[Risk factors of suppurative complications in case of thoracic injury].
It was performed retrospective analysis of 463 cases of suppurative thoracic complications after injury (232) and closed thoracic trauma (231) for 20-year period. Incidence of purulent complications was 3.2% and 1.6% in case of injury and closed thoracic trauma respectively including pleural empyema in 1.5 and 1.3%, pulmonary abscess in 0.3 and 0.4%, mediastinitis in 0.35 and 0.12%, pericarditis in 1.5 and 0.26%, osteomyelitis in 0.4 and 0.18% respectively. Factors preceding suppurative complications in case of injuries and closed trauma have been considered as predictors. Multivariant regression analysis established significant risk factors of suppurative thoracic complications. Clotted hemothorax, mediastinal hemorrhage, heart injury, late appeal for medical assistance and mechanical ventilation over 5 days were identified irrespective of character of trauma. In case of thoracic injury there were damage of osteochondrous frame, hollow thoracic and abdominal organs, gunshot wound of lung, delirium and injuries severity over 20 scores according to ISS scale. Pulmonary bleeding, sternal fracture and Glasgow Coma Scale rate<12 scores were identified as risk factors in case of closed trauma.
Department of Emergency Thoracoabdominal Surgery, Department of Health, Moscow, Russia.
Sh N
SN
Danielyan
Department of Emergency Thoracoabdominal Surgery, Department of Health, Moscow, Russia.
M M
MM
Abakumov
Department of Emergency Thoracoabdominal Surgery, Department of Health, Moscow, Russia.
A P
AP
Vil'k
Department of Emergency Thoracoabdominal Surgery, Department of Health, Moscow, Russia.
A A
AA
Saprin
Department of Emergency Thoracoabdominal Surgery, Department of Health, Moscow, Russia.
E V
EV
Tatarinova
D000328:Adult; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D012426:Russia / Q000453:epidemiology; D013492:Suppuration; D013898:Thoracic Injuries / Q000150:complications* / Q000175:diagnosis; D015599:Trauma Severity Indices; D014946:Wound Infection / Q000453:epidemiology / Q000209:etiology*; D055815:Young Adult