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A University Hospital Based Study on Thoracic Trauma: Life Threatening Event, Its Etiology, Presentation, and

Raheel Ahmad1, Dujanah S Bhatti2, Muhammad Haseeb T Bokhari3

  • 1Surgery, Holy Family Hospital, Rawalpindi, PAK.

Cureus
|January 16, 2020
PubMed

Insights

Road traffic accidents are the leading cause of thoracic injuries in Pakistan, resulting in a high mortality rate. Prompt management is crucial to prevent complications and improve patient outcomes in thoracic trauma cases.

Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Public Health

Background:

  • Thoracic injuries represent a significant cause of mortality in Pakistan, particularly among the younger population.
  • Effective initial management of thoracic trauma is critical to mitigate complications and reduce fatalities.

Purpose of the Study:

  • To analyze the epidemiology and management of thoracic injuries in Pakistan.
  • To identify common causes, injury patterns, treatment modalities, and complications associated with thoracic trauma.

Main Methods:

  • Prospective observational study conducted from January 2016 to December 2018 at Holy Family Hospital, Rawalpindi Medical University, Pakistan.
  • Inclusion of patients over 12 years old with thoracic trauma admitted to surgical wards or ICU.
  • Data collected via a pre-designed proforma and analyzed using SPSS version 19.

Main Results:

  • Out of 330 patients, 56.9% had blunt and 43% had penetrating injuries, with road traffic accidents being the most common cause (32%).
  • Isolated pneumothorax (22.4%) and rib fractures with pneumothorax (21.5%) were the most frequent injuries.
  • Tube thoracostomy was performed in 57.3% of cases; 35.4% experienced complications, including death (25.6% of complications).

Conclusions:

  • Road traffic accidents are a primary driver of thoracic injuries in the study region.
  • Tube thoracostomy remains the predominant treatment for thoracic trauma.
  • A high mortality rate is associated with thoracic injuries in this patient cohort.
Abstract

Keywords:
empyema thoracispneumothoraxroad traffic accidentsthoracic traumatube thoracostomy

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