A pathology not be overlooked in blunt chest trauma: Analysis of 181 patients with bilateral pneumothorax [Künt göğüs travmasinda gözden kaçırılmaması gereken bir patoloji: Bilateral pnömotoraks saptanan 181 olgunun analizi]

Basit Öğe Kaydı
dc.contributor.authorÖzdil A.
dc.contributor.authorKavurmacı Ö.
dc.contributor.authorAkçam T.İ.
dc.contributor.authorErgönül A.G.
dc.contributor.authorUz İ.
dc.contributor.authorŞahutoğlu C.
dc.contributor.authorYüzkan S.
dc.contributor.authorÇakan A.
dc.contributor.authorÇağırıcı U.
dc.date.accessioned2019-10-27T08:02:25Z
dc.date.available2019-10-27T08:02:25Z
dc.date.issued2018
dc.departmentEge Üniversitesien_US
dc.description.abstractBACKGROUND: Bilateral pneumothorax (BPTx) can become tension PTx and a cause of mortality, especially in severe multi-trauma patients. The purpose of this study was to analyze the incidence, morbidity, mortality, and associated factors of BPTx in multi-trauma patients in order to highlight the importance of the management of these cases, as well as complications, morbidity, and mortality. METHODS: The data of 181 patients with BPTx, from a total of 3782 trauma patients, were reviewed retrospectively. The details recorded were age, gender, mechanism of trauma, radiological findings, co-existing thoracic and extra-thoracic injuries, incidence of intubation, mortality, and injury severity score (ISS). The association between laterality of rib fracture, hemothorax, subcutaneous emphysema, and BPTx, and the effect of age and gender on these injuries, mortality, and ISS were analyzed. RESULTS: The patient group included 144 males, and the mean age was 36.07}15.77 years. The primary cause of trauma was a motor vehicle accident, seen in 67 (37.0%) patients. Bilateral rib fractures were detected in 75 (41.4%) patients. Hemothorax accompanied PTx in 41 (22.6%) patients bilaterally. The laterality of the rib fracture and hemothorax demonstrated a significant difference in the patient group over 60 years of age (p=0.017, p=0.005). Co-existing bilateral thoracic injuries were detected more often in this group. Twelve (17.6%) patients with only blunt chest trauma and 56 (82.4%) patients with multi-trauma were intubated. The difference between the 2 groups was not significant (p=0.532). The overall mortality rate was 18.2%. A comparison of ISS and mortality between the groups revealed no significant difference (p=0.22). CONCLUSION: The incidence of BPTx after multi-trauma is approximately 5%, so it must be taken into consideration, especially in severe multi-trauma patients, to reduce mortality. Older age and the number of rib fractures were determined to be risk factors for morbidity and mortality in trauma with BPTx. © 2018 Turkish Association of Trauma and Emergency Surgery.en_US
dc.identifier.doi10.5505/tjtes.2018.76435en_US
dc.identifier.endpage527en_US
dc.identifier.issn1306-696X
dc.identifier.issue6en_US
dc.identifier.pmid30516250en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage521en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2018.76435
dc.identifier.urihttps://hdl.handle.net/11454/25182
dc.identifier.volume24en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Association of Trauma and Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBilateral pneumothoraxen_US
dc.subjectInjury severity scoreen_US
dc.subjectIntubationen_US
dc.subjectMortalityen_US
dc.subjectTraumaen_US
dc.titleA pathology not be overlooked in blunt chest trauma: Analysis of 181 patients with bilateral pneumothorax [Künt göğüs travmasinda gözden kaçırılmaması gereken bir patoloji: Bilateral pnömotoraks saptanan 181 olgunun analizi]en_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu