The evaluation of 250 patients with thoracoabdominal injuries

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dc.contributor.authorCiftci, Fatih
dc.contributor.authorGirgin, Sadullah
dc.contributor.authorGedik, Ercan
dc.contributor.authorOnat, Serdar
dc.contributor.authorTacyildiz, Ibrahim Halil
dc.contributor.authorKeles, Celalettin
dc.date.accessioned2024-04-24T17:39:56Z
dc.date.available2024-04-24T17:39:56Z
dc.date.issued2008
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND Prognostic factors affecting mortality and morbidity in thoracoabdominal injuries were evaluated. METHODS Two hundred and fifty patients (227 males, 23 females; mean age 30.1 +/- 5.11; range 15 to 71 years) who had been exposed to thoracoabdominal injuries and underwent laparotomy between June 1996 and November 2005 were investigated retrospectively. Patients were assessed according to age, sex, trauma-operation interval, shock, hospitalization period, number of injured organs, blood transfusion, timing of closed thorax drainage, thoracotomy, Abdominal Trauma Index, Injury Severity Score, Abbreviated Injury Score, Revised Trauma Score, and complications. RESULTS Mortality and morbidity ratios were 15.6% and 53.5%, respectively. The factors effective on mortality were trauma-operation interval >= 3 hours (p=0.03), presence of shock (p=0.03), increase in the rate of blood transfusion (p=0.001), injured organ number >= 3 (p=0.001), and not performing early-term closed thorax drainage (p=0.005). Trauma-operation interval <3 (p=0.02), increase in the rate of blood transfusion (p=0.02), injured organ number >= 3 (p=0.001), and not performing early-term closed thorax drainage (p=0.005) were the factors effective on morbidity. CONCLUSION It was determined that trauma-operation period >= 3 hours, number of injured organs >= 3, and increased number of blood transfusions increased both mortality and morbidity. However, presence of shock increased only mortality. On the other hand, application of closed thorax drainage within a reasonable time period was determined to decrease mortality and morbidity.en_US
dc.identifier.endpage238en_US
dc.identifier.issn1306-696X
dc.identifier.issue3en_US
dc.identifier.pmid18781421
dc.identifier.scopus2-s2.0-45249119762
dc.identifier.scopusqualityQ3
dc.identifier.startpage231en_US
dc.identifier.urihttps://hdl.handle.net/11468/21444
dc.identifier.volume14en_US
dc.identifier.wosWOS:000256996700012
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isotren_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectThoracoabdominal Injury/Mortality/Morbidityen_US
dc.titleThe evaluation of 250 patients with thoracoabdominal injuriesen_US
dc.titleThe evaluation of 250 patients with thoracoabdominal injuries
dc.typeArticleen_US

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