E-viri
Recenzirano
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Ávila Martínez, Régulo José; Hernández Voth, Ana; Marrón Fernández, Carmen; Hermoso Alarza, Fátima; Martínez Serna, Iván; Mariscal de Alba, Andrea; Zuluaga Bedoya, Mauricio; Trujillo, María Dolores; Meneses Pardo, José Carlos; Díaz Hellin, Vicente; Larru Cabrero, Emilio; Gámez García, A Pablo
Archivos de bronconeumología (English ed.), 05/2013, Letnik: 49, Številka: 5Journal Article
OBJECTIVETo describe the clinical characteristics and risk factors of patients with chest trauma, and to evaluate their correlation with the development of complications.METHODSDescriptive, prospective and analytical study of a patient cohort with chest trauma who underwent follow-up for a period of 30 days. Excluded from the study were those patients with moderate to severe traumatic brain injury, long-bone fractures, abdominal trauma and patients requiring mechanical ventilation.RESULTSA total of 376 patients met the inclusion criteria, 220 of whom were males (58.5%). The most frequent causes of trauma were falls (218 cases; 57.9%) and motor vehicle accidents (57 cases; 15.1%). The most frequent type of trauma was rib contusion (248 cases; 65.9%) and rib fractures (61 cases; 16.2%). Complications were observed in 43 patients (11.4%), mainly hemothorax (13 cases), pneumothorax (9 cases), pneumonia (6 cases) and acute renal failure (4 cases). Four patients died due to pneumonia and hemothorax. Thirty-three patients were hospitalized (8.7%) and 10 (2.6%) required later re-admittance. The risk for complications increased significantly in patients with more than 2 rib fractures, in those over the age of 85 and in the presence of certain comorbidities, such as COPD and pathologies requiring anticoagulation therapy. The risk for re-admittance is higher in patients over the age of 60.CONCLUSIONSPatients with chest trauma who present certain comorbidities, are over the age of 85 and have more than 2 rib fractures may present more complications. These factors should be contemplated in the evaluation, management and follow-up of these subjects.
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