Profile of chest injuries in a tertiary care centre

Authors

  • Rajesh K. Jegoda Department of General Surgery, Banas Medical College and Research Institute, Palanpur, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20200809

Keywords:

Chest, Management, Presentations, Trauma

Abstract

Background: Trauma is a major cause of mortality worldwide. This study is aimed at the patterns of chest trauma, their presentation and the outcome of management.

Methods: A prospective study of trauma patients admitted to a tertiary care centre was carried out the clinical history, physical examination and outcome of management recorded in a predesigned proforma were analysed with SPSS 15 and the patients were followed up in the surgical department.

Results: A total of 638 patients were admitted. 57 patents were identified with chest trauma, 43 (75%) were males and 14 (24.56%) were females. The age range was from 3-78 years and the most affected age was in the range of 20 to 39 years. Blunt injury constituted 82.4% while road traffic accident was responsible for 70.1%. The average time taken between accident and admission was 11 hours 12 minutes while the average duration of hospital stay was 11 days. The injury pattern mainly included rib fracture and hemopneumothorax. The mortality rate was 1.75%.

Conclusions: Most patients arriving at the hospital survived, requiring general resuscitation or simple tube thoracostomy with few complications. Mortalities from trauma and cause of death at the site of accident are often not accounted for due to non-presentation to the hospital and lack of autopsy for those who present.

Author Biography

Rajesh K. Jegoda, Department of General Surgery, Banas Medical College and Research Institute, Palanpur, Gujarat, India

(DR. RAJESH K. JEGODA)

Assistant Professor

Department of General Surgery

Banas Medical College & Research Institute,

Palanpur (385001)

Gujarat, (India.)

Ph.no.9723553845

Email: rkjegoda@gmail.com

References

Adebonojo SA. Management of chest trauma: a review. West African J Med 1993;12(2):122-32.

Wilson RF, Murray C, Antonenko DR. Nonpenetrating Thoracic Injuries. Surg Clin North Am. 1977;57(1):17-36.

Ryan JM. Accident and emergency. In: Russell RCG, William NS, Bulstrode C.J.K. (Eds). Bailey and Love's Short Practice of surgery 23rd Ed. London; Arnold publishers, 200;270-280.

The Daily Sun Newspaper, May 12, 2010; vol. 6, no.17523, page 18.

Archampong EQ, Anyanwu CH, Ohaegbulum SC, Yeboah ED. Management of the injured patient. In: Principal and practice of surgery, including pathology in the topics 3rd ed. Badoe EA, Archampong EQ, Jaja MO (eds). Ghana Publishing Company, TEMA. 1994; 142-177.

Frimpong-botateng K, Amoati ABG. Chest injuries in Ghana. Abstracts from the 40th Annual Conference of the West African College of surgeons. West Afr J Med. 2000;19:175.

Anyanwu CH, Swarup AS. Chest trauma in developing countries. Ann R Coll Surg Engl. 1981;63(2):102-4.

Ali N, Gali BM. Pattern and Management of chest injuries in Maiduguri, Nigeria. Annals African Med. 2004:3(4);181-4.

Penetrating chest injuries: unusually high incidence of high-velocity gunshot wounds in civilian practice. World J Surg. 1998;22(5):438-42.

Nwiloh J, Edaigbini S, Danbauchi S, Muhammad BM, Oyati A. Arrow injury to the heart. Ann Thor Surg. 2010;90:287-9.

Iyer RS, Manoj P, Jain R, Venkatesh P, Dilip D. Profile of Chest Trauma in a Referral Hospital: a five-year experience. Asian Cardiov Thorac Ann. 1999;7(2):124-7.

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Published

2020-02-26

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Section

Original Research Articles