TY  - JOUR
T1  - Retrospective Analysis of 221 Patients with Thoracic Trauma: A Single-Center Experience
TT  - Toraks Travması Geçiren 221 Hastanın Retrospektif Analizi: Tek Merkezli Bir Deneyim
AU  - Çiflik, Kadir Baturhan
AU  - Aran, Özgün
AU  - Kür, Salih
PY  - 2025
DA  - September
Y2  - 2025
DO  - 10.47482/acmr.1703226
JF  - Archives of Current Medical Research
JO  - Arch Curr Med Res
PB  - 14 Mart Tıbbiyeliler Derneği
WT  - DergiPark
SN  - 2717-9788
SP  - 312
EP  - 319
VL  - 6
IS  - 3
LA  - en
AB  - 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
KW  - extrathoracic injury
KW  - hemothorax
KW  - pneumothorax
KW  - rib fracture
KW  - thoracic trauma
N2  - Amaç: Toraks travmaları, tüm travma olgularının dörtte birini oluşturmaktadır. Pulmoner ve kardiyovasküler yapılar etkilendiğinde yüksek mortalite oranları görülmektedir. Bu çalışmanın amacı, toraks travması geçiren hastaların kapsamlı bir analizini yapmaktır. Ayrıca, yaralanma türlerinin ve tedavi süreçlerinin hasta sonuçlarına etkisi değerlendirilmiştir.Yöntemler: Bu retrospektif çalışma, Aralık 2022 ile Aralık 2024 tarihleri arasında Türkiye'deki tek bir merkezde yürütülmüştür. Toraks travması olan erişkin hastalar (≥18 yaş) çalışmaya dahil edilmiştir. Hastaların demografik özellikleri, yaralanma tipleri, tedavi yöntemleri ve sonuçları analiz edilmiştir.Bulgular: Toplam 221 toraks travmalı hasta değerlendirildi. En yaygın travma mekanizmaları düşme (n=94, %42.5) ve trafik kazasıydı (n=94, %42.5). En sık tespit edilen yaralanma kaburga kırığıydı (n=154, %53.7) ve en çok tercih edilen tedavi yöntemi konservatif yaklaşımdı (n=189, %85.5). Kaburga kırığı olan hastaların yoğun bakım ünitesinde (YBÜ) ve genel hastanede yatış süreleri anlamlı olarak daha uzundu (Z=-2.435, p=0.015 ve Z=-2.979, p=0.003). Tüp torakostomi uygulanan hastalarda kaburga kırığı sayısı konservatif tedavi edilenlere göre anlamlı olarak daha fazlaydı (t=-44.931, p=0.011). Ayrıca, bu hastalarda YBÜ ve hastanede yatış süresi daha kısaydı (Z=-2.531, p=0.011; Z=-7.234, p
CR  - Dogrul BN, Kiliccalan I, Asci ES, Peker SC. Blunt trauma related chest wall and pulmonary injuries: An overview. Chin J Traumatol. 2020 Jun;23(3):125-138.
CR  - Gonçalves HS, Rezende ML, Cunha IVDS, Cesar AS, Cabral FLD, Trindade LMDF. Clinical-epidemiological evaluation of victims of thoracic trauma in a reference hospital in Aracaju-SE. Rev Col Bras Cir. 2023 Nov 13;50: e20233542.
CR  - Beshay M, Mertzlufft F, Kottkamp HW, Reymond M, Schmid RA, Branscheid D, Vordemvenne T. Analysis of risk factors in thoracic trauma patients with a comparison of a modern trauma centre: a mono-centre study. World J Emerg Surg. 2020 Jul 31;15(1):45.
CR  - Edgecombe L, Sigmon DF, Galuska MA, Angus LD. Thoracic Trauma. 2023 May 23. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–.
CR  - Benhamed A, Ndiaye A, Emond M, Lieutaud T, Boucher V, Gossiome A, Laumon B, Gadegbeku B, Tazarourte K. Road traffic accident-related thoracic trauma: Epidemiology, injury pattern, outcome, and impact on mortality-A multicenter observational study. PLoS One. 2022 May 6;17(5): e0268202.
CR  - Kibu OD, Nguefack-Tsague G, Maqungo S, Ngekeng S, Dissak Delon FN, Touko D, Oke R, Umoh C, Mfondoum R, Christie SA, Juillard C, Chichom-Mefire A. Factors associated with mortality in thoracic trauma patients in Cameroon. Heliyon. 2024 Dec 27;11(1): e41499.
CR  - Bates-Powell J, Basterfield D, Jackson K, Aujayeb A. Physician-Led Thoracic Trauma Management in a Specialist Emergency Care Centre. J Clin Med. 2021 Dec 11;10(24):5806.
CR  - Haberal MA, Şengören Dikiş Ö, Akar E. Toraks Travması: 440 Olgunun Değerlendirilmesi. Kafkas Journal of Medical Sciences. 2019;9(2):97-102.
CR  - Pertiwi ND, Muthmainnah N, Rizkianti RA, Wulandari EA. Changes in causes and outcomes of thoracic trauma cases during the COVID-19 pandemic: Literature review. Magna Sci Adv Res Rev. 2024;12(2):48–52.
