scholarly journals Chest Trauma Score of Thoracic Trauma Patients in Dr. Mohammad Hoesin Palembang January-June 2020

2021 ◽  
Vol 4 (2) ◽  
pp. 316-331
Author(s):  
Satria Marrantiza ◽  
Ahmat Umar ◽  
Bermansyah ◽  
Gama Satria ◽  
Aswin Nugraha
Keyword(s):  
Length Of Stay ◽  
Prognostic Value ◽  
Thoracic Trauma ◽  
Chest Trauma ◽  
Mortality Rates ◽  
Rib Fractures ◽  
Trauma Patients ◽  
Length Of Treatment ◽  
Priority Needs ◽  
Trauma Score

Introduction: Thoracic trauma has mortality rates varying from 10% to 60%. Various scoring frameworks have been created for prognostic value in thoracic trauma patients, including the chest trauma score (CTS). This has not been studied in Indonesian patients. The authors decided to study the picture of CTS in thoracic trauma patients in the Indonesian subpopulation, especially in our hospital. Methods: This research is an analytical observational study at dr. Mohammad Hoesin (RSMH) Palembang in January-June 2020. Our research variables are age, lung contusions, number of rib fractures, bilateral rib fractures, and Chest Trauma Score (CTS). 37 cases could be analyzed with the length of stay, ICU care, mortality, and surgery option. Results: The most common thoracic trauma occurred at the age between less than 45 years, the highest degree of lung contusions was unilateral minor lung contusions. The most common rib fractures were <3 rib fractures. Chest Trauma Score in this study were less than 5. The CTS score had a significant relationship with length of stay and the need of ICU, but was not significantly associated with mortality and surgery option. Conclusion: Chest trauma score can be used to consider the length of treatment and priority needs of the ICU which will be prepared for the management of thoracic trauma patients, especially the young who are accompanied by lung contusions and rib fractures.

scholarly journals Epidemiology of combined clavicle and rib fractures: a systematic review

2021 ◽  
Author(s):  
Arthur A. R. Sweet ◽  
Reinier B. Beks ◽  
Frank F. A. IJpma ◽  
Mirjam B. de Jong ◽  
Frank J. P. Beeres ◽  
...  
Keyword(s):  
Systematic Review ◽  
Length Of Stay ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Rib Fractures ◽  
Hospital Length Of Stay ◽  
Trauma Patients ◽  
Multiple Rib Fractures ◽  
Polytrauma Patients ◽  
Clavicle Fractures

Abstract Purpose The aim of this systematic review was to provide an overview of the incidence of combined clavicle and rib fractures and the association between these two injuries. Methods A systematic literature search was performed in the MEDLINE, EMBASE, and CENTRAL databases on the 14th of August 2020. Outcome measures were incidence, hospital length of stay (HLOS), intensive care unit admission and length of stay (ILOS), duration of mechanical ventilation (DMV), mortality, chest tube duration, Constant–Murley score, union and complications. Results Seven studies with a total of 71,572 patients were included, comprising five studies on epidemiology and two studies on treatment. Among blunt chest trauma patients, 18.6% had concomitant clavicle and rib fractures. The incidence of rib fractures in polytrauma patients with clavicle fractures was 56–60.6% versus 29% in patients without clavicle fractures. Vice versa, 14–18.8% of patients with multiple rib fractures had concomitant clavicle fractures compared to 7.1% in patients without multiple rib fractures. One study reported no complications after fixation of both injuries. Another study on treatment, reported shorter ILOS and less complications among operatively versus conservatively treated patients (5.4 ± 1.5 versus 21 ± 13.6 days). Conclusion Clavicle fractures and rib fractures are closely related in polytrauma patients and almost a fifth of all blunt chest trauma patients sustain both injuries. Definitive conclusions could not be drawn on treatment of the combined injury. Future research should further investigate indications and benefits of operative treatment of this injury.

Perils of Rib Fractures

2008 ◽  
Vol 74 (4) ◽  
pp. 310-314 ◽  
Author(s):  
Om P. Sharma ◽  
Michael F. Oswanski ◽  
Shashank Jolly ◽  
Sherry K. Lauer ◽  
Rhonda Dressel ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Injury Severity ◽  
Motor Vehicle ◽  
Rib Fractures ◽  
Trauma Patients ◽  
Close Observation ◽  
Motorcycle Crashes ◽  
Level 1 Trauma Center

Rib fractures (RF) are noted in 4 to 12 per cent of trauma admissions. To define RF risks at a Level 1 trauma center, investigators conducted a 10-year (1995–2004) retrospective analysis of all trauma patients. Blunt chest trauma was seen in 13 per cent (1,475/11,533) of patients and RF in 808 patients (55% blunt chest trauma, 7% blunt trauma). RF were observed in 26 per cent of children (<18 years), 56 per cent of adults (18–64 years), and 65 per cent of elderly patients (≥65 years). RF were caused by motorcycle crashes (16%, 57/347), motor vehicle crashes (12%, 411/3493), pedestrian-auto collisions (8%, 31/404), and falls (5%, 227/5018). Mortality was 12 per cent (97/808; children 17%, 8/46; adults 9%, 46/522; elderly 18%, 43/240) and was linearly associated with a higher number of RF (5% 1–2 RF, 15% 3–5 RF, 34% ≥6 RF). Elderly patients had the highest mortality in each RF category. Patients with an injury severity score ≥15 had 20 per cent mortality versus 2.7 per cent with ISS <15 ( P < 0.0001). Increasing age and number of RF were inversely related to the percentage of patients discharged home. ISS, age, number of RF, and injury mechanism determine patients’ course and outcome. Patients with associated injuries, extremes of age, and ≥3 RF should be admitted for close observation.

