Appraisal of Early Evaluation and Analysis of blunt chest trauma outcomes in patients

Abstract

Background: Blunt chest trauma is related with a high risk of mortality. Respiratory complications may demand prolonged ventilation and result in death. Objectives: To investigate possible signs of trauma and the prognosis of trauma patients with thoracic injuries and recognize risk factors for mortality. Methods: A retrospective study was accomplished to investigate the clinical characteristics and treatment consequences of trauma patients with blunt chest injuries who undertook thoracic computed tomography on influx in the emergency department of King George Hospital Visakhapatnam (January 2019– August 2021). The prognostic values of age, sex, trauma type, injury severity score, revised trauma score (RTS),ventilator requirement, days in Intensive Care Unit (ICU) were evaluated. SPSS was used for analysis. Results: Fourteen of 30 analyzed patients died during their ICU stays; accordingly, we classified patients as survivors and non-survivors. These groups differed significantly regarding the RTS (P = 0.01), mechanical ventilation requirement (P = 0.03)and the presence of hemothorax (P = 0.03). However, no significant differences in the pneumothorax, rib fractures were observed between the groups. Conclusion: Between hospitalized trauma patients with blunt thoracic injuries, RTS, mechanical ventilation requirement,and hemothorax were recognized as risk factors for mortality. Patients should receive care andbe monitored closely to improve survival.