@article{article_1703226, title={Retrospective Analysis of 221 Patients with Thoracic Trauma: A Single-Center Experience}, journal={Archives of Current Medical Research}, volume={6}, pages={312–319}, year={2025}, DOI={10.47482/acmr.1703226}, author={Çiflik, Kadir Baturhan and Aran, Özgün and Kür, Salih}, keywords={ekstratorasik yaralanma, hemotoraks, pnömotoraks, kaburga kırığı, toraks travması}, abstract={Background: Thoracic trauma accounts for one-quarter of all trauma cases. When pulmonary and cardiovascular structures are affected, high mortality rates are observed. This study aimed to conduct a comprehensive analysis of patients who sustained thoracic trauma. In addition, the study sought to evaluate the impact of injury types and treatment processes on patient outcomes. Methods: This retrospective study was conducted at a single center in Turkey between December 2022 and December 2024. Adult patients (≥18 years) with thoracic trauma were included. Demographic features, injury types, treatment modalities, and outcomes were analyzed. Results: A total of 221 patients with thoracic trauma were evaluated. The most common mechanisms of trauma were falls (n=94, 42.5%) and motor vehicle accidents (n=94, 42.5%). Rib fractures were the most frequently detected injury (n=154, 53.7%), and conservative treatment was the most commonly preferred approach (n=189, 85.5%). Patients with rib fractures had significantly longer the intensive care unit (ICU) and overall hospital stay durations (Z=-2.435, p=0.015 and Z=-2.979, p=0.003). The number of rib fractures was significantly higher in patients who underwent tube thoracostomy compared to those managed conservatively (t=-44.931, p=0.011). Additionally, both ICU and hospital stay duration were shorter in these patients (Z=-2.531, p=0.011; Z=-7.234, p <0.01). Sixty-four patients (29%) had concomitant extrathoracic injuries. Among these, extremity injuries were the most common (n=32, 33.7%). Patients with extrathoracic trauma had a higher number of rib fractures and significantly longer ICU stay duration and hospital stay duration (Z=-3.361, p=0.001; Z=-6.717, p <0.05; Z=-6.843, p <0.05). Mortality was observed in 10 patients (4.5%). Conclusion: The development of complications such as hemothorax and pneumothorax is associated with prolonged ICU and hospital stays. Inadequate management of extrathoracic injuries accompanying thoracic trauma may contribute to increased mortality rates.}, number={3}, publisher={14 Mart Tıbbiyeliler Derneği}, organization={Yok}