scholarly journals Clinical profile and outcome of chest trauma: a four year retrospective analysis at a tertiary care centre

2019 ◽  
Vol 6 (7) ◽  
pp. 2519
Author(s):  
Syed Quibtiya Khursheed ◽  
Waseem Ashraf ◽  
Ajaz Ahmad Rather ◽  
Shams-Ul-Bari .
Keyword(s):  
Traffic Accidents ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tertiary Care ◽  
Chest Injury ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Associated Injuries ◽  
Tertiary Care Centre ◽  
Chest Injuries

Background: Chest trauma comprises about 10-15% of all traumas and 25% of all deaths from traumatic injury. Chest injuries are cause by blunt mechanisms such as road traffic accidents or penetrating mechanisms such as stab and missile injuries. Traumatic chest injuries are the most common cause of preventive mortality and morbidity.Methods: A retrospective study of all patients with chest injury presenting to Emergency Department of SKIMS Medical College, Srinagar was done.  Records of all the patients were retrieved. A complete data regarding age, gender, mode/type of injury, extra thoracic injuries, mode of management and outcome was gathered.Results: A total number of 1429 trauma patients presented to AE of which 160 patients (11.2%) had chest trauma. Majority of the patients (51.87%, n=83) were of age group of 21-40 years. A male preponderance was observed. Road traffic accidents were major causes of blunt chest injury, while gunshot injury was the major causes of penetrating chest injuries. Head and neck injuries were the most common associated injuries. Tube thoracostomy was the commonest modality of management (65%) and (28%) patients were managed conservatively.  Severity of chest trauma and associated injuries coupled with prompt diagnosis and treatment were important factors in efficient management of chest injuries.Conclusions: Chest trauma resulting from road traffic accidents remains the major mechanism of injury. Preventive measures aimed at educating the common masses about traffic rules and strictly implementing them is indispensable to reduce the incidence of chest injuries.

scholarly journals Profile of chest injuries in a tertiary care centre

2020 ◽  
Vol 7 (3) ◽  
pp. 714
Author(s):  
Rajesh K. Jegoda
Keyword(s):  
Chest Trauma ◽  
Road Traffic ◽  
Tertiary Care ◽  
Clinical History ◽  
Blunt Injury ◽  
Trauma Patients ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Chest Injuries ◽  
A Prospective Study

Background: Trauma is a major cause of mortality worldwide. This study is aimed at the patterns of chest trauma, their presentation and the outcome of management.Methods: A prospective study of trauma patients admitted to a tertiary care centre was carried out the clinical history, physical examination and outcome of management recorded in a predesigned proforma were analysed with SPSS 15 and the patients were followed up in the surgical department.Results: A total of 638 patients were admitted. 57 patents were identified with chest trauma, 43 (75%) were males and 14 (24.56%) were females. The age range was from 3-78 years and the most affected age was in the range of 20 to 39 years. Blunt injury constituted 82.4% while road traffic accident was responsible for 70.1%. The average time taken between accident and admission was 11 hours 12 minutes while the average duration of hospital stay was 11 days. The injury pattern mainly included rib fracture and hemopneumothorax. The mortality rate was 1.75%.Conclusions: Most patients arriving at the hospital survived, requiring general resuscitation or simple tube thoracostomy with few complications. Mortalities from trauma and cause of death at the site of accident are often not accounted for due to non-presentation to the hospital and lack of autopsy for those who present.

scholarly journals Clinical Features, Management, and Outcomes of Chest Trauma at a Tertiary-Care Centre in India: A Retrospective Observational Study

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Bhupinder Singh Walia ◽  
Pankaj Dugg ◽  
Sanjeev Sharma
Keyword(s):  
Chest Trauma ◽  
Road Traffic ◽  
Tertiary Care ◽  
Young Male ◽  
Trauma Patients ◽  
Tertiary Care Centre ◽  
Female Ratio ◽  
Road Traffic Injuries ◽  
Chest Injuries ◽  
Male Patients

Introduction. Chest is one of the main sites of injuries in trauma being a part of the torso. Many important organs lie in rib cage. However, data on chest injuries are scarce. Methods. A retrospective study was carried out for chest trauma patients including polytrauma (n = 184) from hospital records for five years (2016–2020). Various parameters including demographic profile, mode of injury, management, and outcomes were studied. Results. Mean age of patients was 37 ± 16 years with a male to female ratio of 2.4 : 1. Road traffic injuries remained the most common cause of trauma followed by assaults. Most of the patients were managed conservatively (55.43%). Mortality was seen in only 1.63% patients. Conclusion. Young male patients are usually affected by trauma. Road traffic injuries are the commonest cause. However, most patients can be managed by conservative treatment and mortality is seen only in polytrauma patients in the present study.

