الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 117 |  |  |
| | | from | 117 | | |
Abstract
Introduction: Thoracic trauma severity can range from mild to severe chest trauma with life threatening conditions that require immediate and precise management. Blunt chest trauma creates most cases of thoracic trauma patients. Road traffic accidents (RTA), falling from height (FFH), falling to ground (FTG), falling downstairs (FDS), struggle with others, and direct trauma to the chest are among the modes of trauma in blunt thoracic trauma patients. Clinical and radiological chest assessment in blunt trauma patients is very important to direct a life-saving procedure and for definitive management. Scoring systems are believed to help in predicting the severity of thoracic trauma and the prognosis of these patients. For this, many scoring systems were developed such as the ISS, the RTS, the TRISS, and the TTSS developed by Pape et al., (2020). The TTSS combines patient’s age, resuscitation parameters, and thoracic imaging. The aim of this study: This study was designed to evaluate the validity of Thoracic Trauma Severity Score System (TTSS) in blunt chest trauma patients in Mansoura University Hospitals (MUH) over the period of 8 months from October 2021 to May 2022. Patients and Methods: All patients attending emergency department presenting with blunt chest trauma during the period from October 2021 to May 2022 in Mansoura University Hospitals (MUHs) were examined according to rib fracture, flail chest, sternal fracture, hemothorax, pneumothorax, pulmonary contusion, pneumomediastinum, and presence of associated injury (polytrauma). We also noted the mode of trauma, development of complications, length of hospital admission, and the need of tube thoracostomy application, surgical intervention, or mechanical ventilation. This study was a prospective observational clinical study from October 2021 to May 2022 in Mansoura University Hospitals (MUHs). Results: The commonest age groups at risk are the extremities; the young and elderly patients who are liable to severe blunt thoracic trauma with minor mode of trauma. Regarding the outcome, of the total study population 39 (12.9%) patients died vs 263 (87.08%) patients discharged and followed up in the outpatient clinic (OPC). The most common cause of death was neurological insult either alone or in combination with severe thoracic injuries. We found a highly significant association between TTSS and mortality. Also, each item of the score was found to be significant (p<0.05) when analyzed separately in association with the outcome. Conclusion: TTSS can predict the outcomes of patients with blunt thoracic trauma who presented to the emergency department. We observed that the increase in TTSS creates a poor prognosis. A cut-off value of 8 points in TTSS can be used as alarming sign for clinicians when dealing with any patient with blunt chest trauma patients in the ER; either isolated or as a part of polytrauma. Keywords: Thoracic trauma – TTSS – outcome – predictor