@article{ref1,
title="Factors affecting mortality in blunt thoracic trauma",
journal="Ulusal travma ve acil cerrahi dergisi",
year="2013",
author="Hasbahçeci, Mustafa and Ozpek, Adnan and Başak, Fatih and Calışkan, Müjgan and Ener, Behçet Kemal and Alimoglu, Orhan",
volume="19",
number="2",
pages="127-132",
abstract="BACKGROUND: Blunt thoracic trauma is usually associated with extra-thoracic injuries, but the effect of blunt thoracic trauma on mortality is not known. METHODS: Patients with blunt thoracic trauma were evaluated with regard to clinical findings and factors affecting mortality. RESULTS: There were 76 patients (37.2±15 years) in the study group. Traffic accidents (63%) were the most common cause of trauma. Pneumothorax (54%), rib fracture (42%), hemothorax (22%) and lung contusion (22%) were common thoracic injuries. Extra-thoracic injuries were most commonly seen in the extremities (46%) and abdomen (40%). Glasgow Coma, Injury Severity and Revised Trauma Scores were 14±2.6, 19±13 and 7.4±1.5, respectively. Non-operative management was effective in 37 (48.7%) patients, tube thoracotomy and thoracotomy were performed in 37 (48.7%) and 2 (2.6%) patients, respectively. Mortality rate was 10.5%. Systolic blood pressure lower than 90 mmHg and superficial and apneic respiration at the first admission, and values of trauma scoring systems were significantly associated with mortality (p<0.05). CONCLUSION: The effect of thoracic trauma on mortality with regard to thoracic pathology is not shown, although it is usually associated with extra-thoracic injuries. There was a close relationship between the pattern of respiration, values of systolic blood pressure and trauma scoring systems, and mortality. Non-operative management and tube thoracotomy were effective in most of the cases.<p /> <p>Language: tr</p>",
language="tr",
issn="1306-696X",
doi="",
url="http://dx.doi.org/"
}