TY  - JOUR
PY  - 2013//
TI  - Factors affecting mortality in blunt thoracic trauma
JO  - Ulusal travma ve acil cerrahi dergisi
A1  - Hasbahçeci, Mustafa
A1  - Ozpek, Adnan
A1  - Başak, Fatih
A1  - Calışkan, Müjgan
A1  - Ener, Behçet Kemal
A1  - Alimoglu, Orhan
SP  - 127
EP  - 132
VL  - 19
IS  - 2
N2  - 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>
LA  - tr
SN  - 1306-696X
UR  - http://dx.doi.org/
ID  - ref1
ER  -