Chest trauma experience over eleven-year period at al-mouassat university teaching hospital-Damascus: a retrospective review of 888 cases

Journal of Cardiothoracic Surgery

Yahia Taifour²  Kamal Al-Kateb²  Bassam Darwish²  Ibrahim Al-Koudmani¹ 

[1] Victoria Bridge, Al-Jumhoriah St, Mardam Building, Damascus, Syria;Department of thoracic surgery, Al-Mouassat University Hospital, Damascus, Syria

关键词: Penetrating injury;    Blunt injury;    Traffic accident;    Rib fractures;    Chest trauma;   

Others  :  1153304
DOI  :  10.1186/1749-8090-7-35

 received in 2011-12-06, accepted in 2012-04-19,  发布年份 2012

【 摘 要 】

Background

Thoracic trauma is one of the leading causes of morbidity and mortality in developing countries. In this study, we present our 11-year experience in the management and clinical outcome of 888 chest trauma cases as a result of blunt and penetrating injuries in our university hospital in Damascus, Syria.

Methods

We reviewed files of 888 consequent cases of chest trauma between January 2000 and January 2011. The mean age of our patients was 31 ± 17 years mostly males with blunt injuries. Patients were evaluated and compared according to age, gender, etiology of trauma, thoracic and extra-thoracic injuries, complications, and mortality.

Results

The leading cause of the trauma was violence (41%) followed by traffic accidents (33%). Pneumothorax (51%), Hemothorax (38%), rib fractures (34%), and lung contusion (15%) were the most common types of injury. Associated injuries were documented in 36% of patients (extremities 19%, abdomen 13%, head 8%). A minority of the patients required thoracotomy (5.7%), and tube thoracostomy (56%) was sufficient to manage the majority of cases. Mean hospital LOS was 4.5 ± 4.6 days. The overall mortoality rate was 1.8%, and morbidity (n = 78, 8.7%).

Conclusions

New traffic laws (including seat belt enforcement) reduced incidence and severity of chest trauma in Syria. Violence was the most common cause of chest trauma rather than road traffic accidents in this series, this necessitates epidemiologic or multi-institutional studies to know to which degree violence contributes to chest trauma in Syria. The number of fractured ribs can be used as simple indicator of the severity of trauma. And we believe that significant neurotrauma, traffic accidents, hemodynamic status and GCS upon arrival, ICU admission, ventilator use, and complication of therapy are predictors of dismal prognosis.

【 授权许可】

   
2012 Al-Koudmani et al; licensee BioMed Central Ltd.

【 图 表 】

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