[Thoracic traumatism in a specialized unit. Its epidemiology and morbimortality].
Two hundred forty-eight cases of thoracic trauma arriving at our hospital between 1990 and 1992 are analyzed in this report. Injuries were only thoracic in 29% of the cases. The remaining patients presented associated lesions, mainly in the extremities, followed by head injuries. Single or multiple rib fracture, in 193 (77.8%) patients, was the most frequent thoracic injury, followed by 94 (37.6%) cases of hemothorax and 80 (30.2%) instances of pneumothorax. Pulmonary contusion in 57 (22.9%) cases was a serious consequence with a mortality rate of 35.7%. Eighty six (34.6%) chest tube were placed and 14 (5.6%) thoracotomies were performed. Death occurred in 34 (13.7%) cases and was mainly related to the presence of associated injuries, in 29 (16.7%) patients as opposed to 5 (6.9%) (p < 0.05), and to pulmonary contusion in 20 (35.7%) patients vs. 13 (6.8%) (p < 0.001).
Servicio de Cirugía Torácica, Hospital de Cruces, Baracaldo, Vizcaya.
J
J
Casanova Viudez
C
C
Morán Ovide
J
J
Pac Ferrer
J
J
Mariñán Gorospe
J M
JM
Izquierdo Elena
R
R
Rojo Marcos
J C
JC
Rumbero García
A
A
Martínez Jáuregui
F
F
Vara Cuadrado
D000293:Adolescent; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D002648:Child; D004630:Emergencies; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D009104:Multiple Trauma / Q000453:epidemiology; D011446:Prospective Studies; D013030:Spain / Q000453:epidemiology; D013898:Thoracic Injuries / Q000453:epidemiology* / Q000601:surgery; D014193:Trauma Centers / Q000706:statistics & numerical data*
Traumatismos torácicos en una unidad especializada. Epidemiología y morbimortalidad.