THE INVESTIGATION LOOKS AT CHEST INJURIES RESULTING FROM BLUNT TRAUMA THROUGH A PROSPECTIVE AUTOPSY ANALYSIS A SINGLE-CENTER STUDY

Z KHAN; AM KHAN; A BASIT; AM KHAN; A ALI

doi:10.54112/bcsrj.v2023i1.585

Authors

Z KHAN Department of Medicine MTI, LRH, Peshawar, Pakistan
AM KHAN Department of Medicine MTI, LRH, Peshawar, Pakistan
A BASIT Department of Pulmonology, MTI, LRH, Peshawar, Pakistan
AM KHAN Treatment Coordinator HDL Programmatic Management of Drug Resistant TB Unit, LRH Peshawar, Pakistan
A ALI Department of Medicine MTI, MMC Mardan, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.585

Keywords:

Blunt Trauma, Chest Injuries, Autopsy

Abstract

Chest trauma is a significant public health concern, accounting for 15-20% of all trauma-related deaths. The purpose of this study was to examine chest injuries resulting from blunt trauma, with a focus on autopsies. The study aimed to evaluate the epidemiological characteristics of the victims, including their age, gender, and the type of trauma they experienced, as well as identify the leading causes of mortality in these cases. The study was conducted at the Department of Medicine at MTI, LRH, from March 2020 to March 2021 and examined 112 blunt trauma patients. The study collected comprehensive epidemiological data on the victims, including their age, gender, type of trauma, injuries, and other relevant case-related factors. A thorough form was created to record the historical and epidemiological data systematically. The study carefully examined every deceased person, including both external and internal injuries, as well as a detailed evaluation of the thoracic region's bones and joints. The average age of the victims was 31.7±5.41 years, with 16 (14.3%) in the age range of 1-20 years, 62 (55.5%) in the age range of 21-40 years, 18 (16.1%) in the age range of 41-60 years, and 16 (14.3%) in the age range of over 60 years. Of the 112 cases examined, 80 (71.4%) were related to road traffic accidents, 14 (12.5%) were falls from height, 12 (10.7%) were assaults, and 6 (5.4%) were miscellaneous incidents. Male victims constituted 92 (82.1%) of the cases, while female victims were 20 (17.9%). Motorcycles were the most common type of vehicle involved in road traffic accidents, accounting for 72 (64.3%) of the cases. In most cases, the survival rate was less than six hours, with 76 (67.9%) cases falling into this category. The primary causes of death were shock and bleeding, followed by suffocation and coma. In conclusion, the study found that road traffic accidents were the most common cause of chest injuries, likely due to the prevalence of automobiles. Shock and bleeding were the leading causes of death, followed by suffocation and unconsciousness. Most victims had a survival rate of less than six hours.

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References

Baker, C. C., Oppenheimer, L., Stephens, B., Lewis, F. R., and Trunkey, D. D. (1980). Epidemiology of trauma deaths. The American Journal of Surgery 140, 144-150.

Bamvita, J.-M., Bergeron, E., Lavoie, A., Ratte, S., and Clas, D. (2007). The impact of premorbid conditions on temporal pattern and location of adult blunt trauma hospital deaths. Journal of Trauma and Acute Care Surgery 63, 135-141.

Battistella, F. D., Torabian, S. Z., and Siadatan, K. M. (1997). Hospital readmission after trauma: an analysis of outpatient complications. Journal of Trauma and Acute Care Surgery 42, 1012-1017.

Cardenas, D. D., Hoffman, J. M., Kirshblum, S., and McKinley, W. (2004). Etiology and incidence of rehospitalization after traumatic spinal cord injury: a multicenter analysis. Archives of physical medicine and rehabilitation 85, 1757-1763.

Cifu, D. X., Kreutzer, J. S., Marwitz, J. H., Miller, M., Hsu, G. M., Seel, R. T., Englander, J., High Jr, W. M., and Zafonte, R. (1999). Etiology and incidence of rehospitalization after traumatic brain injury: a multicenter analysis. Archives of physical medicine and rehabilitation 80, 85-90.

Clark, D. E., DeLorenzo, M. A., Lucas, F., and Wennberg, D. E. (2004). Epidemiology and short‐term outcomes of injured medicare patients. Journal of the American Geriatrics Society 52, 2023-2030.

Cothren, C. C., Moore, E. E., Hedegaard, H. B., and Meng, K. (2007). Epidemiology of urban trauma deaths: a comprehensive reassessment 10 years later. World journal of surgery 31, 1507-1511.

