Assessment of Patients with Thoracic Trauma in Emergency Department

Kinsara, Abdulrahman Fayez; Al.Masodi, Warda Dakheel; Alanazi, Abdullah Musari; Alghamdi, Abdulaziz Abdulrahman; Abdulmajid, Turki Jafar; Hanan Showei H Fageeh, Hanan Showei H Hanan Showei H Fageeh; Al Jishi, Ahmed Abdulelah; Abulhamail, Badr Wadee S; Hamdan A, Alsuhaymi, Zuhair; Albalawi, Nouf Awad S; Radhi  M, Alruwaili  Amirah; Al-Harbi, Mishari Talal

doi:10.12816/0043491

	Assessment of Patients with Thoracic Trauma in Emergency Department
The Egyptian Journal of Hospital Medicine
Article 22, Volume 70, Issue 3, January 2018, Page 478-482 PDF (259 K)
Document Type: Original Article
DOI: 10.12816/0043491
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Authors
Abdulrahman Fayez Kinsara¹; Warda Dakheel Al.Masodi²; Abdullah Musari Alanazi³; Abdulaziz Abdulrahman Alghamdi⁴; Turki Jafar Abdulmajid⁵; Hanan Showei H Hanan Showei H Fageeh Hanan Showei H Fageeh⁶; Ahmed Abdulelah Al Jishi⁷; Badr Wadee S Abulhamail⁸; Alsuhaymi, Zuhair Hamdan A⁹; Nouf Awad S Albalawi¹⁰; Alruwaili Amirah Radhi M¹⁰; Mishari Talal Al-Harbi¹
¹King Faisal Hospital Makkah
²Faculty of Medicine , Umm Al-Qura University
³Prince Abdulaziz Bin Musaed Hospital- Arar
⁴Royal College Of Surgeons, RCSI, Dublin, Ireland
⁵Immam Abdulrahman Al Faisal Hospital , Resident
⁶East Jeddah Hospital
⁷Anak General Hospital
⁸King Abdulaziz University Hospital
⁹Mikhwah General Hospital
¹⁰Tabuk University
Abstract
Objective: Thoracic trauma is a common cause of significant morbidity and mortality. The present study presents a series of thoracic trauma and evaluation of epidemiologic features, distribution of pathologies, diagnosis, additional systemic injuries, management and outcome. Materials and Methods: Between May 2016 and April 2017, all patients with thorax trauma admitted to the emergency service of King Abdulaziz hospital were retrospectively reviewed with respect to age, gender, etiological factors, distribution of pathologies, additional systemic injuries, diagnosis, treatment modalities, referral and outcome. Results: A total of 228 patients with thorax trauma were encompassed in the study. Of all the patients, (140) , 61.4% were male and 88 (38.6%) were female. The majority of the patients presented with blunt thoracic trauma (218 of 228 [95.6%]), whereas 10 (4.4%) presented with penetrating injuries. Etiological factors included falls in 158 (69.3%) patients, motor vehicle accidents in 52 (22.8%), animal related accidents in 8 (3.5%) and penetrating injuries in 10 (4.4%). Among penetrating injuries, 6 (2.6%) were stabbing injuries and 4 (1.8%) were firearm injuries. The patients aged between 16 and 85 (mean 52.2±16.9) years. The vast majority (69.3%) of the patients aged between 31 and 70 years. Blunt thoracic traumas were observed most frequently in patients aged 51-70 years (36.8%), while penetrating traumas were observed most frequently in those aged 31-50 (32,5%) years. Conclusion: Even though majority of the patients with thorax trauma received treatment as outpatients; thoracic traumas can be a life threatening condition, and should be recognized and treated immediately. Mortality differs based on etiological factors, additional systemic pathologies, capabilities of the hospital especially diagnostic and treatment facilities in emergency services. We believe that a multidisciplinary method to the patients with severe thorax trauma, and the opportunities of emergency bedside thoracotomy in emergency services will significantly decrease the morbidity and mortality.
Keywords
Thoracic trauma; Pneumothorax; Rib fractures; Hemothorax; mortality


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