scholarly journals Profile of ocular injuries amongst various trauma patients presenting to tertiary care centre of Punjab

2022 ◽  
Vol 7 (4) ◽  
pp. 642-647
Author(s):  
Anubha Bhatti ◽  
Arushi Kakkar ◽  
Shakeen Singh
Keyword(s):  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Tertiary Care ◽  
Ocular Injury ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Trauma Society

To study the epidemiology and clinical profile of ocular trauma patients presenting to tertiary care centre. Prospective study. All patients of ocular trauma in OPD/Emergency were assessed for detail between 1/1/17 to 31/6/18 and data on demographic profile was established as per guidelines of Ocular Trauma Society of India. Patients were categorized in different segments and assessed/followed for visual impairment in particular. A total of 246 cases were examined out of which 87% were males. The most common mode of ocular injury was Road Traffic Accidents. Pediatric eye trauma constituted 16.7% of the total cases. 26.8% cases arrived to our centre between 4-24 hours and 62.6% cases presented after 24 hours. Amongst 131 cases of Road Traffic Accidents, none of them were using protective measures like helmets or goggles. Of these, 17.1% were under the influence of alcohol. 28.5% were involved in medicolegal proceedings. Majority of the cases comprised of monocular trauma (78.1%). Closed globe injuries constituted 88.94% of the total cases of which most cases presented with lid edema and ecchymosis. Chemical injuries were reported in 4.5% cases. 9 patients lost vision completely and 71 cases had vision from light perception to 6/18. Ocular trauma is one of the common causes of ocular morbidity. It has been seen predominantly in male population. Public needs to be educated about safety measurements and education about prompt need to specialised care to reduce ocular trauma related visual morbidity.

scholarly journals Posttraumatic Pneumopericardium: A Sign of Severe Injury or Radiodiagnostic Rarity?

2006 ◽  
Vol 49 (2) ◽  
pp. 129-132 ◽  
Author(s):  
Vladimír Lonský ◽  
Jiří Manďák ◽  
Jan Harrer ◽  
Martin Tuna ◽  
Petr Dvořák ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Blunt Chest Trauma ◽  
Traffic Accidents ◽  
Chest Trauma ◽  
Road Traffic ◽  
Severe Injury ◽  
Road Traffic Accidents ◽  
Associated Injuries ◽  
Air Tamponade ◽  
Trauma Injury

We present three cases of pneumopericardium following blunt chest trauma injury. All three patients were victims of road traffic accidents. All had multiple associated injuries and pneumopericardium was found as the additional finding. Pneumopericardium was treated conservatively with thoracic drains placement and patients observation. Transesophageal echocardiography was used as a method of choice for exclusion of cardiac air tamponade. All three patients survived.

scholarly journals Patterns and Severity of Injuries in Patients Following Road Traffic Accidents – A Medicolegal Aspects

2020 ◽  
Vol 2 (1) ◽  
pp. 13-17
Author(s):  
Archana Chaudhary ◽  
Harihar Wasti
Keyword(s):  
Traffic Accidents ◽  
Analytical Study ◽  
Road Traffic ◽  
Tertiary Care ◽  
Fracture Dislocation ◽  
Common Finding ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Tertiary Care Centre ◽  
Life Threatening

 Background and purpose: Road traffic accident (RTA) is the major cause of the morbidity and mortality throughout the world and the incidence is still very high in developed and developing countries. With the objective to see the pattern and severity of the injury following RTA from the medico legal point of view, this study was design in a tertiary care centre at far eastern part of Nepal. Material and method: This is a prospective analytical study with non- probability consecutive sampling of road traffic accidents cases presented in the emergency department during period of 6 months. Type of study: Prospective Analytical study.  Result: There were total 210 cases of road traffic accidents with mean age of 31.8 (SD 15.7) years where majority were at 20-29 years of age group and males were the majority. Majority of the cases had injuries to the extremities followed by head. Grievous injury and life threatening injuries were also a common finding in this study. Conclusion: Road traffic accidents are more common among male, bike/scooter rider and 22-29 years of age group. Majority of the injury were fracture/dislocation of extremities and intracranial injuries. As per the medicolegal aspect, grievous and life threatening injuries were common findings among patients with road traffic accidents.

