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

Year 2020, Volume: 6 Issue: 1, 1 - 6, 04.01.2020

Nil Saylam , Deniz Algedik Gürsoy Ali Şahin Ufuk Aydın , Doğaç Niyazi Özüçelik

https://doi.org/10.18621/eurj.449806

Abstract

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. 

Keywords

thoracic trauma, emergency, triage, mortality, penetrating

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