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163254

Predictors of Mortality in Patients with Isolated Chest Trauma

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Surgery

Abstract

Background: Chest trauma remained an important type of trauma that carries the risk of morbidity and mortality. The Modified Early Warning Score [MEWS] is a unique score as it is a physiological and simple score which permits improvement in the patient management.
The aim of the work: To assess frequency, risk factors of mortality and examine MEWS as a predictor of mortality in patients with isolated chest trauma.
Patients and Methods: Prospective analysis of 157 patients presented to emergency department, with isolated chest trauma. Demographic data, MEWS, trauma characteristics, and laboratory data were recorded on admission. The patients received standard management and were followed up until discharge or death. 
Results: Age of patients ranged from 4 to 79 years. Male constituted 79.6%. About 29% admitted with penetrating chest trauma. About 98% and 82% presented within 24 hours and had unilateral chest trauma. MEWS of them ranged from 0 to 12. There is a significant relationship between mortality and hemoglobin levels, length of hospital stay and MEWS. There is a non-significant relationship between mortality and gender, type of trauma or duration of admission. Unilateral trauma indefinitely protects against mortality. MEWS [≥7] and length of hospital stay [≥4 days] increase mortality risk by 127.3 and 4.7 folds respectively. The cutoff of MEWS for prediction of mortality was ≥ 6.5, with sensitivity of 100%, specificity of 84.9%, [p <0.001].
Conclusion: High on-admission MEWS ≥7, late presentation after 24 hour and bilateral injury were risk factors of mortality in isolated chest trauma.

DOI

10.21608/ijma.2021.65562.1274

Keywords

predictors, Chest Trauma, mortality, Modified Early Warning Score, risk factors

Authors

First Name

Ibrahim

Last Name

Mahmoud

MiddleName

Fadl

Affiliation

Department of Anesthesia, Intensive Care and Pain Medicine, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr_ifm@yahoo.com

City

New Damietta

Orcid

-

First Name

Mohamed

Last Name

Aglan

MiddleName

A. Ahmed

Affiliation

Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Al-Azhar University, Egypt

Email

aglan20@yahoo.com

City

-

Orcid

-

First Name

Mohammad

Last Name

Esmaiel

MiddleName

Seddiek A.

Affiliation

Department of Cardiothoracic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

msedik1974@gmail.com

City

-

Orcid

-

First Name

Badr

Last Name

Elfar

MiddleName

Esmail

Affiliation

Department of Anesthesia, Intensive Care and Pain Medicine, Faculty of Medicine, Al-Azhar University, Egypt

Email

ibadr11@yahoo.com

City

-

Orcid

-

First Name

Saud

Last Name

Erwy

MiddleName

Mohamed

Affiliation

Pulmonologist and Intensivist at Armed Forces Hospital, Jazan, KSA

Email

dr-saud326-@hotmail.com

City

-

Orcid

-

First Name

Gamal

Last Name

Farag

MiddleName

Abdelshafy Ibrahim

Affiliation

Department of Cardiothoracic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

drgamalfarag@gmail.com

City

New Damietta

Orcid

-

Volume

3

Article Issue

2

Related Issue

24821

Issue Date

2021-04-01

Receive Date

2021-03-01

Publish Date

2021-04-01

Page Start

1,398

Page End

1,404

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 2_Pages 1398-1404.pdf

PDF . 1.2MB

Link

https://ijma.journals.ekb.eg/article_163254.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=163254

Order

30

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Predictors of Mortality in Patients with Isolated Chest Trauma

Details

Type

Article

Created At

22 Jan 2023