Predictors of Pulmonary Complications and mortality in Blunt Chest Trauma.
- Author:
Seok Keun AHN
;
Keun LEE
;
Hyuk Jun YANG
;
Eil RYOU
;
Cheol Wan PARK
- Publication Type:Original Article
- MeSH:
Contusions;
Diagnosis;
Female;
Hemothorax;
Humans;
Injury Severity Score;
Male;
Mortality*;
Pneumonia;
Pneumothorax;
Pulmonary Embolism;
Retrospective Studies;
Thorax*
- From:Journal of the Korean Society of Emergency Medicine
1998;9(1):129-134
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A retrospective review was performed of 297 patients admitted to Chung Ang Gil Hospital between June 1995 and December 1996 with a diagnosis of blunt chest trauma. Of these patients, 34% suffered either immediate or delayed complications. Immediate complications included hemothorax in 58.8%, pneumothorax in 26.5%, and pulmonary contusion in 20.5%. Delayed complications occurred in 9.1% of patients overall; these included pulmonary contusion in 12.7%, pneumonia in 9.8%, pulmonary embolism in 2%, poeumothorax in 2%, and hemothorax in 2%. The mean age of the patients were 43 years. 210 patients(70.7%) were under age 50 and 87(29.3%) were 50 years of age or older. Male to female ratio was 1.9:1. Mean Initial Revised Trauma Score (RTS) and the Injury Severity Score (ISS) were 7.10+/-0.94 and 14+/-8.69, respectively. There were associated injuries in 225(75.8%) patients. Overall mortality rate was 7.1% and the mortality rate was significantly greater in patients with a RTS<6, ISS>or=16, associated injuries, advanced age(50 years of age or older), and pulmonary complications. Pulmonary complications were significantly greater in patients with a RTS<6, ISS>or=16, and an associated injuries.
