In most cases, blunt chest trauma is by far the commonest and road traffic accidents account for 70%-80% of such injuries. Fire-arm injuries, falling from height, blast, stabs, and various acts of violence are the other causative mechanisms.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| blunt chest trauma patients patients with chest injuries due to a blunt trauma |
Procedure: chest tube - emergency thoracotomy
chest tube is an inter-costal tube inserted intrathoracic in case of haemothorax and pneumothorax ,,,, emergency thoracotomy is an emergency exploration in severly injured patients
|
| penetrating chest trauma patients patients with chest injuries due to penetrating trauma |
Procedure: chest tube - emergency thoracotomy
chest tube is an inter-costal tube inserted intrathoracic in case of haemothorax and pneumothorax ,,,, emergency thoracotomy is an emergency exploration in severly injured patients
|
| polytraumatized patients patients with multible traumas beside the chest injury |
Procedure: chest tube - emergency thoracotomy
chest tube is an inter-costal tube inserted intrathoracic in case of haemothorax and pneumothorax ,,,, emergency thoracotomy is an emergency exploration in severly injured patients
|
| chest trauma only patients patients with only chest injuries |
Procedure: chest tube - emergency thoracotomy
chest tube is an inter-costal tube inserted intrathoracic in case of haemothorax and pneumothorax ,,,, emergency thoracotomy is an emergency exploration in severly injured patients
|
Outcome Measures
Primary Outcome Measures
- morbidity [12 months]
Outcome will be defined as conservative management
- mortality [12 months]
Outcome will be defined as conservative management
Eligibility Criteria
Criteria
Inclusion Criteria:
-
males and females
-
adults and children
-
isolated chest trauma
-
polytraumatized patients
-
penetrating chest trauma
-
blunt chest trauma
Exclusion Criteria:
-
patients presented with cardiac arrest
-
patients presented dead
-
patients with glasco coma scale 5 or less
-
patients with sever abdominal injuries
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Sohag university Hospital | Sohag | Egypt |
Sponsors and Collaborators
- Sohag University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Al-Koudmani I, Darwish B, Al-Kateb K, Taifour Y. Chest trauma experience over eleven-year period at al-mouassat university teaching hospital-Damascus: a retrospective review of 888 cases. J Cardiothorac Surg. 2012 Apr 19;7:35. doi: 10.1186/1749-8090-7-35.
- Ekpe EE, Eyo C. Determinants of mortality in chest trauma patients. Niger J Surg. 2014 Jan;20(1):30-4. doi: 10.4103/1117-6806.127107.
- Grubmuller M, Kerschbaum M, Diepold E, Angerpointner K, Nerlich M, Ernstberger A. Severe thoracic trauma - still an independent predictor for death in multiple injured patients? Scand J Trauma Resusc Emerg Med. 2018 Jan 8;26(1):6. doi: 10.1186/s13049-017-0469-7.
- Mommsen P, Zeckey C, Andruszkow H, Weidemann J, Fromke C, Puljic P, van Griensven M, Frink M, Krettek C, Hildebrand F. Comparison of different thoracic trauma scoring systems in regards to prediction of post-traumatic complications and outcome in blunt chest trauma. J Surg Res. 2012 Jul;176(1):239-47. doi: 10.1016/j.jss.2011.09.018. Epub 2011 Oct 5.
- Soh-Med-23-07-06MS