ArticleScandinavian journal of trauma, resuscitation and emergency medicine2018
Severe thoracic trauma - still an independent predictor for death in multiple injured patients?
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05960409 (Outcome of Chest Trauma Patients in One Year in Sohag University Hospital), which is not on this map. Cited by 20 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Outcome of Chest Trauma Patients in One Year in Sohag University Hospital
Who cites it
20 citing papers in PubMed, 45 citations in OpenAlex.
- Injury to the thorax is a dominant contributor to post-traumatic neutrophil mediated inflammatory response.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Cell-cell crosstalk in the pathogenesis of acute lung injury and acute respiratory distress syndrome.Tissue barriers · 2025Review
- The Earlier the Better: Surgical Stabilization of Rib Fractures Associated With Improved Outcomes.The Journal of surgical research · 2024Article
- C-reactive protein in the early diagnosis of pneumonia complicating severe blunt chest trauma.La Tunisie medicale · 2023Article
- Effect of Injury Patterns on the Development of Complications and Trauma-Induced Mortality in Patients Suffering Multiple Trauma.Journal of clinical medicine · 2023Article
- Early Internal Fixation of Concomitant Clavicle Fractures in Severe Thoracic Trauma Prevents Posttraumatic Pneumonia.Journal of clinical medicine · 2023Article
- Thoracic injuries in trauma patients: epidemiology and its influence on mortality.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
- [Implications of prehospital estimation of trauma patients for the treatment pathway-An evaluation of the TraumaRegister DGU®].Der Anaesthesist · 2022Article
- Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU.Journal of clinical medicine · 2022Article
- Observational
- Development of a new score for early mortality prediction in trauma ICU patients: RETRASCORE.Critical care (London, England) · 2021Article
- Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma.Scientific reports · 2021Article
- Influence of Severe Thoracic Trauma on Choosing the Correct Surgical Strategy in Patients with Polytrauma from Kosovo.Medical science monitor basic research · 2021Article
- Impact of Chest Trauma and Overweight on Mortality and Outcome in Severely Injured Patients.Journal of clinical medicine · 2020Article
- Letter to the Editor: Emergency Department Versus Operating Suite Intubation in Operative Trauma Patients: Does Location Matter?World journal of surgery · 2020Article
- Blunt trauma related chest wall and pulmonary injuries: An overview.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2020Review
- Incidence of post-traumatic pneumonia in poly-traumatized patients: identifying the role of traumatic brain injury and chest trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Demographic, Clinical Features and Outcome Determinants of Thoracic Trauma in Sri Lanka: A Multicentre Prospective Cohort Study.Canadian respiratory journal · 2020Article
- Survival rate and Outcome of extracorporeal life support (ECLS) for treatment of acute cardiorespiratory failure in trauma patients.Scientific reports · 2019Article
- Prediction of outcomes in chest trauma patients using chest trauma scoring system: A prospective observational study.Indian journal of anaesthesia · 2019Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOver the past, the severe thoracic trauma has had decisive influence on the outcome of multiple injured patients. Today, new therapies (e.g. extracorporeal membrane oxygenation (ECMO), protective ventilation methods and new forms of patient positioning) are available and applied regularly. What impact on the patient's outcome does the thoracic trauma have today?
methodsProspective data collection of multiple injured patients in a level-I trauma center was performed between 2008 and 2014. Patients with an ISS ≥16 were included and divided into 2 groups: Severe thoracic trauma (STT: AIS
resultsIn total, 529 patients (STT: n = 317; MTT: n = 212) met the in- and exclusion criteria. The mean Injury Severity Score (ISS) was significantly higher in patients of the STT group (STT: 33.5 vs. MTT: 24.7; p < 0.001), while the RISC II Score showed no significant differences (STT: 20.0 vs. MTT: 17.1; p = 0.241). Preclinical data revealed a higher intubation rate, more chest tube insertions and a higher use of catecholamines in the STT group (p < 0.05). Clinically, we found significant differences in the duration of invasive ventilation (STT: 7.3d vs. MTT: 5.4d; p = 0.001) and ICU stay (STT: 12.3d vs. MTT: 9.4d; p < 0.001). While the complication rate was higher for the STT group (sepsis (STT: 11.4% vs. MTT: 5.7%; p = 0.017); lung failure (STT: 23.7% vs. MTT: 12.3%; p = 0,001)), neither the non-adjusted lethality rate (STT: 13.2% vs. MTT: 13.7%; p = 0.493) nor the Standardized Mortality Ratio (SMR) showed significant differences (STT: 0.66 vs. MTT: 0.80; p = 0.397). The multivariate regressive analysis confirmed that severe thoracic trauma is not an independent risk factor for lethality in our patient cohort.
conclusionDespite a higher injury severity, the extended need of emergency measures and a higher rate of complications in injured patients with severe blunt thoracic trauma, no influence on lethality can be proved. The reduction of the complication rate should be a goal for the next decades.
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