Examination of patients admitted to the emergency department with blunt chest trauma
Arife Erdogan, Mustafa Agah Tekindal, Hayriye Gonullu
Blunt chest trauma is an important and common cause of morbidity and mortality. It constitutes an important part of the admissions to the emergency department. For this purpose, we evaluated the demographic characteristics, type of trauma, accompanying traumas, trauma scoring systems and results, duration of stay in the emergency department, and hospital outcomes of patients with chest trauma admitted to the emergency department of our hospital. In our study, patients who admitted to the emergency department of our hospital within one year with blunt chest trauma were evaluated retrospectively. Of the 156 patients examined, 114 (73%) were male and the mean age was 52.83±17.9 years. Pneumothorax (35%) and rib fracture (55%) were the most common thoracic injuries. When the duration of hospitalization was examined, the presence of lower extremity and abdomen pathologies, pneumothorax, hemothorax, and (>3) rib fracture prolonged the hospitalization period (p<0.05). Revised Trauma Score (RTS) and Glasgow Coma Score (GCS) were found to be significantly lower in deceased patients (p<0.001). Pneumothorax, hemothorax, (>3) rib fracture and pneumomediastinum increased mortality (p<0.05). Patients with chest trauma can have life-threatening clinics. In the emergency department, it should be evaluated for possible life-threatening pathologies, especially in terms of multi-trauma, and thoracic pathologies and other organ injuries should be managed simultaneously in an efficient and rapid manner. The issues to be considered in the triage, stabilization and follow-up of the patients should be well known.
Key words: Blunt chest trauma, mortality, glasgow coma score, revised trauma score