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[Blunt thoracic injuries in Oslo].

J Pillgram-Larsen1, H Nesvold, J E Grønseth

  • 1Kirurgisk klinikk, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|April 30, 1991
PubMed
Summary

Blunt chest injuries are common, with traffic accidents leading to hospitalization. Intrathoracic injuries significantly increase mortality risk compared to chest wall injuries alone.

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Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Thoracic Surgery

Context:

  • Prospective registration of 327 patients with blunt chest injuries at Oslo City Hospital over three months.
  • 274 patients received out-of-hospital treatment, highlighting the prevalence of chest injuries in the community.
  • Traffic accidents constituted 10% of total cases but 40% of hospitalizations, indicating severity.

Purpose:

  • To prospectively register and analyze blunt chest injuries treated at a major urban hospital.
  • To identify injury mechanisms, patient demographics, injury severity, and outcomes.
  • To assess the impact of injury type (chest wall vs. intrathoracic) on mortality.

Summary:

  • Over 1,300 patients annually experience chest injuries, with over 40 severely multitraumatized.

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  • Home accidents were most frequent, while traffic accidents and violence contributed significantly to hospitalizations.
  • 13.5% of cases had complications like pneumo-hemothorax or late respiratory issues. Overall mortality was 2.1%, with higher rates for intrathoracic injuries (20%) versus chest wall injuries (0.7%).

    • Impact:

    • Findings underscore the significant burden of blunt chest trauma, particularly from traffic accidents and domestic incidents.
    • Highlights the critical difference in mortality between isolated chest wall injuries and intrathoracic injuries.
    • Provides data for optimizing emergency response and treatment protocols for chest trauma patients.