Chest CT Scan Findings in Patients with Chest Trauma Referring to Imam Reza Hospital, Tabriz, in 2016-2017; a Brief Report
Iranian Journal of Emergency Medicine,
Vol. 8 No. 1 (2021),
23 November 2020
,
Page e11
https://doi.org/10.22037/ijem.v8i1.31305
Abstract
Introduction: Imaging technique plays an important role in management of chest trauma and chest x-ray, ultrasonography, and computed tomography (CT) scan are used to diagnose chest injuries. Chest CT scan is the Gold standard for diagnosing chest injuries. The aim of this study was to evaluate the positive findings of chest CT scan in patients referring to the emergency department of Imam Reza Hospital, Tabriz, in 2016-2017.
Methods: This is a descriptive study performed on multiple trauma patients referring to Imam Reza Hospital in Tabriz from April 2016 to March 2017. The sampling method was census and all patients with multiple trauma and chest trauma who had referred to Imam Reza Hospital during the study period and had undergone a chest spiral CT were included in the study. Independent t-test was used to compare quantitative data and chi-square was used to compare qualitative data.
Results: During the study period, 390 patients with chest trauma and multiple trauma had undergone chest CT. Of which, 296 were male (75.9%) and 94 (24.1%) were female. The mean age of the patients was 48.35 years. Traffic accidents were the most common cause of trauma. In nearly half of the patients there was no positive finding on chest spiral CT scan. However, there were multiple findings in 21 patients. The most common injuries were: rib fracture (11.3%), pneumothorax (12.3%), pneumomediastinum (2%), hemothorax (4.6%), and pulmonary contusion (4.9%).
Conclusion: In patients with multiple trauma, the most common positive CT findings were rib fractures, followed by pneumothorax, subcutaneous emphysema and hemothorax. In cases where there is a fracture of the first three ribs or flail chest, or a fracture of the scapula and high-energy trauma, the rate of visceral damage inside the chest and abdomen is higher, and chest CT scan can diagnose hemothorax and minor pneumothorax, which are not detectable in chest x-ray.
- Multiple Trauma; Thorax; Tomography, X-Ray Computed
How to Cite
References
Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The lancet. 2012;380(9859):2197-223.
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. The lancet. 2012;380(9859):2095-128.
Faridaalaee G, Latifi A, Peyvandi R, Afkari A, Mohammadi Z. Factors Related to Car Accidents in Maragheh-Hashtrood Road; A Cross Sectional Study. Iranian Journal of Emergency Medicine. 2020;7(1):e7-e.
Salimi J, Khaji A. Trauma mortality in six university hospitals: Tehran, Iran. Tehran University medical journal. 2007;65(Suppl 2):22-5.
Haagsma JA, Graetz N, Bolliger I, Naghavi M, Higashi H, Mullany EC, et al. The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Injury prevention. 2016;22(1):3-18.
Fazel MR, Fakharian E, Mahdian M, Mohammadzadeh M, Salehfard L, Ramezani M. Demographic profiles of adult trauma during a 5 year period (2007-2011) in Kashan, IR Iran. Archives of trauma research. 2012;1(2):63.
Lyn-Sue J, Siram S, Williams D, Mezghebe H. Epidemiology of trauma deaths in an urban level-1 trauma center predominantly among African Americans--implications for prevention. Journal of the National Medical Association. 2006;98(12):1940.
Mohta M, Kumar P, Mohta A, Bhardwaj R, Tyagi A, Sethi A. Experiences with chest trauma: Where do we stand today. Indian J Crit Care Med. 2006;10(1):25-8.
Hill A, Fowler R, Pinto R, Nathens A. Epidemiology of major trauma: a Canadian perspective. Canadian Journal of Surgery. 2011;54(3).
Søreide K. Epidemiology of major trauma. British Journal of Surgery: Incorporating European Journal of Surgery and Swiss Surgery. 2009;96(7):697-8.
Heron MP. Deaths; leading causes for 2009. 2012.
Rahimi-Movaghar V, Yousefifard M, Ghelichkhani P, Baikpour M, Tafakhori A, Asady H, et al. Application of ultrasonography and radiography in detection of hemothorax; a systematic review and meta-analysis. Emergency. 2016;4(3):116.
Brenner DJ. Medical imaging in the 21st century—getting the best bang for the rad. Mass Medical Soc; 2010.
Brenner DJ, Hall EJ. Computed tomography—an increasing source of radiation exposure. New England Journal of Medicine. 2007;357(22):2277-84.
Lee J, Kirschner J, Pawa S, Wiener DE, Newman DH, Shah K. Computed tomography use in the adult emergency department of an academic urban hospital from 2001 to 2007. Annals of emergency medicine. 2010;56(6):591-6. e1.
LoCicero III J, Mattox KL. Epidemiology of chest trauma. Surgical Clinics of North America. 1989;69(1):15-9.
Mirka H, Ferda J, Baxa J. Multidetector computed tomography of chest trauma: indications, technique and interpretation. Insights into imaging. 2012;3(5):433-49.
Oikonomou A, Prassopoulos P. CT imaging of blunt chest trauma. Insights into imaging. 2011;2(3):281-95.
Kaewlai R, Avery LL, Asrani AV, Novelline RA. Multidetector CT of blunt thoracic trauma. Radiographics. 2008;28(6):1555-70.
Palas J, Matos AP, Mascarenhas V, Herédia V, Ramalho M. Multidetector computer tomography: evaluation of blunt chest trauma in adults. Radiology research and practice. 2014;2014.
Kasmaei VM, Zohrevandi B, Asadi P, Salehi L. Evaluating the Relationship between Rib Fractures and the Probability of Abdominal Trauma; a Brief Report. Iranian Journal of Emergency Medicine. 2015;2(1):49-53.
- Abstract Viewed: 863 times
- pdf (فارسی) Downloaded: 425 times