Study of the pattern and management of blunt chest injuries in rural setup
DOI:
https://doi.org/10.18203/2349-2902.isj20174521Keywords:
Chest injuries, Management, Rural areaAbstract
Background: Trauma is recognized as a serious public health problem. In fact, it is the leading cause of death and disability in the first four decades of life and is the third most common cause of death overall. Trauma may lead to short or long-term disability. Objective was to study the pattern of chest injuries with resultant underlying damage, in rural set up.
Methods: The present study was carried out among 500 cases of age group 15 to 75 years, all religions and both sexes. All patients received in the Emergency Room (ER/Casualty) were immediately attended and history, primary survey and resuscitation were done simultaneously. X ray chest-erect position was taken and subsequent management either operative or non-operative was done according to clinic-radiological findings. After discharge, patients were followed on OPD basis till the time they return to the normal activity.
Results: Majority of patients (31%) were from 55 to 65 years of age group and were male (64.2%). Vehicular accident was the commonest (56.8 %) cause of injury. Vehicular accidents were the most common cause of chest injuries. In vehicular accidents two-wheeler riders were the common victims (55.28%). Assault was 2nd most common mode of injury. Among those patients who sustained chest trauma had average VAS 6 (49.2%) followed by 4 (45%). Majority of patient were treated conservatively (93.6%).
Conclusions: The most active age group and males were affected with commonly vehicular accidents. They mainly suffered chest injuries.
References
Wong-Baker. FACES Rating Scale. In: Wong DL, Hackenberry-Eaton M, Wilson D, Winkelstein ML, Schwartz P, eds. Wong’s Essentials of Pediatric Nursing. 6th ed. St. Louis, 2001:1301.
Yazigi F, Kolluru A. Concomitant traumatic coronary artery dissection and tricuspid valve injury: a case report. J Med Cases. 2011;2(4):174-7.
Gabram SG, Schwartz RJ, Jacobs LM, et al. Clinical management of blunt trauma patients with unilateral rib fractures: a randomized trial. World J Surg. 1995;19:388-93.
Shorr RM, Crittenden M, Indeck M, Hartunian SL, Rodriguez A. Blunt thoracic trauma: analysis of 515 patients. Ann Surg. 1987;206:200-5.
Lu MS, Huang YK, Liu YH, Liu HP, Kao CL. Delayed pneumothorax complicating minor rib fracture after chest trauma. Am J Emerg Med. 2008;26(5):551-4.
Saaiq M, Shah SA. Thoracic trauma: presentation and management outcome. J Coll Physicians Surg Pak. 2008;18(4):230-3.
Atri M, Singh G, Kohli A. Chest trauma in Jammu region: an institutional study. Indian J Thoracic Cardiovasc Surg. 2006;22(4):219-22.
Gregory PL, Biswas AC, Batt ME. Musculoskeletal problems of the chest wall. Sports Med. 2002;32(4):235-50.
Kalliopi A, Gerzounis M, Theakos N. Management of 150 flail chest injuries: analysis of risk factors affecting outcome. Eur J Cardio-thoracic Surg. 2004;26:373-6.
Veysi T, Nikolaou VS, Paliobeis C. Prevalence of chest trauma, associated injuries and mortality: a level I trauma centre experience. Int Orthop. 2009;33(5):1425-33.
Bulger EM, Edwards T, Klotz P, Jurkovich GJ. Epidural analgesia improves outcome after multiple rib fractures. Surg. 2004;136:426-30.
Adegboye VO, Ladipo JK, Brimmo IA, Adebo AO. Blunt chest trauma. Afr J Med Sci. 2002;31(4):315-20.
Simon B, Ebert J, Bokhari F, Capella J, Emhoff T, Hayward III T, et al. Management of pulmonary contusion and flail chest: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2012;73(5):S351-61.
Liman ST, Kuzucu A, Tastepe AI, Ulasan GN, Topcu S. Chest injury due to blunt trauma. Eur J Cardio-thoracic Surg. 2003;23:374-8.