Presentation and Outcome of Thoracic Injuries at a Tertiary Care Service Hospital
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 5, Issue 10
Abstract
Introduction: Thoracic injuries account for a substantial proportion of all injury-related admissions, morbidity, and mortality in all service hospitals. It directly accounts for almost one-fifth of deaths resulting from trauma. This study was conducted to analyze the presentation and outcome of thoracic injuries at a tertiary care service hospital. Materials and Methods: It was a prospective observational study of all the patients of thoracic injuries who presented at our hospital over a period of 3 years. Morbidity and mortality rates were compared and analyzed along with management and outcome. Associated injuries were also recorded and analyzed. Results: Thoracic injuries comprised 18.2% of all trauma admission and the mechanism was blunt in majority (89.1%) of cases. Vehicular accidents (62.2%) and assault were the most common modes of injury. Rib fracture was the most common chest injury seen in 214 out of the 314 patients while abdominal visceral injuries were the most common associated injuries in polytrauma. Associated extrathoracic injuries caused a higher mortality rate in contrast to an isolated chest injury. Majority of the patients were managed nonoperatively. Intercostal drainage tube insertion was the most common modality of treatment in 82% of the cases, whereas, thoracotomy was required only in 3.18% of the patients. Overall, mortality was 5.41%. Conclusion: Thoracic injuries can be readily diagnosed in the emergency department and require simple surgical procedures in the majority to prevent immediate mortality and morbidity. Meticulous and repeated clinical evaluation of these patients is required to prevent further worsening and long-term complications.
Authors and Affiliations
Pawan Sharma, C K Jakhmola
Keywords
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