Cargando…

Influence of Severe Thoracic Trauma on Choosing the Correct Surgical Strategy in Patients with Polytrauma from Kosovo

BACKGROUND: Severe thoracic trauma (TT) has a significant impact on the selection of treatment strategy in patients with polytrauma. Our aim was to assess the impact of severe TT on choosing the optimal surgical procedure to decrease mortality. MATERIAL/METHODS: Overall, 66 patients with polytrauma...

Descripción completa

Detalles Bibliográficos
Autores principales: Demaçi, Shqiptar, Maliqi, Saudin, Çuperjani, Frederik, Behluli, Avni, Selimi, Fitim, Gradica, Fadil, Bruçi, Burbuqe, Jukic, Tomislav, Stubljar, David, Aliu, Xhevdet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394592/
https://www.ncbi.nlm.nih.gov/pubmed/34421114
http://dx.doi.org/10.12659/MSMBR.932463
_version_ 1783743983855337472
author Demaçi, Shqiptar
Maliqi, Saudin
Çuperjani, Frederik
Behluli, Avni
Selimi, Fitim
Gradica, Fadil
Bruçi, Burbuqe
Jukic, Tomislav
Stubljar, David
Aliu, Xhevdet
author_facet Demaçi, Shqiptar
Maliqi, Saudin
Çuperjani, Frederik
Behluli, Avni
Selimi, Fitim
Gradica, Fadil
Bruçi, Burbuqe
Jukic, Tomislav
Stubljar, David
Aliu, Xhevdet
author_sort Demaçi, Shqiptar
collection PubMed
description BACKGROUND: Severe thoracic trauma (TT) has a significant impact on the selection of treatment strategy in patients with polytrauma. Our aim was to assess the impact of severe TT on choosing the optimal surgical procedure to decrease mortality. MATERIAL/METHODS: Overall, 66 patients with polytrauma and significant TT were analyzed. Demographic data, trauma history, admittance imaging, injury details, injury severity scores, conservative treatment, surgical treatment, days of hospital stay, and mortality data were gathered. Frequencies of thoracic surgical procedures and other treatments were collected and compared with those in the literature. RESULTS: All patients had Abbreviated Injury Scale (AIS) scores of thorax >3. Injuries to extremities and/or the osseous pelvis accounted for 50% of injuries; 47.0% included the head and/or neck; 45.5% were external injuries; and 27.3% were abdominal injuries or included pelvic organs and/or lumbar spine. Mean prehospital time was 40.3 min. Mean time from trauma occurrence to tertiary treatment was 125 min. Blunt TT (BTT) was recorded in 59 patients (89.4%), and penetrant TT (PTT) was recorded in 7 patients (10.6%). Thoracic drainage, urgent thoracotomy and laparotomy were recorded procedures. The mean Injury Severity Score (ISS) of all patients was 31.17. Nine patients died (13.6%) and had BTT with a mean ISS of 48.44. The Trauma Injury Severity Score for BTT injuries was 77.08% and for PTT, 85.6%. CONCLUSIONS: Factors that decreased hospital stay and mortality and increased survival included arriving in time after injury, aggressive reanimation/intensive care, and mandatory thoracic surgical procedure combined with laparotomy.
format Online
Article
Text
id pubmed-8394592
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher International Scientific Literature, Inc.
record_format MEDLINE/PubMed
spelling pubmed-83945922021-09-03 Influence of Severe Thoracic Trauma on Choosing the Correct Surgical Strategy in Patients with Polytrauma from Kosovo Demaçi, Shqiptar Maliqi, Saudin Çuperjani, Frederik Behluli, Avni Selimi, Fitim Gradica, Fadil Bruçi, Burbuqe Jukic, Tomislav Stubljar, David Aliu, Xhevdet Med Sci Monit Basic Res Human Study BACKGROUND: Severe thoracic trauma (TT) has a significant impact on the selection of treatment strategy in patients with polytrauma. Our aim was to assess the impact of severe TT on choosing the optimal surgical procedure to decrease mortality. MATERIAL/METHODS: Overall, 66 patients with polytrauma and significant TT were analyzed. Demographic data, trauma history, admittance imaging, injury details, injury severity scores, conservative