Evaluation of factors affecting prognosis in penetrating thoracic injuries

Basit Öğe Kaydı
dc.contributor.authorOruc, Menduh
dc.contributor.authorUlku, Refik
dc.date.accessioned2024-04-24T17:28:01Z
dc.date.available2024-04-24T17:28:01Z
dc.date.issued2018
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: This study aims to investigate the prognostic factors affecting survival and clinical outcomes in patients exposed to pediatric penetrating thoracic injury. Methods: A total of 267 pediatric penetrating thoracic injury patients (217 males, 50 females; mean age 10.8 years; range, 3 to 17 years) who were treated at our hospital during the recent 20 years were analyzed retrospectively. Penetrating thoracic injuries were divided into three groups: incisive/stabbing injuries, gunshot injuries, explosive injuries. Patients' age, gender, New Injury Severity Score, injury type, injuries accompanying thoracic trauma, types of treatment applied, length of hospital stay, and morbidity and mortality outcomes were examined. Their prognostic characteristics were compared to their injury types, New Injury Severity Scores, lengths of hospital stay and complications. Results: Of the patients, 103 were exposed to gunshot injuries, 128 to incisive/stabbing injuries, and 36 to explosive injuries. Of the penetrating thoracic injuries, while 211 (79%) were isolated injuries, 56 (21%) were accompanying non-thoracic injuries. Mean New Injury Severity Score was 13 +/- 10. Of the patients, 50 (18.6%) were treated with medical therapy alone, 199 (74.5%) with tube thoracostomy, and 18 (6.7%) with thoracotomy. Fifty-one patients (19%) developed complications. Length of hospital was 9 +/- 2.7 days. Twenty-one patients (7.9%) died. New Injury Severity Scores, rates of combined injuries, complications, length of hospital stay, and mortality were higher in explosive injuries (p<0.05). Conclusion: Pediatric penetrating thoracic injuries may be observed in all age groups in children, the most severe type being explosive injuries. Prognostic factors may vary according to injury type, complications, treatment approach, and presence of accompanying non-thoracic injuries.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2018.15734
dc.identifier.endpage605en_US
dc.identifier.issn1301-5680
dc.identifier.issue4en_US
dc.identifier.pmid32082802
dc.identifier.scopus2-s2.0-85057783781
dc.identifier.scopusqualityQ3
dc.identifier.startpage598en_US
dc.identifier.trdizinid296366
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2018.15734
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/296366
dc.identifier.urihttps://hdl.handle.net/11468/20294
dc.identifier.volume26en_US
dc.identifier.wosWOS:000450917400011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayinciliken_US
dc.relation.ispartofTurk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPediatricen_US
dc.subjectPenetrating Injuryen_US
dc.subjectThoracic Injuryen_US
dc.titleEvaluation of factors affecting prognosis in penetrating thoracic injuriesen_US
dc.titleEvaluation of factors affecting prognosis in penetrating thoracic injuries
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu
TR-Dizin İndeksli Yayınlar Koleksiyonu