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Home > Archives > Volume 20, No 8 (2022) > Article

DOI: 10.14704/nq.2022.20.8.NQ44757

Clinical Presentation and Management of Chest Trauma

Dr. Jeffrey Carlton Monteiro, Dr. Hemant B. Janugade, Dr. Ashok Kshirsagar

Abstract

Background:Chest trauma constitutes a major public health problem, which is observed as increasing frequency in urban areas. Its epidemiology and management vary from region to region. Objectives: To assess various clinical presentations and management of thoracic injuries in South India region. Methodology:A prospective study consisting of 200 chest trauma patients was conducted for a period of 18 months.Data regarding demographic details, medical history, family history, social history were recorded with the help of standard, semi-structured pre-validated case record proforma. Statistical software R version 4.0.3 and Excel was used to analyze the data. Chi-square test was used to check the association between attributes. P-value ≥ 0.05 indicated statistical significance. Results:The mean age of the study cohort was observed to be40.99± 15.23 years with male predominance (69.5%). The most commonly affected age group was 31-40 years (27%).Industrial worker wasfound to be more vulnerable to chest trauma (24%). Blunt chest trauma was more frequent (83%). The main cause of chest trauma (51.5%) was found to be road traffic accident (RTA). Conservative management was often performed(56%). Mortality rate observed was 4%. There was significant association of mechanism of injury with the type of chest trauma (p=0.0299). Conclusion:The most physically active age group and male persons were affected mainly with RTA. Mortality from chest trauma can be significantly reduced by developing better trauma care systems and management. Creating a dedicated well-designed management protocols in various hospitals can further improve the outcome.

Keywords

Chest trauma, Conservative management, Traffic accident, Thoracic injuries

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