treatment, surgical treatment, days of hospital stay, and mortality data were gathered. Frequencies of thoracic surgical procedures and other treatments were collected and compared with those in the literature. RESULTS: All patients had Abbreviated Injury Scale (AIS) scores of thorax >3. Injuries to extremities and/or the osseous pelvis accounted for 50% of injuries; 47.0% included the head and/or neck; 45.5% were external injuries; and 27.3% were abdominal injuries or included pelvic organs and/or lumbar spine. Mean prehospital time was 40.3 min. Mean time from trauma occurrence to tertiary treatment was 125 min. Blunt TT (BTT) was recorded in 59 patients (89.4%), and penetrant TT (PTT) was recorded in 7 patients (10.6%). Thoracic drainage, urgent thoracotomy and laparotomy were recorded procedures. The mean Injury Severity Score (ISS) of all patients was 31.17. Nine patients died (13.6%) and had BTT with a mean ISS of 48.44. The Trauma Injury Severity Score for BTT injuries was 77.08% and for PTT, 85.6%. CONCLUSIONS: Factors that decreased hospital stay and mortality and increased survival included arriving in time after injury, aggressive reanimation/intensive care, and mandatory thoracic surgical procedure combined with laparotomy. International Scientific Literature, Inc. 2021-08-23 /pmc/articles/PMC8394592/ /pubmed/34421114 http://dx.doi.org/10.12659/MSMBR.932463 Text en © Med Sci Monit, 2021 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Human Study
Demaçi, Shqiptar
Maliqi, Saudin
Çuperjani, Frederik
Behluli, Avni
Selimi, Fitim
Gradica, Fadil
Bruçi, Burbuqe
Jukic, Tomislav
Stubljar, David
Aliu, Xhevdet
Influence of Severe Thoracic Trauma on Choosing the Correct Surgical Strategy in Patients with Polytrauma from Kosovo
title Influence of Severe Thoracic Trauma on Choosing the Correct Surgical Strategy in Patients with Polytrauma from Kosovo
title_full Influence of Severe Thoracic Trauma on Choosing the Correct Surgical Strategy in Patients with Polytrauma from Kosovo
title_fullStr Influence of Severe Thoracic Trauma on Choosing the Correct Surgical Strategy in Patients with Polytrauma from Kosovo
title_full_unstemmed Influence of Severe Thoracic Trauma on Choosing the Correct Surgical Strategy in Patients with Polytrauma from Kosovo
title_short Influence of Severe Thoracic Trauma on Choosing the Correct Surgical Strategy in Patients with Polytrauma from Kosovo
title_sort influence of severe thoracic trauma on choosing the correct surgical strategy in patients with polytrauma from kosovo
topic Human Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394592/
https://www.ncbi.nlm.nih.gov/pubmed/34421114
http://dx.doi.org/10.12659/MSMBR.932463
work_keys_str_mv AT demacishqiptar influenceofseverethoracictraumaonchoosingthecorrectsurgicalstrategyinpatientswithpolytraumafromkosovo
AT maliqisaudin influenceofseverethoracictraumaonchoosingthecorrectsurgicalstrategyinpatientswithpolytraumafromkosovo
AT cuperjanifrederik influenceofseverethoracictraumaonchoosingthecorrectsurgicalstrategyinpatientswithpolytraumafromkosovo
AT behluliavni influenceofseverethoracictraumaonchoosingthecorrectsurgicalstrategyinpatientswithpolytraumafromkosovo
AT selimifitim influenceofseverethoracictraumaonchoosingthecorrectsurgicalstrategyinpatientswithpolytraumafromkosovo
AT gradicafadil influenceofseverethoracictraumaonchoosingthecorrectsurgicalstrategyinpatientswithpolytraumafromkosovo
AT bruciburbuqe influenceofseverethoracictraumaonchoosingthecorrectsurgicalstrategyinpatientswithpolytraumafromkosovo
AT jukictomislav influenceofseverethoracictraumaonchoosingthecorrectsurgicalstrategyinpatientswithpolytraumafromkosovo
AT stubljardavid influenceofseverethoracictraumaonchoosingthecorrectsurgicalstrategyinpatientswithpolytraumafromkosovo
AT aliuxhevdet influenceofseverethoracictraumaonchoosingthecorrectsurgicalstrategyinpatientswithpolytraumafromkosovo