Demetriades, D., Kimbrell, B., Salim, A., Velmahos, G., Rhee, P., Preston, C., Gruzinski, G., and Chan, L. (2005). Trauma deaths in a mature urban trauma system: is “trimodal” distribution a valid concept? Journal of the American College of Surgeons 201, 343-348.

Demetriades, D., Murray, J., Charalambides, K., Alo, K., Velmahos, G., Rhee, P., and Chan, L. (2004). Trauma fatalities: time and location of hospital deaths. Journal of the American College of Surgeons 198, 20-26.

Gunst, M., Ghaemmaghami, V., Gruszecki, A., Urban, J., Frankel, H., and Shafi, S. (2010). Changing epidemiology of trauma deaths leads to a bimodal distribution. In "Baylor University Medical Center Proceedings", Vol. 23, pp. 349-354. Taylor & Francis.

Hemmila, M. R., Nathens, A. B., Shafi, S., Calland, J. F., Clark, D. E., Cryer, H. G., Goble, S., Hoeft, C. J., Meredith, J. W., and Neal, M. L. (2010). The Trauma Quality Improvement Program: pilot study and initial demonstration of feasibility. Journal of Trauma and Acute Care Surgery 68, 253-262.

Jencks, S. F., Williams, M. V., and Coleman, E. A. (2009). Rehospitalizations among patients in the Medicare fee-for-service program. New England Journal of Medicine 360, 1418-1428.

Ladha, K. S., Young, J. H., Ng, D. K., Efron, D. T., and Haider, A. H. (2011). Factors affecting the likelihood of presentation to the emergency department of trauma patients after discharge. Annals of emergency medicine 58, 431-437.

Malhotra, A. K., Martin, N., Jacoby, M., Tarrant, J., Guilford, K., Wolfe, L. G., Aboutanos, M. B., Duane, T. M., and Ivatury, R. R. (2009). What are we missing: results of a 13-month active follow-up program at a level I trauma center. Journal of Trauma and Acute Care Surgery 66, 1696-1703.

Masini, B. D., Owens, B. D., Hsu, J. R., and Wenke, J. C. (2011). Rehospitalization after combat injury. Journal of Trauma and Acute Care Surgery 71, S98-S102.

Meislin, H., Criss, E. A., Judkins, D., Berger, R., Conroy, C., Parks, B., Spaite, D. W., and Valenzuela, T. D. (1997). Fatal trauma: the modal distribution of time to death is a function of patient demographics and regional resources. Journal of Trauma and Acute Care Surgery 43, 433-440.

Morris, D. S., Rohrbach, J., Rogers, M., Sundaram, L. M. T., Sonnad, S., Pascual, J., Sarani, B., Reilly, P., and Sims, C. (2011). The surgical revolving door: risk factors for hospital readmission. Journal of Surgical Research 170, 297-301.

Pang, J.-M., Civil, I., Ng, A., Adams, D., and Koelmeyer, T. (2008). Is the trimodal pattern of death after trauma a dated concept in the 21st century? Trauma deaths in Auckland 2004. Injury 39, 102-106.

Potenza, B. M., Hoyt, D. B., Coimbra, R., Fortlage, D., Holbrook, T., and Hollingsworth-Fridlund, P. (2004). The epidemiology of serious and fatal injury in San Diego County over an 11-year period. Journal of Trauma and Acute Care Surgery 56, 68-75.

Sauaia, A., Moore, F. A., Moore, E. E., Moser, K. S., Brennan, R., Read, R. A., and Pons, P. T. (1995). Epidemiology of trauma deaths: a reassessment. Journal of Trauma and Acute Care Surgery 38, 185-193.

Shackford, S. R., Mackersie, R. C., Holbrook, T. L., Davis, J. W., Hollingsworth-Fridlund, P., Hoyt, D. B., and Wolf, P. L. (1993). The epidemiology of traumatic death: a population-based analysis. Archives of surgery 128, 571-575.

Shafi, S., Nathens, A. B., Cryer, G. H., Hemmila, M. R., Pasquale, M. D., Clark, D. E., Neal, M., Goble, S., Meredith, W. J., and Fildes, J. J. (2009). The trauma quality improvement program of the American College of Surgeons Committee on Trauma. Journal of the American College of Surgeons 209, 521-530e1.

Trauma Trunkey, D. (1983). Accidental and intentional injuries account for more years of life lost in the US than cancer and heart disease. Among the prescribed remedies are improved preventive efforts, speedier surgery and further research. Sci Am 249, 28-35.

Trunkey, D. D., and Lim, R. C. (1974). Analysis of 425 consecutive trauma fatalities: an autopsy study. Journal of the American College of Emergency Physicians 3, 368-371.