scholarly journals Epidemiological study of road traffic injury victims attending a tertiary care centre in Hyderabad

2020 ◽  
Vol 7 (5) ◽  
pp. 1699
Author(s):  
Qurat Ul Ain Shadan Taj ◽  
Karmakonda Anil Kumar
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Road Traffic Injury ◽  
Road User ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Tertiary Care Centre ◽  
Traffic Injury ◽  
Road Users

Background: Increased vehicular traffic on roads has now begun to cause road traffic accidents. Road traffic injuries will rise to become the fifth leading cause of death by 2030. In India every year road traffic accidents (RTA) accounts for over 1,00,000 deaths, 2 million hospitalization and 7.7 million minor injuries. The objective of the study was to study the socio-demographic profile and the epidemiological factors related to RTA.Methods: It is a cross-sectional, hospital based descriptive study done on all road traffic injury victims admitted at Owaisi hospital attached to deccan college of medical sciences between April 2013 and July 2014. 573 RTA victims were interviewed using a predesigned questionnaire.Results: Majority of the victims were from the age group of 25 to 39 years (38.4%). Majority are males (85.5%). Majority victims had a primary level of education (29.3%), followed by illiterates (20.6%). Majority victims were from upper lower socio-economic class (34.5%) and lower class (30.4%). Majority of the accidents occurred on weekends (57%). Maximum road traffic accidents (45%) occurred during rainy season. Majority of the road user victims were drivers (47%). Motorised two wheelers (43%) were the leading road users among the victims.Conclusions: Majority of the victims being in the productive age group. Public should be sensitized about the raise in road traffic accidents especially in peak hours and weekends. Motorcyclists being the leading road users among victims must be counselled regularly regarding proper road safety measures.

scholarly journals Chest Trauma Experience: Incidence, associated factors, and outcomes among patients in Saudi Arabia

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Waseem M. Hajjar ◽  
Sami A. Al-nassar ◽  
Omar S Almutair ◽  
Abdulrahman H. Alfahadi ◽  
Nawaf H. Aldosari ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Associated Factors ◽  
Traffic Accidents ◽  
Chest Trauma ◽  
Road Traffic ◽  
Early Recognition ◽  
University Hospital ◽  
Sufficient Information ◽  
Trauma Patients ◽  
Road Traffic Accidents

Background and Objective: Worldwide chest trauma is considered one of the leading causes of morbidity and mortality. There is a lack of sufficient information on the etiology, pattern, and management of these injuries in Saudi Arabia. Therefore, the current study was conducted to determine the spectrum of chest trauma and its associated factors among patients admitted to King Khalid University Hospital, Riyadh, Saudi Arabia. Methods: A quantitative observational cross-sectional analysis was performed, data obtained from the medical records of the chest trauma patients which were admitted in the thoracic surgery unit, King Khalid University Hospital (KKUH), Riyadh, Saudi Arabia from January 2013 to Jan 2019. The records of all these patients were reviewed and data were collected and analyzed prospectively. Results: A total of 236 patients (male: 87.3%; mean age: 32.4 years) were included in the analyses. The majority of these chest trauma cases (n=205; 86.9%) were caused by road traffic accidents (RTA). Blunt trauma predominated the cases n=225 (95.3%). Ribs fracture had the highest prevalence among the chest injuries with a number of 150 (63.5%) followed by lung contusion 140 (59.3%). Pneumothorax occurred in 131 (55.5%) and hemothorax occurred in 80 (33.8%) with most common indication for emergency thoracotomy. Extra-thoracic injuries involving the head/brain, limbs, and abdominal organs occurred in 189 (80%). 130 (55%) were intubated and ventilated, and almost half of the patients 115 (48.7%) were required a chest tube insertion. Conclusions: Chest trauma is a major health issue particularly in young male adults and road traffic accidents are the leading cause of chest trauma in Saudi Arabia. Early recognition of the patterns, etiology and appropriate management of trauma reduce the incidence of chest trauma related injuries. doi: https://doi.org/10.12669/pjms.37.2.3842 How to cite this:Hajjar WM, Al-Nassar SA, Almutair OS, Alfahadi AH, Aldosari NH, Meo SA. Chest Trauma Experience: Incidence, associated factors, and outcomes among patients in Saudi Arabia. Pak J Med Sci. 2021;37(2):---------. doi: https://doi.org/10.12669/pjms.37.2.3842 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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