Blunt Thoracic Injury Mortality and Clinical Presentation

Background: Blunt thoracic trauma is the third most common injury in poly-trauma patients following head and extremities injuries; this study aimed to assess the prevalence of blunt chest trauma and its injury pattern, mechanism of injury, length of hospital stay, treatment period, and risk factors. Methods: In this cross-sectional study, ۷,۴۱۰ patients, who referred to Shahid Rajaee hospital, during years ۲۰۱۰ to ۲۰۱۴ were selected through census sampling. The participants’ demographic data, mechanism of injury, type of thoracic injury, location of fracture, length of stay, and injury severity scores (ISS) were recorded. Results: Most patients were male (۵۴۹۸, ۷۴.۲%), ۶۳.۳% were ۱۵ to ۴۰ years old, and their mean age was ۳۷.۵۳ ± ۰.۲۱ years. The most commonly reported mechanism of injury was car accident (۲,۹۹۹, ۴۰.۵%) followed by falls (۱,۵۲۹, ۲۰.۶%, and motorbike accidents (۹۶۴, ۱۳.۱%). Head, neck and thorax injuries were most common comorbidities in thorax trauma patients. The mortality rate was ۱.۵%. Indeed, the patients, who had rib fracture (P = ۰.۰۱) (OR۳.۶۶, CI [۱.۳۶ - ۹.۸۲]), and multiple injuries of thorax (P < ۰.۰۰۱) (OR ۸.۱۰, CI [۳.۲۱ - ۲۰.۷۳]), had a higher mortality risk. Conclusions: The risk of blunt thoracic injuries was higher among specific types of injuries. Additionally, patients with blunt chest trauma, who had the risk factors of mortality required preventative measures and careful management in order to prevent traumarelated deaths.

کلیدواژه ها:

Thoracic Injuries ، Trauma ، Blunt