Evaluation of Complications and Treatment Results of Chest Trauma with Lung and Pleural Damage in the Wounded Referred to Baqiyatallah Hospital in 2015 and 2016

Document Type : Original Research

Authors

1 Department of General Surgery, Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

2 Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

Abstract

Background and Aim: Chest trauma is a major threat to human life and disability for war wounded. A high percentage of war-wounded are associated with chest trauma, lung and pleural damage. The purpose of this study was to evaluate complications and treatment results of chest trauma with lung and pleural damage in the wounded referred to Baqiyatallah hospital in Tehran.
Methods: In this cross-sectional study, during 2015 and 2016, 154 war-wounded patients were transferred to Baqiyatallah Hospital in Tehran with diagnosis of lung damage. They were selected using the census sampling method. After obtaining informed consent, collection of demographic questionnaire information, wound formation factor, the time from wound formation to initial repair and treatment measures before and after transfer were done in two stages. Data were analyzed by SPSS-24 software using Chi-square test.
Results: In this study, the total number of people was male. Their mean age was 28.16 ± 8.69 years. The most common complications of chest trauma with the diagnosis of lung and pleural damage, Hemothorax was 16 (10.4%) patients. The most common cause of trauma between the injured, the fragments were 79 (51.2%). In the evaluation of medical measures on all injured before transfer, 22 (26.19%) patients required re-implantation of a chest tube and 2 patients (2.3%) thoracotomy, while in post-transfer treatment measures, 3 (5.26%) patients required re-implantation of a chest tube and 5 (8.77%) patients VATS in Baqiyatallah Medical Center. There was significant relationship between the time of removal of the chest tube required re-implantation of a chest tube.
Conclusion: The most common complication of chest trauma with the diagnosis of lung and pleural damage was Hemothorax. The wounds that came out of the chest tube after the transfer had better treatment It is necessary for the military medicine officials to pay attention to the management and appropriate measures in order to improve the medical care of war wounds and the proper repair and reduction of the complications of patients’ trauma and training in chest tube implantation skills for all medical staff in military centers.

Keywords

References

1. Schwartz S, Brunicardi F, Andersen D, Billiar T, Dunn D, Hunter J. Schwartz's principles of surgery. 2015. New York: McGraw-Hill Education; 1866. 2. Zargar M, Modaghegh H. Causes of death in traumatic patients. Tehran University Medical Journal TUMS Publications. 1997;55(3):72-5. 3. Otieno T, Woodfield JC, Bird P, Hill AG. Trauma in rural Kenya. Injury. 2004;35(12):1228-33. doi: 10.1016/j.injury.2004.03.013 4. Zargar M, Modaghegh M-HS, Rezaishiraz H. Urban injuries in Tehran: demography of trauma patients and evaluation of trauma care. Injury. 2001;32(8):613-7. doi: 10.1016/S0020-1383(01)00029-8 5. Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. The lancet. 1997;349(9061):1269-76. doi: 10.1016/S0140-6736(96)07493-4 6. Adebonojo S. Management of chest trauma: a review. West African journal of medicine. 1993;12(2):122-32. 7. Mackersie RC. Field triage, andthe fragile supply of "optimal resources" for the care of the injured patient. Prehospital Emergency Care. 2006;10(3):347-50. doi: 10.1080/10903120600728920 8. Rowell SE, Barbosa RR, Diggs BS, Schreiber MA, Group TO. Specific abbreviated injury scale values are responsible for the underestimation of mortality in penetrating trauma patients by the injury severity score. Journal of Trauma and Acute Care Surgery. 2011;71(2):S384-S8. doi: 10.1097/TA.0b013e3182287c8d 9. Parker PJ. Damage control surgery and casualty evacuation: techniques for surgeons, lessons for military medical planners. Journal of the Royal Army Medical Corps. 2006;152(4):202-11. doi: 10.1136/jramc-152-04-02 10. DePalma RG, Burris DG, Champion HR, Hodgson MJ. Blast injuries. New England Journal of Medicine. 2005;352(13):1335-42. https://doi.org/ doi: 10.1056/NEJMra042083 11. Lipton RB, Stewart WF, Diamond S, Diamond ML, Reed M. Prevalence and burden of migraine in the United States: data from the American Migraine Study II. Headache: The Journal of Head and Face Pain. 2001;41(7):646-57. doi: 10.1046/j.1526-4610.2001.041007646.x 12. Eddy A, Luna G, Copass M. Antimicrobial Prophylaxis in Surgery. Med Lett Drugs Ther. 1993;35:91-4. 13. Lambert A. War Surgery: Working With Limited Resources in Armed Conflict and Other Situations of Violence (Volume 2). Annals of The Royal College of Surgeons of England. 2014;96(3):251. doi: 10.1308/rcsann.2014.96.3.251 14. Mohta M, Kumar P, Mohta A, Bhardwaj R, Tyagi A, Sethi A. Experiences with chest trauma: Where do we stand today. Indian J Crit Care Med. 2006;10(1):25-8. doi: 10.4103/0972-5229.24686 15. Charles BF, Andersen Dana K, Billiar Timothy R, Dunn David L, Hunter John G, Matthews Jeffrey B, et al. Schwartz's Principles of Surgery, 10e. Mc Graw Hill; 2015. 16. Ludwig C, Koryllos A. Management of chest trauma. Journal of thoracic disease. 2017;9(Suppl 3):S172. doi: 10.21037/jtd.2017.03.52 17. Davoodabadi A, Yazdani A, Sayyah M, Mirzadeh JM. Trauma epidemiology and its consequences in victims referred to Kashan Trauma Center in 2008. Feyz Journal of Kashan University of Medical Sciences. 2011;14(5). 18. Adegboye V, Ladipo J, Brimmo I, Adebo A. Penetrating chest injuries in civilian practice. African journal of medicine and medical sciences. 2001;30(4):327-31. 19. Champion HR, Bellamy RF, Roberts CP, Leppaniemi A. A profile of combat injury. Journal of Trauma and Acute Care Surgery. 2003;54(5):S13-S9. 20. Ivey KM, White CE, Wallum TE, Aden JK, Cannon JW, Chung KK, et al. Thoracic injuries in US combat casualties: a 10-year review of Operation Enduring Freedom and Iraqi Freedom. Journal of trauma and acute care surgery. 2012;73(6):S514-S9. doi: 10.1097/TA.0b013e3182754654 21. Ekpe EE, Eyo C. Determinants of mortality in chest trauma patients. Nigerian Journal of Surgery. 2014;20(1):30-4. 22. Kulshrestha P, Munshi I, Wait R. Profile of chest trauma in a level I trauma center. Journal of Trauma and Acute Care Surgery. 2004;57(3):576-81. doi: 10.1097/01.TA.0000091107.00699.C7 23. Husar J ea. Modile surgical team in croatian Special forces units. Croatian medical journal. 1993; 34: 276-9. 24. Collinson P, Kennedy RL, Premachandram S, Hashemi K. Prospective audit of incidence of prognostically important myocardial damage in patients discharged from emergency departmentCommentary: Time for improved diagnosis and management of patients presenting with acute chest pain. Bmj. 2000;320(7251):1702-5. doi: 10.1136/bmj.320.7251.1702 25. Morrison J, Mellor A, Midwinter M, Mahoney P, Clasper J. Is pre-hospital thoracotomy necessary in the military environment? Injury. 2011;42(5):469-73. doi: 10.1016/j.injury.2010.03.009
Journal of Military Medicine
Volume 23, Issue 8 - Serial Number 105
November and December 2021
Pages 656-662

Files

Share

How to cite

Statistics