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

NCT ID: NCT05960409

Last Updated: 2023-07-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-08-31

Study Completion Date

2023-12-31

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.

Detailed Description

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Conditions

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Chest Trauma Patients

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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blunt chest trauma patients

patients with chest injuries due to a blunt trauma

chest tube - emergency thoracotomy

Intervention Type PROCEDURE

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

penetrating chest trauma patients

patients with chest injuries due to penetrating trauma

chest tube - emergency thoracotomy

Intervention Type PROCEDURE

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

polytraumatized patients

patients with multible traumas beside the chest injury

chest tube - emergency thoracotomy

Intervention Type PROCEDURE

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

chest trauma only patients

patients with only chest injuries

chest tube - emergency thoracotomy

Intervention Type PROCEDURE

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

Interventions

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chest tube - emergency thoracotomy

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

Intervention Type PROCEDURE

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
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sohag University

OTHER

Sponsor Role lead

Responsible Party

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Amr Mohamed Abdelhameed

resident at cardiothoracic department

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sohag university Hospital

Sohag, , Egypt

Site Status

Countries

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Egypt

Central Contacts

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Amr M Mohammed, resident

Role: CONTACT

01008948139

Essam A Mokhtar, professor

Role: CONTACT

Facility Contacts

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Magdy M Amin, professor

Role: primary

References

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Mommsen P, Zeckey C, Andruszkow H, Weidemann J, Fromke C, Puljic P, van Griensven M, Frink M, Krettek C, Hildebrand F. Comparison of different thoracic trauma scoring systems in regards to prediction of post-traumatic complications and outcome in blunt chest trauma. J Surg Res. 2012 Jul;176(1):239-47. doi: 10.1016/j.jss.2011.09.018. Epub 2011 Oct 5.

Reference Type BACKGROUND
PMID: 22099585 (View on PubMed)

Grubmuller M, Kerschbaum M, Diepold E, Angerpointner K, Nerlich M, Ernstberger A. Severe thoracic trauma - still an independent predictor for death in multiple injured patients? Scand J Trauma Resusc Emerg Med. 2018 Jan 8;26(1):6. doi: 10.1186/s13049-017-0469-7.

Reference Type BACKGROUND
PMID: 29310701 (View on PubMed)

Ekpe EE, Eyo C. Determinants of mortality in chest trauma patients. Niger J Surg. 2014 Jan;20(1):30-4. doi: 10.4103/1117-6806.127107.

Reference Type BACKGROUND
PMID: 24665200 (View on PubMed)

Al-Koudmani I, Darwish B, Al-Kateb K, Taifour Y. Chest trauma experience over eleven-year period at al-mouassat university teaching hospital-Damascus: a retrospective review of 888 cases. J Cardiothorac Surg. 2012 Apr 19;7:35. doi: 10.1186/1749-8090-7-35.

Reference Type BACKGROUND
PMID: 22515842 (View on PubMed)

Other Identifiers

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Soh-Med-23-07-06MS

Identifier Type: -

Identifier Source: org_study_id

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