scholarly journals Thoracic Trauma Severity score on admission allows to determine the risk of delayed ARDS in trauma patients with pulmonary contusion

Injury ◽  
2016 ◽  
Vol 47 (1) ◽  
pp. 147-153 ◽  
Author(s):  
Aurélien Daurat ◽  
Ingrid Millet ◽  
Jean-Paul Roustan ◽  
Camille Maury ◽  
Patrice Taourel ◽  
...  
Keyword(s):  
Severity Score ◽  
Thoracic Trauma ◽  
Pulmonary Contusion ◽  
Trauma Patients ◽  
Trauma Severity

scholarly journals A study to validate thoracic trauma severity score in chest trauma patients

2020 ◽  
Vol 7 (5) ◽  
pp. 1526
Author(s):  
Amit K. Sharma ◽  
Shaitan S. Rathore ◽  
Vijay Verma ◽  
Parul Yadav
Keyword(s):  
Hospital Stay ◽  
Severity Score ◽  
Thoracic Trauma ◽  
Chest Trauma ◽  
Roc Curves ◽  
Chest Injury ◽  
Categorical Variables ◽  
Trauma Patients ◽  
Chi Square ◽  
Trauma Severity

Background: Aim of this study was to validate thoracic trauma severity score (TTSS) in assessing the requirement of mechanical ventilation, mortality, and predicting prognosis in chest injury patients.Methods: This study was conducted in department of general surgery, Dr. S. N. Medical College, Jodhpur, Rajasthan, from December 2018 to September 2019. This was a single centred, prospective, observational study, conducted in 110 patients, aged >18 years, of isolated chest injury, excluding polytrauma patients. Data was summarized in the form of proportions, histograms and tables to show relationships of parameters with results. Data was presented as mean±SD and proportions as appropriate. Chi square test, z test or t tests were used wherever necessary for association analysis between categorical variables. Diagnostic test characteristics for mortality and complications was calculated from the ROC curves. A two sided of p values of less than 0.05 was considered statistically significant.Results: Most common mode of chest injury was blunt trauma and most common age group affected was 42-54 years. Maximum mortality was seen in TTSS between 16-20, shows higher the TTSS more the mortality. Ventilator requirement was more in high TTSS. Patients with higher TTSS had longer hospital stay as compared to patients with lower TTSS.Conclusions: On application of TTSS on admission, TTSS had direct correlation with need for oxygenation, ventilator need, duration of hospital stay, mortality or outcome in chest trauma patients. Thus we recommend TTSS as a good useful score for evaluation of prognosis, outcome and mortality in chest trauma patients. 

scholarly journals Thorax Trauma Severity Score sebagai Prediktor Acute Respiratory Distress Syndrome pada Trauma Tumpul Toraks

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Hendry Soesanto ◽  
Adrian Tangkilisan ◽  
Ishak Lahunduitan
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Severity Score ◽  
Thoracic Trauma ◽  
Distress Syndrome ◽  
Trauma Patients ◽  
Blunt Thoracic Trauma ◽  
Trauma Severity ◽  
Thorax Trauma

