Blunt trauma chest: our experience at rural tertiary care centre

Prem Prakash Sharma; Atul Jhanwar; Deeksha Sharma; Subhkaran Sharma

doi:10.18203/2349-2902.isj20160239

Authors

Prem Prakash Sharma Department of General Surgery, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
Atul Jhanwar Department of General Surgery, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
Deeksha Sharma Consultant interventionist, American Hospital, Udaipur, Rajasthan, India
Subhkaran Sharma Department of Pulmonary Medicine, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-2902.isj20160239

Keywords:

Blunt trauma, Flial chest, Haemothorax, Inter costal chest tube drainage

Abstract

Background: Every hour, 40 people under the age of 25 die in road accidents around the globe. According to the WHO, this is the second most important cause of death for 15 to 29 year olds. According to the latest report of National Crime Records Bureau or NCRB, Over 1, 37,000 people were killed in road accidents in 2013. Thoracic trauma forms one of the major parts of multiple traumas and is responsible for significant mortality and morbidity especially at younger ages.

Methods: We carried out a retrospective study to assess the prevalence of chest injury patients at Geetanjali medical college and hospital, Udaipur (Tertiary care rural centre) in last two years. Clinical details of the patients were recorded from their case sheets and were analyzed with reference to their age, sex, mode of injury, severity of injury, treatment employed, complication and final outcome etc.

Results: Males were predominantly involved (88.2%). Majority (61.9%) were in the age group of 21-30 years.

Conclusions: Chest injury occurs in a significant number of trauma patients and commonly affected victims are males of 20-40 years age. The majority of these patients were managed by simple intervention i.e., intercostals chest tube drainage and non –invasive ventilation, only less than 3% require thoracotomy.

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References

Kent WJ. Thoracic trauma. Surg Clin N Am. 1980;60:957-81.

Shorr RM, Crittenden M, Indeck M, Hartunian SL, Rodriguez A. Blunt thoracic trauma: analysis of 515 patients. Ann Surg. 1987;206:200-5.

Helling TS, Gyles NR, Eisenstein CL, Soracco CA. Complications following blunt and penetrating injuries in 216 victims of chest trauma requiring tube thoracostomy. J Trauma. 1989;29:1367-70.

LoCicero J, Mattox KL. Epidemiology of chest trauma. Surg Clin N Am. 1989;67:15-9.

Locurto JJ. Tube thoracostomy and trauma. Antibiotics or not? J Trauma. 1986;26:1067-72.

Drummond DS, Craig RH. Traumatic haemothorax: complications and management. Am Surg. 1967;33:403-8.

Lee RB, Bass SM, Morris JA, MacKenzie E. Three or more rib fractures as an indicator for transfer to a level I center: A population-based study. J Trauma. 1990;30(6):689-94.

Poole GV. Fracture of the upper ribs and injury to the great vessels. Surg Gynecol Surg. 1989;169:275-82.

Kalyanaraman R, De Mello WF, Ravishankar M. Management of chest injuries- a 5-year retrospective survey. Injury. 1998;29(6):443-6.

Dalal S, Nityasha, Vashisht M, Dahiya R. Prevalence of Chest Trauma at an Apex Institute of North India: A Retrospective Study. The internet journal of surgery. 2008;18(1):1-5.

Mayberry JC, Trunkey DD. The fractured rib in chest wall trauma. Chest Surg Clin North Am. 1997;7(2):239-61.

Marya SKS, Singla SL. Management of chest injuries by a general surgeon. Ind J Surg. 1987;49:235-8.