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

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.

Study Overview

• Status: Not yet recruiting
• Conditions: Chest Trauma Patients
• Intervention / Treatment: Procedure: chest tube - emergency thoracotomy

• Study Type: Observational
• Enrollment (Estimated): 100

Contacts and Locations

• Study Contact: Name: Amr M Mohammed, resident; Phone Number: 01008948139; Email: amrelsayed@med.sohag.edu.eg
• Study Contact Backup: Name: Essam A Mokhtar, professor

Study Locations

• Egypt
  • Sohag, Egypt
    • Sohag university Hospital
    • Contact: Magdy M Amin, professor

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

• males and females
• adults and children
• isolated chest trauma
• polytraumatized patients
• penetrating chest trauma
• blunt chest trauma

Description

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

Study Plan

How is the study designed?

Number of groups / cohorts

4

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
blunt chest trauma patients; patients with chest injuries due to a blunt trauma	Procedure: 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	Procedure: 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	Procedure: 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	Procedure: 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

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
morbidity	Outcome will be defined as conservative management	12 months
mortality	Outcome will be defined as conservative management	12 months

Collaborators and Investigators

• Sponsor: Sohag University

Publications and helpful links

General Publications

• 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.

Study record dates

Study Major Dates

• Study Start (Estimated): August 1, 2023
• Primary Completion (Estimated): December 1, 2023
• Study Completion (Estimated): December 1, 2023

Study Registration Dates

• First Submitted: July 17, 2023
• First Submitted That Met QC Criteria: July 24, 2023
• First Posted (Actual): July 25, 2023

Study Record Updates

• Last Update Posted (Actual): July 25, 2023
• Last Update Submitted That Met QC Criteria: July 24, 2023
• Last Verified: July 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries; Thoracic Injuries
• Other Study ID Numbers: Soh-Med-23-07-06MS

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No