Abstract: Thoracic trauma is a significant cause of mortality and morbidity. Difficulties in the management of blunt thoracic trauma patients are caused by the late presentation of acute respiratory distress syndrome (ARDS). Thorax trauma severity score (TTSS), introduced by Pape et al. in 2000, includes patient age, physiologic parameters, and thoracic radiological assessment. This study was aimed to assess the ability of TTSS in prediction of the occurence of ARDS in patients with blunt thoracic trauma. Statistical analysis performed was receiver operating characteristic (ROC) curve. In this study, there were 50 blunt thoracic trauma patients (45 males and 5 females), aged ≥18 years old, admitted to Prof. Dr. R. D. Kandou Hospital during August 2016 to July 2017. Patients with penetrating thoracic trauma, history of any lung disease, and blunt thoracic trauma with onset >24 hours were excluded. The patient age range was 18-73 years with a mean of 39.02 years. Overall, 12 patients (24%) developed ARDS, 9 patients (18%) with pulmonary contusion, 20 patients (40%) with rib fracture, 25 patients (50%) with hematothorax, 6 patients (12%) with pneumothorax, and 5 patients (10%) with hypoxemia. TTSS got the most optimal value of sensitivity (100%) and specifity (92.1%) in cut-off point of 6. Conclusion: TTSS can be used as a diagnostic tool to predict ARDS in blunt thoracic trauma.Keywords: thorax trauma severity score, acute respiratory distress syndrome, blunt thoracic traumaAbstrak: Trauma toraks merupakan penyebab mortalitas dan morbiditas yang signifikan. Kesulitan penanganan pasien dengan trauma tumpul toraks disebabkan keterlambatan terdeteksinya acute respiratory distress syndrome (ARDS). Thorax trauma severity score (TTSS) yang diperkenalkan oleh Pape dkk pada tahun 2000 mencakup usia, parameter fisiologik, dan penilaian radiologik toraks. Penelitian ini bertujuan untuk menilai kemampuan TTSS dalam memrediksi kejadian ARDS pada pasien dengan trauma tumpul toraks. Analisis statistik menggunakan receiver operating characteristic (ROC) curve. Dalam studi ini terdapat 50 pasien dengan trauma tumpul toraks (45 laki-laki dan 5 perempuan), berusia ≥18 tahun yang dirawat di RSUP Prof. Dr. R. D. Kandou pada Agustus 2016 s/d Juli 2017. Pasien dengan trauma tembus toraks, riwayat penyakit paru, dan trauma tumpul toraks dengan onset >24 jam tidak diikut sertakan dalam penelitian. Hasil penelitian mendapatkan rentang usia pasien 18-73 tahun dengan rerata 39,02 tahun. Terdapat 12 pasien (24%) dengan ARDS, 9 pasien (18%) dengan kontusio paru, 20 pasien (40%) dengan fraktur kosta, 25 pasien (50%) dengan hematotoraks, 6 pasien (12%) dengan pneumotoraks, dan 5 pasien (10%) dengan hipoksemia. TTSS mendapatkan nilai paling optimal dari sensitivitas (100%) dan spesifitas (92,1%) pada cut-off point 6. Simpulan: TTSS dapat digunakan sebagai alat diagnostik untuk memrediksi kejadian ARDS pada pasien dengan trauma tumpul toraks.Kata kunci: thorax trauma severity score, acute respiratory distress syndrome, trauma tumpul toraks

scholarly journals The significance of the levels of fibrin/fibrinogen degradation products for predicting trauma severity

2018 ◽  
Vol 26 (3) ◽  
pp. 143-150 ◽  
Author(s):  
Masato Murata ◽  
Shuichi Hagiwara ◽  
Makoto Aoki ◽  
Jun Nakajima ◽  
Kiyohiro Oshima
Keyword(s):  
Injury Severity Score ◽  
Emergency Room ◽  
Severity Score ◽  
Injury Severity ◽  
Degradation Products ◽  
Area Under The Curve ◽  
Trauma Patients ◽  
Fibrinogen Degradation Products ◽  
Trauma Severity ◽  
D Dimer

Background: On initial treatment in the emergency room, trauma patients should be assessed using simple clinical indicators that can be measured quickly. Objectives: The purpose of this study is to investigate the relationship between the injury severity score and blood test parameters measured on emergency room arrival in trauma patients. Methods: Trauma patients transferred to Gunma University Hospital between May 2013 and April 2014 were evaluated in this prospective, observational study. Blood samples were collected immediately on their arrival at our emergency room and their hematocrit, platelet, international normalized ratio of prothrombin time, activated partial thromboplastin time, fibrin/fibrinogen degradation products, and D-dimer were measured. We evaluated the correlations between the injury severity score and those biomarkers, and examined whether the correlation varied according to the injury severity score value. We also evaluated the correlations between the biomarkers and the abbreviated injury scale values of six regions. Results: We analyzed 371 patients. Fibrin/fibrinogen degradation products and D-dimer showed the greatest coefficients of correlation with injury severity score (0.556 and 0.543, respectively). The area under the curve of the receiver operating characteristic was larger in patients with injury severity score ⩾ 9 than in those with injury severity score ⩾ 4; however, patients with injury severity score ⩾ 9 or ⩾16 showed no significant differences. The area under the curve of fibrin/fibrinogen degradation products was larger than that of D-dimer at all injury severity score values. The chest abbreviated injury scale had the strongest relationship with fibrin/fibrinogen degradation products. Conclusion: Fibrin/fibrinogen degradation products and D-dimer were positively correlated with injury severity score, and the relationships varied according to trauma severity. Chest trauma contributed most strongly to fibrin/fibrinogen degradation product elevation.

