Yıl 2020, Cilt 6 , Sayı 1, Sayfalar 1 - 6 2020-01-04

Comparison of penetrating thoracic traumas in patients with gunshot and stab wounds in an emergency department

Nil SAYLAM [1] , Deniz ALGEDİK GÜRSOY [2] , Ali ŞAHİN [3] , Ufuk AYDIN [4] , Doğaç Niyazi ÖZÜÇELİK [5]

Objectives: Thoracic trauma is among the most important causes of mortality in emergency departments. In this study of penetrating stab wounds (PSWs) and gunshot wounds (GSWs) admitted to the emergency department with penetrating thoracic trauma cases clinical findings, emergency treatment approaches and survivals were compared with literature information.

Methods: One hundred fifty-two patients who applied to Bakırköy Dr. Sadi Konuk Training and Research Hospital Emergency Department with penetrating thoracic trauma on 1 January 2014 and 31 December 2014 were evaluated retrospectively the patients. SPSS 22.0, NY, USA program was used in the analyzes.

Results: Patients administered with PSW were 79.6%, with GSW were 20.4%. Patients in the group GSW were admitted to the emergency department with more serious symptoms than patients in the group PSW (Triage level 2, GSW: 87.1%, PSW: 62.8% and Triage level 3, GSW: 12.9% vs. PSW: 37.2%), (p = 0.010). Hemothorax (25.8%) in PSW patients and pneumothorax (40.5%) in GSW patients was detected more frequently. Surgical treatment was performed in 14.9% of patients with PSW, tube thoracostomy was performed in 24%, and 62.82% were treated with conservative treatment. Surgical treatment was performed in 35.5% of GSW patients and tube thoracostomy was performed in 29%, and 48.4% were treated with conservative treatment (p > 0.05).

Conclusion: Despite the lower incidence of GSW than PSW in emergency departments, GSW require more surgical intervention and have a higher mortality rate. 

thoracic trauma, emergency, triage, mortality, penetrating
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Orcid: 0000-0002-9922-3161
Yazar: Nil SAYLAM (Sorumlu Yazar)
Kurum: Department of Emergency Medicine, Şırnak State Hospital, Şırnak, Turkey
Ülke: Turkey

Orcid: 0000-0001-5568-6757
Kurum: Department of Emergency Medicine, Yeditepe University School of Medicine, İstanbul, Turkey
Ülke: Turkey

Orcid: 0000-0002-4025-1512
Yazar: Ali ŞAHİN
Kurum: Department of Emergency Medicine, Şırnak State Hospital, Şırnak, Turkey
Ülke: Turkey

Orcid: 0000-0002-4083-6211
Yazar: Ufuk AYDIN
Kurum: Department of Cardiovascular Surgery, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
Ülke: Turkey

Orcid: 0000-0002-7752-0667
Yazar: Doğaç Niyazi ÖZÜÇELİK
Kurum: Department of Emergency Medicine, Kanuni Sultan Süleyman Training and Research Hospital, İstanbul, Turkey
Ülke: Turkey


Yayımlanma Tarihi : 4 Ocak 2020

EndNote %0 The European Research Journal Comparison of penetrating thoracic traumas in patients with gunshot and stab wounds in an emergency department %A Nil SAYLAM , Deniz ALGEDİK GÜRSOY , Ali ŞAHİN , Ufuk AYDIN , Doğaç Niyazi ÖZÜÇELİK %T Comparison of penetrating thoracic traumas in patients with gunshot and stab wounds in an emergency department %D 2020 %J The European Research Journal %P -2149-3189 %V 6 %N 1 %R doi: 10.18621/eurj.449806 %U 10.18621/eurj.449806