ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2013
Age and traumatic chest injury: a 3-year observational study.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 36 citations in OpenAlex.
- Characteristics, mechanisms, and medicolegal perspectives of fatal cardiothoracic injuries in a tertiary care center.Forensic science, medicine, and pathology · 2026Article
- Empowering recovery: a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fracture.Trauma surgery & acute care open · 2025Article
- A Prospective Study of Chest Trauma Scoring System as A Morbidity and Mortality Predictor in Patients with Blunt Chest Trauma.Medical journal of the Islamic Republic of Iran · 2024Article
- Risk factors affecting severe thoracic injuries in motor vehicle collisions based on age group and collision directions.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Observational
- Surgical stabilization of serial rib fractures is advantageous in patients with relevant traumatic brain injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Status of Sedentary Time and Physical Activity of Rural Residents: A Cross-Sectional Population-Based Study in Eastern China.Frontiers in public health · 2022Observational
- Age differences in blunt chest trauma: a cross-sectional study.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2020Article
- Article
- [Bony injuries of the thoracic cage in multiple trauma : Incidence, concomitant injuries, course and outcome].Der Unfallchirurg · 2016Article
- Clinical Presentation and Time-Based Mortality in Patients With Chest Injuries Associated With Road Traffic Accidents.Archives of trauma research · 2016Article
- Traumatic injury among females: does gender matter?Journal of trauma management & outcomes · 2014Review
- Prehospital versus Emergency Room Intubation of Trauma Patients in Qatar: A-2-year Observational Study.North American journal of medical sciences · 2014Article
- Limited Influence of Flail Chest in Patients With Blunt Thoracic Trauma - A Matched-pair Analysis.In vivo (Athens, Greece)Article
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA quarter of trauma-related deaths are attributable to traumatic chest injury (TCI).
objectiveTo outline the pattern and outcome of TCI in a rapidly developing country among different age groups.
methodsWe conducted a retrospective observational study for patients who sustained TCI and admitted between January 2008 and December 2010 to the Level I trauma center at Hamad General Hospital in Qatar. Patients were classified and analyzed in four age groups (group 1 ≤18, group 2 between 19-44, group 3 45-59, and group 4 >60 years). Multivariate regression analysis was performed for predictors of mortality.
resultsOf 5,118 cases admitted to the Section of Trauma Surgery, 1,355 (26.5 %) had TCI (12, 67, 16, and 5 % in groups 1-4, respectively), which was due to blunt trauma in 96 % of cases. The overall mean age was 33 ± 15 years and males comprised 94 % of cases. Children (≤18 years of age) had more traffic-related injury, intubation, high Injury Severity Score (ISS) (19 ± 12), and associated head and liver injuries in comparison to the other groups. The overall mortality rate was 13 % (24, 11, 12, and 16 % in groups 1-4, respectively). The death rate was higher in pedestrians, followed by motor vehicle crashes (MVCs) and fall-related injuries (24 vs. 13 vs. 7 %, respectively, p = 0.001). The highest mortality occurred within the first day (n = 115, 65 %). In comparison to old age, children were more likely to die early (on the first day) and the adult group died mostly within the first week of hospitalization. Independent predictors for mortality included associated head injury [odds ratio (OR) 2.3, 95 % confidence interval (CI) 1.48-3.62), ISS (OR 1.11, 95 % CI 1.09-1.13), and age (OR 0.37, 95 % CI 0.22-0.62).
conclusionTCI is an alarming problem in Qatar, with a bimodal mortality curve. The highest mortality peak occurred in children, followed by old age. However, young males are the most exposed population. Regulatory efforts and strict enforcement of traffic laws would likely reduce morbidity and mortality.
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