Benha University

Fatma Mahmoud Fadl Teama

Asst. Lecturer

Faculty of Medicine CARDIOTHORACIC SURGERY

Penetrating chest trauma: A prospective study of prognostic factors for worse outcome after emergency surgery

• 2023
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Publication Information
Authors Noha Helal, Hany El-Rakhawy, Yousry Shaheen, Basem Mofreh, Fatma Fadl, Ahmed Sobhy
Keywords Not Available
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publication.type Local
Paper Link Not Available
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Abstract
Background: Even though chest penetrating injuries are common as well as challenging to treat, most of the time they can be dealt without surgery. This study aimed to evaluate contemporary outcome following emergent surgical interventions for penetrating chest trauma and possible factors associated with poor prognosis.
Methods: This prospective study included 100 cases admitted to benha university hospital with either Stab Wound or Gunshot wound to the chest, with systolic blood pressure ≤90 mmHg and who underwent through Thoracotomy or sternotomy within duration of one hour of arrival.
Results: This study included 81 patients (77 stabbings, 4 gunshots) underwent a thoracotomy and 19 underwent median sternotomy within 60 minutes after the penetrating trauma, the mean period of surgery was 3 ±0.9, There were 94 male and 6 female cases and their mean age was 25 ±10.14 years, the mean Intensive care unit stay was 2 ±0.83 days in addition mean hospital stay was 6 ±1.06 days, the individuals who died had trauma at mid-clavicular line of the chest (100%) compared to survivors (5.5%), lesser systolic blood pressure on presentation in the emergency room (71 ±11 mmHg) equated with those who survived (90 ±9 mmHg, P
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