Outcome of Chest Trauma Patients in One Year in Sohag University Hospital
NCT ID: NCT05960409
Last Updated: 2023-07-25
Study Results
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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UNKNOWN
100 participants
OBSERVATIONAL
2023-08-31
2023-12-31
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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OTHER
PROSPECTIVE
Study Groups
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blunt chest trauma patients
patients with chest injuries due to a blunt trauma
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
penetrating chest trauma patients
patients with chest injuries due to penetrating trauma
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
polytraumatized patients
patients with multible traumas beside the chest injury
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
chest trauma only patients
patients with only chest injuries
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
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
Eligibility Criteria
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Inclusion Criteria
* adults and children
* isolated chest trauma
* polytraumatized patients
* penetrating chest trauma
* blunt chest trauma
Exclusion Criteria
* patients presented dead
* patients with glasco coma scale 5 or less
* patients with sever abdominal injuries
ALL
No
Sponsors
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Sohag University
OTHER
Responsible Party
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Amr Mohamed Abdelhameed
resident at cardiothoracic department
Locations
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Sohag university Hospital
Sohag, , Egypt
Countries
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Central Contacts
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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.
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.
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.
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.
Other Identifiers
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Soh-Med-23-07-06MS
Identifier Type: -
Identifier Source: org_study_id
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