TY - JOUR T1 - Analysis of 430 chest trauma patients in Kashan trauma center: 2003-2011 JF - European Respiratory Journal JO - Eur Respir J VL - 40 IS - Suppl 56 SP - P2420 AU - Abdoulhossein Davoodabadi Y1 - 2012/09/01 UR - http://erj.ersjournals.com/content/40/Suppl_56/P2420.abstract N2 - Background: Chest trauma as a potentially life threatening injury is increasing with increased number of high-speed accidents in Iran.Methods: 430 patients were treated for chest trauma (Mar 2003 and Dec 2011)patients' age and gender, blood pressure, respiratory rate on admission, Glasgow Coma Scale (GCS) scores, types of trauma, the extent of intra thoracic injury, types of associated injuries, length of hospital and ICU stay, morbid conditions, and deaths were analyzed.Results: 343 pt were male (80%).Mean age was 37.67±19.14 .305 patients (70.9%) had blunt and the rest (29.1%) penetrating chest trauma. (83patients (19%) had hemothorax 53patients (12%) pneumothorax and the rest were, cardiac, (10pt), great vessel (12pt) and tracheal injuries (8pt).Rib fracture was the most common thoracic injury with 270pt (63%), were treated with closed thoracostomy drainage.65 patients (15%) had hemothorax and lung contusion, whoever 42patients (11%) of penetrative injury and lung contusion leads to empyema, who need thoracotomy with decortications and diaphragmatic repair Motorcycles and car accidents were the most common etiologic causes in 331 (76%).The most frequent extra-thoracic injury with (33%) was pelvic and limb injuries. while (25%) needed surgical intervention during the first 24 hours. The most common operation was laparotomy. Mean duration of hospital stay was 7± 9.6 (range: 1-70) and ICU stay 1.9days. overall mortality was (11.7%)Conclusion: Chest trauma is a major preventable cause of mortality and morbidity in our country. Systolic blood pressure ≤90, pulse rate ≥120, respiratory rate >29, GCS <8 at the time of admission, and blunt type of trauma were found as the predictors of mortality and morbidity. ER -