Predictors of Mortality in Patients with Isolated Chest Trauma

Background: Chest trauma remained an important type of trauma that carries the risk of morbidity and mortality. The Modified Early Warning Score [MEWS] is a unique score as it is a physiological and simple score which permits improvement in the patient management. The aim of the work: To assess fre...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ibrahim Mahmoud, Mohamed Aglan, Mohammad Esmaiel, Badr Elfar, Saud Erwy, Gamal Farag
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	predictors chest trauma mortality modified early warning score risk factors Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/1cc4517c685f40b0a49ae8820e784641
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:1cc4517c685f40b0a49ae8820e784641
record_format	dspace
spelling	oai:doaj.org-article:1cc4517c685f40b0a49ae8820e7846412021-12-02T14:44:39ZPredictors of Mortality in Patients with Isolated Chest Trauma2636-41742682-378010.21608/ijma.2021.65562.1274https://doaj.org/article/1cc4517c685f40b0a49ae8820e7846412021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_163254_06b6113457c0ad6afd8f7751fd87b851.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Chest trauma remained an important type of trauma that carries the risk of morbidity and mortality. The Modified Early Warning Score [MEWS] is a unique score as it is a physiological and simple score which permits improvement in the patient management. The aim of the work: To assess frequency, risk factors of mortality and examine MEWS as a predictor of mortality in patients with isolated chest trauma. Patients and Methods: Prospective analysis of 157 patients presented to emergency department, with isolated chest trauma. Demographic data, MEWS, trauma characteristics, and laboratory data were recorded on admission. The patients received standard management and were followed up until discharge or death. Results: Age of patients ranged from 4 to 79 years. Male constituted 79.6%. About 29% admitted with penetrating chest trauma. About 98% and 82% presented within 24 hours and had unilateral chest trauma. MEWS of them ranged from 0 to 12. There is a significant relationship between mortality and hemoglobin levels, length of hospital stay and MEWS. There is a non-significant relationship between mortality and gender, type of trauma or duration of admission. Unilateral trauma indefinitely protects against mortality. MEWS [≥7] and length of hospital stay [≥4 days] increase mortality risk by 127.3 and 4.7 folds respectively. The cutoff of MEWS for prediction of mortality was ≥ 6.5, with sensitivity of 100%, specificity of 84.9%, [p <0.001]. Conclusion: High on-admission MEWS ≥7, late presentation after 24 hour and bilateral injury were risk factors of mortality in isolated chest trauma.Ibrahim MahmoudMohamed AglanMohammad EsmaielBadr ElfarSaud ErwyGamal FaragAl-Azhar University, Faculty of Medicine (Damietta)articlepredictorschest traumamortalitymodified early warning scorerisk factorsMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1398-1404 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	predictors chest trauma mortality modified early warning score risk factors Medicine (General) R5-920
spellingShingle	predictors chest trauma mortality modified early warning score risk factors Medicine (General) R5-920 Ibrahim Mahmoud Mohamed Aglan Mohammad Esmaiel Badr Elfar Saud Erwy Gamal Farag Predictors of Mortality in Patients with Isolated Chest Trauma
description	Background: Chest trauma remained an important type of trauma that carries the risk of morbidity and mortality. The Modified Early Warning Score [MEWS] is a unique score as it is a physiological and simple score which permits improvement in the patient management. The aim of the work: To assess frequency, risk factors of mortality and examine MEWS as a predictor of mortality in patients with isolated chest trauma. Patients and Methods: Prospective analysis of 157 patients presented to emergency department, with isolated chest trauma. Demographic data, MEWS, trauma characteristics, and laboratory data were recorded on admission. The patients received standard management and were followed up until discharge or death. Results: Age of patients ranged from 4 to 79 years. Male constituted 79.6%. About 29% admitted with penetrating chest trauma. About 98% and 82% presented within 24 hours and had unilateral chest trauma. MEWS of them ranged from 0 to 12. There is a significant relationship between mortality and hemoglobin levels, length of hospital stay and MEWS. There is a non-significant relationship between mortality and gender, type of trauma or duration of admission. Unilateral trauma indefinitely protects against mortality. MEWS [≥7] and length of hospital stay [≥4 days] increase mortality risk by 127.3 and 4.7 folds respectively. The cutoff of MEWS for prediction of mortality was ≥ 6.5, with sensitivity of 100%, specificity of 84.9%, [p <0.001]. Conclusion: High on-admission MEWS ≥7, late presentation after 24 hour and bilateral injury were risk factors of mortality in isolated chest trauma.
format	article
author	Ibrahim Mahmoud Mohamed Aglan Mohammad Esmaiel Badr Elfar Saud Erwy Gamal Farag
author_facet	Ibrahim Mahmoud Mohamed Aglan Mohammad Esmaiel Badr Elfar Saud Erwy Gamal Farag
author_sort	Ibrahim Mahmoud
title	Predictors of Mortality in Patients with Isolated Chest Trauma
title_short	Predictors of Mortality in Patients with Isolated Chest Trauma
title_full	Predictors of Mortality in Patients with Isolated Chest Trauma
title_fullStr	Predictors of Mortality in Patients with Isolated Chest Trauma
title_full_unstemmed	Predictors of Mortality in Patients with Isolated Chest Trauma
title_sort	predictors of mortality in patients with isolated chest trauma
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/1cc4517c685f40b0a49ae8820e784641
work_keys_str_mv	AT ibrahimmahmoud predictorsofmortalityinpatientswithisolatedchesttrauma AT mohamedaglan predictorsofmortalityinpatientswithisolatedchesttrauma AT mohammadesmaiel predictorsofmortalityinpatientswithisolatedchesttrauma AT badrelfar predictorsofmortalityinpatientswithisolatedchesttrauma AT sauderwy predictorsofmortalityinpatientswithisolatedchesttrauma AT gamalfarag predictorsofmortalityinpatientswithisolatedchesttrauma
_version_	1718389553607213056

Predictors of Mortality in Patients with Isolated Chest Trauma

Ejemplares similares