Outcome of Chest Trauma Patients in One Year in Sohag University Hospital

Study Overview
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Brief Summary
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The history of chest trauma is as old as that of man himself. One of the earliest writings about chest trauma is found in the Edwin Smith Surgical Papyrus, written in 3000 bc. Over the last century, there has been considerable reduction in the mortality of chest trauma owing to improved pre-operative care, availability of positive pressure ventilation, increasing availability of antibiotics, improvement of radiological techniques and improved lung toilets measures etc. Chest trauma implies trauma to any or combination of different thoracic structures, which can be divided into 4 anatomical regions i.e. the chest wall, the pleural space, the lung parenchyma, and the mediastinum. Trauma is one of the top ranking causes of accidental or unnatural deaths. Chest trauma is a significant source of morbidity and mortality worldwide. overall, it accounts for 25%-30% of all trauma related deaths and is implicated in an additional 25% of patients, who died from injuries. In most cases, blunt chest trauma is by far the commonest and road traffic accidents account for 70%-80% of such injuries. Fire-arm injuries, falling from height, blast, stabs, and various acts of violence are the other causative mechanisms.

Official Title
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Outcome of Chest Trauma Patients in One Year in Sohag University Hospital

Conditions
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Chest Trauma Patients

Intervention / Treatment
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* Procedure: chest tube - emergency thoracotomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: males and females adults and children isolated chest trauma polytraumatized patients penetrating chest trauma blunt chest trauma Exclusion Criteria: patients presented with cardiac arrest patients presented dead patients with glasco coma scale 5 or less patients with sever abdominal injuries
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| blunt chest trauma patients<br>patients with chest injuries due to a blunt trauma | Procedure: chest tube - emergency thoracotomy<br>* chest tube is an inter-costal tube inserted intrathoracic in case of haemothorax and pneumothorax ,,,, emergency thoracotomy is an emergency exploration in severly injured patients<br>|
| penetrating chest trauma patients<br>patients with chest injuries due to penetrating trauma | Procedure: chest tube - emergency thoracotomy<br>* chest tube is an inter-costal tube inserted intrathoracic in case of haemothorax and pneumothorax ,,,, emergency thoracotomy is an emergency exploration in severly injured patients<br>|
| polytraumatized patients<br>patients with multible traumas beside the chest injury | Procedure: chest tube - emergency thoracotomy<br>* chest tube is an inter-costal tube inserted intrathoracic in case of haemothorax and pneumothorax ,,,, emergency thoracotomy is an emergency exploration in severly injured patients<br>|
| chest trauma only patients<br>patients with only chest injuries | Procedure: chest tube - emergency thoracotomy<br>* chest tube is an inter-costal tube inserted intrathoracic in case of haemothorax and pneumothorax ,,,, emergency thoracotomy is an emergency exploration in severly injured patients<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| morbidity | Outcome will be defined as conservative management | 12 months | 
| mortality | Outcome will be defined as conservative management | 12 months |