IS EARLY OSTEOSYNTHESIS SAFE IN MULTIPLE TRAUMA PATIENTS WITH SEVERE THORACIC TRAUMA AND PULMONARY CONTUSION?

1994 ◽  
Vol 36 (4) ◽  
pp. 495-498 ◽  
Author(s):  
John P. van Os ◽  
Rudy M. H. Roumen ◽  
Frans J. Schoots ◽  
Frans M. J. Heystraten ◽  
R. Jan A. Goris
Keyword(s):  
Multiple Trauma ◽  
Thoracic Trauma ◽  
Pulmonary Contusion ◽  
Trauma Patients ◽  
Early Osteosynthesis ◽  
Multiple Trauma Patients

scholarly journals A prospective study of chest injuries and associated complications with special reference to surgical emphysema

2018 ◽  
Vol 5 (3) ◽  
pp. 873
Author(s):  
Sunil Kumar Dangi ◽  
Naresh Meena ◽  
Ashok Parmar
Keyword(s):  
Thoracic Trauma ◽  
Road Traffic ◽  
Bone Fractures ◽  
Flail Chest ◽  
Pulmonary Contusion ◽  
Long Bone ◽  
Trauma Patients ◽  
Thoracic Injuries ◽  
Female Ratio ◽  
Surgical Emphysema

Background: Chest trauma (or thoracic trauma) is a serious injury of the chest. Thoracic injuries may present extremely dramatic clinical problem that demand rapid diagnosis, decision making and aggressive management. Thoracic injuries can range from simple single rib fracture to major thoracic vessel injury and pulmonary contusion.Objective of this study was to describe the clinical characteristics and risk factors of thoracic trauma patients, and to evaluate their relationship in the development of complications with special emphasis to surgical emphysema.Methods: Descriptive, prospective and analytical study of a cohort of patients with thoracic trauma who were followed up for a period of 30 days. Excluded from the study were those patients with moderate to severe cranio-encephalic trauma, long bone fractures, abdominal trauma, and patients who required mechanical ventilation.Results: A total of 102 patients met the inclusion criteria out of which 90(88.23%)patients were male and 12(11.77%) female with male to female ratio of 7.5:1. Patients having surgical emphysema were all male 21(21.56%). Most common mode of the injury seen was road traffic accidents in 80 (80.95%) patients, followed by assault in 9(9.52%) patients, bull horn injury and fall from height in 4(4.76%) patients. Other chest injury which was most commonly associated with surgical emphysema was haemothorax in 11(52.38%) patients, followed by pneumothorax in 7(33.33%) patients, pulmonary contusion in 6(28.57%) patients and flail chest in 3(14.26%) patients. The risk of complications increases significantly in patients with more than 2 rib fractures, in older patients and in the presence of some comorbidities such as COPD and pathologies that require anticoagulation. The risk of re-admittance is greater in patients older than 60 years.Conclusions: Patients with thoracic trauma who present with co-morbidities, are older than 60 years and have more than 2 ribs fractures may present with more complications. These factors should be contemplated in the evaluation, management and follow-up of these subjects.

scholarly journals Evaluation of Facial Trauma Severity in Cipto Mangunkusumo Hospital Using FISS Scoring System

1970 ◽  
Vol 1 (2) ◽  
Author(s):  
Kristaninta Bangun ◽  
Ayu Diah Kesuma
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Scoring System ◽  
Injury Severity ◽  
Scoring Systems ◽  
Facial Trauma ◽  
Trauma Patients ◽  
Documentation System ◽  
Trauma Severity ◽  
Degree Of Severity