840: METHOCARBAMOL DECREASES HOSPITAL LENGTH OF STAY IN TRAUMA PATIENTS WITH RIB FRACTURES

2016 ◽  
Vol 44 (12) ◽  
pp. 286-286
Author(s):  
Asad Patanwala ◽  
Ohoud Aljuhani ◽  
Brian Kopp ◽  
Brian Erstad
Keyword(s):  
Length Of Stay ◽  
Hospital Length ◽  
Rib Fractures ◽  
Hospital Length Of Stay ◽  
Trauma Patients

scholarly journals Pediatric Thoracic Trauma Mortality in Iraq and Afghanistan Compared to the United States National Trauma Data Bank

2021 ◽  
Author(s):  
Ryan J Keneally ◽  
Brittney A Meyers ◽  
Cynthia H Shields ◽  
Robert Ricca ◽  
Kevin M Creamer
Keyword(s):  
Thoracic Trauma ◽  
Injury Severity ◽  
Medical Training ◽  
Head Injuries ◽  
Data Bank ◽  
The United States ◽  
Mortality Rates ◽  
Trauma Patients ◽  
National Trauma ◽  
National Trauma Data Bank

ABSTRACT Introduction The authors compared pediatric thoracic patients in the Joint Theatre Trauma Registry (JTTR) to those in the National Trauma Data Bank (NTDB) to assess differences in patient mortality rates and mortality risk accounting for age, injury patterns, and injury severity. Materials and Methods Patients less than 19 years of age with thoracic trauma were identified in both the JTTR and NTDB. Multiple logistic regression, χ2, Student’s t-test, or Mann-Whitney U test were used as indicated to compare the two groups. Results Pediatric thoracic trauma patients seen in Iraq and Afghanistan (n = 955) had a significantly higher mortality rate (15.1 vs. 6.0%, P &lt;.01) than those in the NTDB (n = 9085). After controlling for covariates between the JTTR and the NTDB, there was no difference in mortality (odds ratio for mortality for U.S. patients was 0.74, 95% CI 0.52-1.06, P = .10). The patients seen in Iraq or Afghanistan were significantly younger (8 years old, interquartile ratio (IQR) 2-13 vs. 15, IQR 10-17, P &lt;.01) had greater severity of injuries (injury severity score 17, IQR 12-26 vs. 12, IQR 8-22, P &lt;.01), had significantly more head injuries (29 vs. 14%, P &lt;.01), and over half were exposed to a blast. Discussion Pediatric patients with thoracic trauma in Iraq and Afghanistan in the JTTR had similar mortality rates compared to the civilian population in the NTDB after accounting for confounding covariates. These findings indicate that deployed military medical professionals are providing comparable quality of care in extremely challenging circumstances. This information has important implications for military preparedness, medical training, and casualty care.

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 The number of displaced rib fractures is more predictive for complications in chest trauma patients

2017 ◽  
Vol 25 (1) ◽  
Author(s):  
Chih-Ying Chien ◽  
Yu-Hsien Chen ◽  
Shih-Tsung Han ◽  
Gerald N. Blaney ◽  
Ting-Shuo Huang ◽  
...  
Keyword(s):  
Chest Trauma ◽  
Rib Fractures ◽  
Trauma Patients

scholarly journals N-Terminal Pro-B-Type Natriuretic Peptide – Prognstic Value for Death Within 24 Hours in Severe Polytrauma Patients with Chest Trauma

2018 ◽  
Vol 24 (3) ◽  
pp. 119-123
Author(s):  
Tase Ghinguleac Cristina ◽  
Tudoran Rodica ◽  
Chirila Sergiu ◽  
Gurgas Leonard ◽  
Ion Ileana
Keyword(s):  
Multiple Trauma ◽  
Natriuretic Peptide ◽  
Thoracic Trauma ◽  
Chest Trauma ◽  
Cardiac Injury ◽  
Trauma Patients ◽  
Death Rates ◽  
Risk Of Death ◽  
Polytrauma Patients ◽  
Multiple Trauma Patients

Abstract Patients with multiple trauma with thoracic trauma have higher death rates compared to multiple trauma patients without thoracic trauma, mainly because of cardiac injury. We investigated the 24 hours prognostic value of NT-proB-type Natriuretic Peptide (Nt-ProBNP) in polytraumatised patients with thoracic trauma. The study group was composed of 33 patients, 25 males and 8 females. During the study, the endpoint, which was death in the first 24 hours after admission was observed in 33% of the patients (11 patients). Using a cut-off point of 125 pg/ml, the sensitivity of the test was 100% and the specificity was 59.09%. Accoring to the results of the study, NT-ProBNP proves that it might be useful in detecting patients with a bad prognosis, the analyzed enzyme having the capacity of identifying polytrauma patients with thoracic trauma that have high risk of death in the first 24 hours after admission.

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