Outcome of Chest Trauma Patients in One Year in Sohag University Hospital

Sohag University

Status: Not yet enrolling

Conditions: Chest Trauma Patients

Treatments: Procedure: chest tube - emergency thoracotomy

Study type: Observational

Funder types: Other

Identifiers

NCT05960409

Soh-Med-23-07-06MS

Details and patient eligibility

About

The history of chest trauma is as old as that of man himself. One of the earliest writings about chest trauma is found in the Edwin Smith Surgical Papyrus, written in 3000 bc.

Over the last century, there has been considerable reduction in the mortality of chest trauma owing to improved pre-operative care, availability of positive pressure ventilation, increasing availability of antibiotics, improvement of radiological techniques and improved lung toilets measures etc.

Chest trauma implies trauma to any or combination of different thoracic structures, which can be divided into 4 anatomical regions i.e. the chest wall, the pleural space, the lung parenchyma, and the mediastinum.

Trauma is one of the top ranking causes of accidental or unnatural deaths. Chest trauma is a significant source of morbidity and mortality worldwide. overall, it accounts for 25%-30% of all trauma related deaths and is implicated in an additional 25% of patients, who died from injuries.

In most cases, blunt chest trauma is by far the commonest and road traffic accidents account for 70%-80% of such injuries. Fire-arm injuries, falling from height, blast, stabs, and various acts of violence are the other causative mechanisms.

Enrollment: 100 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• males and females
• adults and children
• isolated chest trauma
• polytraumatized patients
• penetrating chest trauma
• blunt chest trauma

Exclusion criteria

• patients presented with cardiac arrest
• patients presented dead
• patients with glasco coma scale 5 or less
• patients with sever abdominal injuries

Trial design

100 participants in 4 patient groups

blunt chest trauma patients

Description:

patients with chest injuries due to a blunt trauma

Treatment:

Procedure: chest tube - emergency thoracotomy

penetrating chest trauma patients

Description:

patients with chest injuries due to penetrating trauma

Treatment:

Procedure: chest tube - emergency thoracotomy

polytraumatized patients

Description:

patients with multible traumas beside the chest injury

Treatment:

Procedure: chest tube - emergency thoracotomy

chest trauma only patients

Description:

patients with only chest injuries

Treatment:

Procedure: chest tube - emergency thoracotomy