Department of Thoracic Surgery, Malatya Turgut Özal University School of Medicine, Türkiye
*Corresponding Author: Mehmet Özgel, Department of Thoracic Surgery, Malatya Turgut Özal University School of Medicine, Türkiye.
Received: July 03, 2023; Published: August 24, 2023
Background:Localized thorax and generalized body trauma can be turned into a potentially life-threatening situation for the patients.
Aim: Specific numerical values can be given to the data obtained by close follow-up of the changes in the clinical status of the trauma patient. In this way, the necessary approach or transfer process can be previously predicted to reduce the patients' mortality and morbidity.
Methods: Four hundred fourteen patients were inspected due to thorax trauma and hospitalized for six years. In our hospital was used therapy of patients. Those patients were divided into three groups retrospectively. They were classified as Group I (n = 64) patients with blunt trauma but without rib fracture, group II patients (n = 220) with blunt trauma and rib fracture, and group III patients (n = 130) with penetrating injury. The relation between the mortality and Injury Severity Score (ISS), New Injury Severity Score (NISS), and age were analyzed in these three groups. I used ROC and χ2 test for statistical evaluation in the SPSS program. If the results were p < 0.05, I accepted the value as significant.
Results: For this patients it’s found that 68 % (n = 284) hospitalized for blunt thorax trauma, 32 % (n = 130) penetrating trauma. Also, 55% (n = 156) of the blunt trauma group were in the vehicle unit, 23% (n = 65) of their cars crashed, and 22% (n = 63) of them were observed to fall. After the penetrating injury, tube thoracostomy was applied to 77.2 % (n = 78) of patients with hemopneumothorax. After blunt trauma, tube thoracostomy was applied to 79,9 % (n = 143) of patients with hemopneumothorax. 8.9% (n = 16) were operated on after penetrating injury 20,4 % (n = 20) of patients with hemopneumothorax. The ratio of operations applicated in our clinic between Group II-III and Group I-III was significantly longer (p < 0.05).
6,7 % (n = 19) of blunt trauma and 3.1 % (n = 4) penetrating trauma resulted in mortality. For the patients who died in the penetrating trauma group, ISS points were a maximum of 26 points, a minimum of 16 points, and NISS points were a maximum of 35 and minimum of 22 points. Although in the blunt trauma group, ISS points were maximum of 45 points, minimum of 9 points, and NISS points were a maximum of 57 points and minimum of 34 points.
Conclusions: The complexity of trauma and relation with more than one system were significant risk factors for mortality. The mortality risk in chest trauma increased in patients over 45 years old and had ISS or NISS of more than 16 points. According to our statistical results, we found that NISS is more reliable than ISS.>
Keywords: Thoracic Trauma; ISS and NISS; Mortality
Citation: Mehmet Özgel. “The Factors that Determine the Mortality in Chest Trauma, and in the Determination of Mortality, Comparision of Sufficiency of Injury Severity Score and New Injury Severity Score”.Acta Scientific Medical Sciences 7.9 (2023): 151-158.
Copyright: © 2023 Mehmet Özgel. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.