Abstract
Flail chest injury is a condition usually resulting from a blunt trauma with a great force to the chest wall causing multiple rib fractures with segmental chest wall instability and leading to significant morbidity and mortality. Flail chest is frequently accompanied by other injuries. This study aims to assess the pattern of traumatic flail chest injury secondary to blunt chest trauma, in patients admitted to Menoufia University Hospital. Demographic criteriaof the patients,type and cause of trauma, data about duration of intensive care unit (ICU) stay, hospital stay, time interval to returnto work (complete recovery), occurrence of chest wall deformity, new injury severity score (NISS) and mortality rate, were all collected and studied. Conclusion: Flail chest injury represented 8.2% of all blunt chest trauma admitted to Menoufia University Hospital during the period of thisstudy. Road traffic accident (RTA) is considered the first cause of flail chest injury. The NISS is a significant way for correlation between the condition of the patients and the mortality rate
Highlights
Blunt injury to the chest is one of the commonest causes of mortality and morbidity in trauma patients
Aim of the work This study aims to assess the pattern of traumatic flail chestinjury secondary to blunt chest trauma; its causes, morbidity and mortality in patientsadmitted to Menoufia University Hospital
The flail chest injury represented 8.2% of all blunt chest trauma admitted to Menoufia University Hospital during the period of study
Summary
Blunt injury to the chest is one of the commonest causes of mortality and morbidity in trauma patients. Flail chest injury is a condition usually resulting from a blunt high impact trauma to the chest causing multiple rib fractures with segmental chest wall instability and leading to significant morbidity and mortality (Athanassiadi et al, 2010; Ciraulo et al, 1994). It occurs in approximately 10% of patients with chest trauma (Ciraulo et al, 1994) and it is a very serious complication (Evman et al, 2015). This can confirmed radiologically either by plain chest radiogram or computed tomography (Coughlin et al, 2016)
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