E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Traumatic pneumothorax in a secondary emergency care hospital

Atsushi Sano, Takehiro Tsuchiya.

Abstract
Background
While patients with severe chest injuries are generally treated in tertiary emergency care hospitals, those with mild-to-moderate chest injuries are often treated in primary or secondary emergency care facilities. Even mild-to-moderate chest injuries can result in traumatic pneumothorax, and should be treated immediately. Herein, we analyzed patients with traumatic pneumothorax at our hospital, a secondary emergency care facility.
Methods
Our institution deals mainly with mild-to-moderate trauma. We retrospectively analyzed the medical records and images of patients identified from our institutionís chest injury database.
Results
Between April 2008 and December 2013, 934 patients with chest injuries were referred to our hospital. Of these, 45 were diagnosed with traumatic pneumothorax. Patient ages ranged from 24 to 84 years (average 61.3 years). Traffic accidents were the most frequent cause of injury, followed by falling on a flat surface and falling from a height. Rib fractures were identified in 40 of 45 patients. The incidence of pneumothorax correlated with the number of rib fractures (r = 0.889, Pearsonís correlation coefficient). Three of 29 pneumothorax patients who presented on the day of injury were diagnosed with pneumothorax on a later day. By contrast, all 16 pneumothorax patients who presented one or more days after the injury were diagnosed with pneumothorax on the day of consultation. Chest drainage was performed in 25 patients. No mortality or severe morbidity was observed.
Conclusion
Mild-to-moderate chest injuries treated at a secondary emergency care hospital are rarely life-threatening, but it is important to remember that traumatic pneumothorax is still possible and can occur days after the initial injury.

Key words: traumatic pneumothorax; rib fracture; chest injury; drainage; secondary emergency care hospital


 
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How to Cite this Article
Pubmed Style

Sano A, Tsuchiya T, . Traumatic pneumothorax in a secondary emergency care hospital. doi:10.5455/ijsm.Traumatic-pneumothorax-2020


Web Style

Sano A, Tsuchiya T, . Traumatic pneumothorax in a secondary emergency care hospital. http://www.ejos.org/?mno=127346 [Access: November 03, 2020]. doi:10.5455/ijsm.Traumatic-pneumothorax-2020


AMA (American Medical Association) Style

Sano A, Tsuchiya T, . Traumatic pneumothorax in a secondary emergency care hospital. doi:10.5455/ijsm.Traumatic-pneumothorax-2020



Vancouver/ICMJE Style

Sano A, Tsuchiya T, . Traumatic pneumothorax in a secondary emergency care hospital. doi:10.5455/ijsm.Traumatic-pneumothorax-2020



Harvard Style

Sano, A., Tsuchiya, T. & (2020) Traumatic pneumothorax in a secondary emergency care hospital. doi:10.5455/ijsm.Traumatic-pneumothorax-2020



Turabian Style

Sano, Atsushi, Takehiro Tsuchiya, and . 2020. Traumatic pneumothorax in a secondary emergency care hospital. doi:10.5455/ijsm.Traumatic-pneumothorax-2020



Chicago Style

Sano, Atsushi, Takehiro Tsuchiya, and . "Traumatic pneumothorax in a secondary emergency care hospital." doi:10.5455/ijsm.Traumatic-pneumothorax-2020



MLA (The Modern Language Association) Style

Sano, Atsushi, Takehiro Tsuchiya, and . "Traumatic pneumothorax in a secondary emergency care hospital." doi:10.5455/ijsm.Traumatic-pneumothorax-2020



APA (American Psychological Association) Style

Sano, A., Tsuchiya, T. & (2020) Traumatic pneumothorax in a secondary emergency care hospital. doi:10.5455/ijsm.Traumatic-pneumothorax-2020