AN OBSERVATIONAL STUDY ON CLINICAL FEATURES, MANAGEMENT AND OUTCOMES OF CHEST TRAUMA

Author:

Meena Meena1,Selvan Tamil1,Naik R.Ramakrishna2,Sharada Y.3,Parvathi L.4

Affiliation:

1. Post Graduate, Department of General surgery, Government General Hospital, Kurnool Medical College, Kurnool.

2. Professor, MS, Department of General surgery, Government General Hospital, Kurnool Medical College, Kurnool.

3. Assistant Professor, MS, Department of General surgery, Government General Hospital, Kurnool Medical College, Kurnool.

4. Assistant Professor, MS, Mch, Department of General surgery, Government General Hospital, Kurnool Medical College, Kurnool.

Abstract

Introduction-Trauma is one of the leading causes of death worldwide. Approximately two thirds of trauma cases have chest injuries with varying severity.Mortality is second highest after head injuries,which underlines the importance of prompt diagnosis and treatment.Methods-An observational prospective study was carried out for chest trauma patients including polytrauma. Parameters like demographic prole,mode of injury,management and outcomes were studied.Results-Mean age of the patients was 38.5 years with male to female ratio of 2.4:1. RTAs are most common cause of trauma(60%) followed by assaults(34%).Many patients were managed conservatively(58%), others needed tube thoracostomy(42%).Mortality is seen in 5% due to other associated severe injuries.Conclusion-Blunt thoracic trauma is frequent but emergency open surgical interventions are rare.Mortality is directly related to severity of injury.There is need for implementation of evidence based road safety interventions and promote strong policies to decrease the incidence of RTAs.

Publisher

World Wide Journals

Reference10 articles.

1. Bhupinder Singh Walia, Pankaj Dugg and Sanjeev Sharma, “Clinical features,Management, and Outcomes of Chest Trauma at a Tertiary care centre in India: A Retrospective Observational Study. The scientific world journal volume 2021, Article ID 8052586.

2. Corinna Ludwig, Aris Koryllos, “Management of chest trauma”, Journal of Thoracic trauma 2017;9(Suppl 3): S172-S177.

3. Kumar Chandra Kant , Kumar Shashi Kant , Md Noman, “A study to evaluate the Clinic-etiologic profile and Management of patients with trauma to chest in a Tertiary care Hospital” European Journal of Molecular and Clinical Medicine,vol.7,no.8,2020.

4. The Global burden of disease:2004 update, World Health Organisation.

5. Umar Farooq , Waqas Raza, Naeem Zia, Mohammad Hanif and Mohammad Mussadiq Khan, “Classification and Management of Chest Trauma” JCPSP 2006,Vol.16(2):101-103.

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