Profile of Chest Trauma in a Level I Trauma Center
| Autor: | Pankaj Kulshrestha, Richard B. Wait, Imtiaz A. Munshi |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Thorax medicine.medical_specialty Resuscitation Adolescent Thoracic Injuries Thoracostomy Critical Care and Intensive Care Medicine Age Distribution Injury Severity Score Trauma Centers Humans Medicine Glasgow Coma Scale Sex Distribution Child Aged Aged 80 and over business.industry Incidence (epidemiology) Trauma center Infant Newborn Infant Middle Aged Surgery Massachusetts Child Preschool Orthopedic surgery Emergency medicine Regression Analysis Female Age distribution business |
| Zdroj: | The Journal of Trauma: Injury, Infection, and Critical Care. 57:576-581 |
| ISSN: | 0022-5282 |
| Popis: | Chest injuries are seen with increasing frequency in urban hospitals. The profile of chest injuries depends on the size of the hospital and the level of trauma center. The data regarding the true incidence of chest trauma are scant.One thousand three hundred fifty-nine consecutive patients seen at a Level I trauma center were analyzed. The nature of injury, methods of treatment, and morbidity and mortality were recorded in a prospective manner and analyzed retrospectively. Multiple logistic regression analysis was used to determine the independent predictors of mortality after chest trauma.The overall mortality was 9.41%. Low Glasgow Coma Scale score, older age, presence of penetrating chest injury, long bone fractures, fracture of more than five ribs, and liver and spleen injuries were independent predictors of death after chest trauma. A model was created for predicting the mortality based on various factors.Most chest injuries can be treated with simple observation. Only 18.32% of patients required tube thoracostomy and 2.6% needed thoracotomy. Low Glasgow Coma Scale score and advanced age are the most significant independent predictors of mortality. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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