CR  - Thoracic trauma review. Seven Editora eBooks; 2023. Available from: https://doi.org/10.56238/colleinternhealthscienv1-076
CR  - Altunkaya A, Aktunç E, Kutluk Cevat A, Büyükateş M, Demircan N, Demir Semra A, et al. Analysis of 282 patients with thoracic trauma. Turk Gogus Kalp Dama. 2007; 15:127-132.
CR  - Çetin M, Solak N, Özdemir Çiflik B, Türk İ, Ermancik SS, Aydoğdu K. Thoracic trauma in the geriatric population and possible preventive measures: a retrospective analysis of 261 cases. Turk J Med Sci. 2024 Jun 1;54(5):1013-1020.
CR  - Mazcuri M, Ahmad T, Abid A, Thapaliya P, Ali M, Ali N. Pattern and Outcome of Thoracic Injuries in a Busy Tertiary Care Unit. Cureus. 2020 Oct 26;12(10):e11181.
CR  - Zargar M, Khaji A, Karbakhsh Davari M. Thoracic injury: a review of 276 cases. Chin J Traumatol. 2007 Oct;10(5):259-62. PMID: 17919361.
CR  - Aydogdu K, Ciflik BO, Cetin M, Ermancik SS, Sural F, Buyukevli M, Kaplan T. The analysis of earthquake victims with thoracic trauma: Kahramanmaraş earthquake. Indian J Surg. 2024; 86:925–30.
CR  - Kundu R, Suklabaidya A, Thengal MH. A study on the different clinical presentation patterns of blunt thoracic trauma and associated morbidity following road traffic accident in a tertiary care centre. Int J Adv Res. 2024;12(9):752–773.
CR  - Yüksel HS, Aslaner MA, Coşkun Yaş S, Karakök B, Demircan A. Rib Fractures in Trauma Patients: Prevalence, Associated Injuries, and Mortality Trends. Cureus. 2024 Sep 24;16(9): e70137.
CR  - Baram A, Kakamad FH. Bilateral thoracic trauma; presentation and management, a case series. Ann Med Surg (Lond). 2019 May 25; 43:25-28.
CR  - Novakov IP, Timonov P, Stefanov Ch, Petkov G. Rib fractures in blunt chest trauma – morbidity and mortality: self-experience study. Trakia J Sci. 2014;12(3):272–6.
CR  - AK AK, Anjum F. Tracheobronchial Tear. 2023 Jul 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–.
CR  - Adam B, Szentkereszty Z, Szentkereszty Z, Vass KK, Urban F. Treatment of blunt thoracic trauma in a Level 1 Trauma Center. Magy Traumatol Ortop Kezseb Plasztikai Seb. 2024;67(1):1–10.
CR  - Kong VY, Oosthuizen GV, Clarke DL. Selective conservatism in the management of thoracic trauma remains appropriate in the 21st century. Ann R Coll Surg Engl. 2015 Apr;97(3):224-8.
CR  - Porcel JM. Chest Tube Drainage of the Pleural Space: A Concise Review for Pulmonologists. Tuberc Respir Dis (Seoul). 2018;81(2):106-115.
CR  - Kirkpatrick AW, Sirois M, Laupland KB, Liu D, Rowan K, Ball CG, et al. Hand-held thoracic sonography for detecting post-traumatic pneumothoraces: the Extended Focused Assessment with Sonography for Trauma (EFAST). J Trauma. 2004;57(2):288-95.
CR  - Uribe RA, Pachon CE, Frame SB, Enderson BL, Escobar F, Garcia GA. A prospective evaluation of thoracoscopy for the diagnosis of penetrating thoracoabdominal trauma. J Trauma. 1994;37(4):650-4.
CR  - DuBose J, Inaba K, Demetriades D, Scalea TM, O'Connor J, Menaker J, et al. Management of post-traumatic retained hemothorax: a prospective, observational, multicenter AAST study. J Trauma Acute Care Surg. 2012;72(1):11-22.
CR  - Singh AK, Prasad G, Mishra P. The Impact of Thoracic Trauma on Morbidity and Outcomes: A Six-Year Experience From a Tertiary Care Level 1 Center. Cureus. 2024 Nov 13;16(11):e73580.
CR  - Gupta A, Sharma A, Suthar N, Girija H, Verma V, Jindal S. Epidemiological pattern of blunt trauma chest in Western India. Apollo Medicine. 2020;17(2):66.
CR  - Sharma RG, Kumar Sinha P, Sridhar R, Singh N, Devi D, Shankar A, et al. Prospective Study of Blunt Trauma Chest. Vol. 12, Indian Journal of Public Health Research & Development.
CR  - Al-Saigh A, Fazili FM, Allam AR. Chest trauma in children: a local experience. Ann Saudi Med. 1999;19(2):143–6.
CR  - Bahl A, Harna B, Arya S. Epidemiology of Trauma Patients Admitted to a Trauma Center in New Delhi, India. Indian Journal of Critical Care Medicine. 2020 Dec 26;24(12):1193–7.
UR  - https://doi.org/10.47482/acmr.1703226
L1  - https://dergipark.org.tr/tr/download/article-file/4887743
ER  -