Cyprus Journal of Medical Sciences
Original Article

Evaluation of the Epidemiology, Prognostic Factors and Results of the Patients Hospitalized in the Intensive Care Unit Due to Thoracic Trauma

1.

Department of Thoracic Surgery, İzmir Katip Çelebi University School of Medicine, İzmir, Turkey

2.

Balıkesir State Hospital, Intensive Care Unit, Balıkesir, Turkey

3.

Department of Thoracic Surgery, Balıkesir University School of Medicine, Balıkesir, Turkey

Cyprus J Med Sci 2020; 5: 121-125
DOI: 10.5152/cjms.2020.1930
Read: 212 Downloads: 140 Published: 29 June 2020

BACKGROUND/AIMS: We aimed to evaluate patients with thoracic trauma who were followed in intensive care unit in terms of epidemiologic, admission scoring systems, follow-up processes and prognosis.

MATERIAL and METHODS: Patients with thoracic trauma over 18 years of age who were followed up and treated in the intensive care unit between January 1, 2013 and June 1, 2018 were evaluated retrospectively. Patients were evaluated in terms of age, gender, history of trauma, Glasgow Coma Score (GCS), Acute Physiology and Chronic Health Evaluation (APACHE) II score, blood gas values, intubation requirement, mechanical ventilator requirement, length of stay, survival and factors affecting prognosis.

RESULTS: Of the 30 patients included in the study, 28 (93.3%) were male and 2 (6.7%) were female. Twenty-eight (60%) patients had blunt thorax trauma and 12 (40%) had penetrating thorax trauma. Intubation was required in 20 patients and blood transfusion was required in 10 patients. The median follow-up of the trauma patients in the intensive care unit was 120 hours and the median duration of stay in the mechanical ventilator was 84 hours. A statistically significant correlation was found between APACHE II scores and duration of mechanical ventilator stay (p=0.024) and pH and intensive care unit stay (p=0.013). When the patients were evaluated in terms of survival, there was a statistically significant relationship between GCS and APACHE II scores and survival (p=0.001).

CONCLUSION: GCS and APACHE II scoring systems play an important role in predicting mortality in patients admitted to intensive care unit due to trauma.

Cite this article as: Kuzucuoğlu M, Özçelik Z, Balta C. Evaluation of the Epidemiology, Prognostic Factors and Results of the Patients Hospitalized in the Intensive Care Unit Due to Thoracic Trauma. Cyprus J Med Sci 2020; 5(2): 121-5.

Files
ISSN2149-7893 EISSN 2536-507X