Many scoring systems were introduced to search prognostic value in trauma patients. Facial trauma is a special trauma because it can cause many disabilities in facial function. There have been several reports on facial severity scoring system, such as Facial Injury Severity Score (FISS) and Maxillofacial Injury Severity Score (MFISS). Although these scoring systems have been introduced in many journals, they are not yet used by many clinicians because of their unawareness of its beneficiary. In this study, we want to introduce and apply these scoring systems in our maxillofacial data, thus it can be used for documentation system, as a research tool, and have prediction value for prognosis We retrospectively collected data on patients with facial trauma in Cipto Mangunkusumo Hospital in 2009. The data collected were age, gender, etiology, use of helmet, type of fracture and treatment given. Each patient then evaluated by FISS score to obtain their degree of severity. Using FISS score introduced by Bagheri, we found the average FISS score ini this evaluation was 3,37 ± 1,9, with minimum value 1 and maximum value 9. Most patients have FISS score 2 (24,7%). From FISS scoring system, we found that most of maxillofacial trauma in Cipto Mangunkusumo hospital in 2009 was mild trauma. In order to evaluate if FISS scoring system has predictive value for prognosis, a large sample and complete maxillofacial database are needed.

Predictive value of 3-D volumetric estimation of pulmonary contusion in blunt thoracic trauma patients

2013 ◽  
Vol 217 (3) ◽  
pp. S42
Author(s):  
Raja R. Gopaldas ◽  
Ravand Khazai ◽  
Ezekiel Tarrant ◽  
Muthusamy Chinnapapu ◽  
Bin Ge ◽  
...  
Keyword(s):  
Predictive Value ◽  
Thoracic Trauma ◽  
Pulmonary Contusion ◽  
Trauma Patients ◽  
Blunt Thoracic Trauma ◽  
Volumetric Estimation

scholarly journals Perbandingan Sensitivitas dan Spesifisitas Lung Organ Failure Score (LOFS) dan Thoracic Trauma Severity Score (TTSS) terhadap Pemakaian Ventilator pada Pasien Trauma Multipel disertai Trauma Tumpul Toraks

2020 ◽  
Vol 47 (1) ◽  
pp. 69-85
Author(s):  
Gideon Setiawan ◽  
Tri Wahyu Murni ◽  
Rama Nusjirwan ◽  
Rachim Sobarna
Keyword(s):  
Receiver Operating Characteristic ◽  
Organ Failure ◽  
Severity Score ◽  
Random Sampling ◽  
Thoracic Trauma ◽  
Operating Characteristic ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Trauma Severity ◽  
Organ Failure Score

Latar Belakang: Trauma multipel adalah cedera pada dua atau lebih sistem organ yang mengancam jiwa dan memerlukan perawatan di ruang ICU yang tersedia monitor, tenaga medis terampil, dan ventilator bila diperlukan. Namun ruang ICU tidak selalu ada, sehingga sebagian pasien akan dirawat di ruang HCU dan rawat biasa. Trauma multipel yang disertai trauma toraks akan meningkatkan mortalitas dan morbiditas. Penilaian awal serta tatalaksana harus dilaksanakan dengan akurat dan secepat mungkin. Penggunaan skor trauma dapat membantu untuk menentukan risiko gagal napas. Dengan mengetahui perbandingan sensitivitas dan spesifisitas skor LOFS dan TTSS, klinisi dapat mengetahui risiko gagal napas yang memerlukan ventilator. Metode: Penelitian ini merupakan suatu penelitian yang bersifat prospektif observasional untuk menilai perbandingan sensitivitas dan spesifisitas skor LOFS dan TTSS pada pasien trauma multipel yang disertai trauma tumpul toraks. Subjek penelitian adalah pasien yang masuk ke IGD RSUP DR. Hasan Sadikin Bandung periode 1 Januari 2017 – 31 Maret 2018 dengan metode simple random sampling. Pasien dilakukan survei primer dan dilakukan resusitasi, kemudian dinilai skor LOFS dan TTSS. Hasil: Terdapat 83 pasien yang memenuhi kriteria inklusi. Rancangan penelitian dirancang secara cross sectional. Analisis data memakai kurva ROC ( Receiver  Operating Characteristic ). Trauma toraks yang paling sering terjadi adalah kontusio paru sebesar 74,7% dengan trauma penyerta terbanyak adalah trauma kepala sebanyak 54,4%. Prevalensi pemakaian ventilator dengan perawatan ruang ICU sebesar 25,3%. Skor LOFS memilki sensitivitas 85,1% dan spesifisitas 94,4%. Sedangkan skor TTSS memiliki nilai sensitivitas 83,3% dan spesifisitas 77,8%. Simpulan: Skor LOFS memiliki sensitivitas dan spesifisitas lebih tinggi dibandingkan skor TTSS dan bermakna secara statistik.

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