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Evaluation of factors affecting prognosis in penetrating thoracic injuries

Menduh Oruç1, Refik Ülkü1

  • 1Department of Thoracic Surgery, Medicine Faculty of Dicle University, Diyarbakır, Turkey.

Turk Gogus Kalp Damar Cerrahisi Dergisi
|February 22, 2020
PubMed

Insights

Pediatric penetrating thoracic injuries, particularly explosive types, present significant risks. Prognostic factors like injury severity and complications influence outcomes in young patients.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Thoracic Surgery

Background:

  • Pediatric penetrating thoracic injuries are a critical concern in trauma care.
  • Understanding prognostic factors is essential for improving survival and clinical outcomes.

Purpose of the Study:

  • To identify and analyze prognostic factors influencing survival and clinical outcomes in pediatric penetrating thoracic injury patients.
  • To compare prognostic characteristics based on injury type, severity, and complications.

Main Methods:

  • Retrospective analysis of 267 pediatric penetrating thoracic injury patients over 20 years.
  • Classification of injuries into incisive/stabbing, gunshot, and explosive types.
  • Examination of patient demographics, injury severity scores, accompanying injuries, treatments, and outcomes.

Main Results:

  • Explosive injuries were associated with higher New Injury Severity Scores, combined injuries, complications, longer hospital stays, and increased mortality.
  • The majority of injuries were isolated (79%), with 21% having accompanying non-thoracic injuries.
  • Complications developed in 19% of patients, and the overall mortality rate was 7.9%.

Conclusions:

  • Explosive penetrating thoracic injuries represent the most severe type in pediatric patients.
  • Prognostic factors are variable and depend on injury type, complications, treatment, and associated injuries.
Abstract

Keywords:
Pediatricpenetrating injurythoracic injury

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