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Indicators of Severity in Chest Trauma
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class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Indicators of Severity in Chest Trauma" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "257" "paginaFinal" => "262" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Jordi Freixinet, Juan Beltrán, Pedro Miguel Rodríguez, Gabriel Juliá, Mohammed Hussein, Rita Gil, Jorge Herrero" "autores" => array:7 [ 0 => array:3 [ "nombre" => "Jordi" "apellidos" => "Freixinet" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Juan" "apellidos" => "Beltrán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "Pedro Miguel" "apellidos" => "Rodríguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "Gabriel" "apellidos" => "Juliá" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:3 [ "nombre" => "Mohammed" "apellidos" => "Hussein" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 5 => array:3 [ "nombre" => "Rita" "apellidos" => "Gil" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 6 => array:3 [ "nombre" => "Jorge" "apellidos" => "Herrero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario de Gran Canaria Dr Negrín, Las Palmas de Gran Canaria, Las Palmas, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario de Gran Canaria Dr Negrín, Las Palmas de Gran Canaria, Las Palmas, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr J. Freixinet Unidad de Cirugía Torácica, Hospital Dr Negrín Barranco de la Ballena, s/n 35020 Las Palmas de Gran Canaria Las Palmas, Spain" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-11-13" "fechaAceptado" => "2007-11-20" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec155245" "palabras" => array:4 [ 0 => "Chest trauma" 1 => "Rib fractures" 2 => "Hemothorax" 3 => "Traumatic pneumothorax" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155244" "palabras" => array:4 [ 0 => "Traumatismos torácicos" 1 => "Fracturas costales" 2 => "Hemotórax" 3 => "Neumotórax traumático" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">We undertook a review of patients with chest trauma attended between January 1992 and June 2005 in order to establish severity criteria in these cases.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">During the study period, 1772 cases (1346 [76%] males) were treated, with ages ranging from 7 to 98 years (mean, 46.4 years). The Revised Trauma Score (RTS) was calculated and the following variables were also studied as potential indicators of severity: age, extent of the injury, number of rib fractures, presence of lung contusion, hemothorax, cardiorespiratory repercussions, and need for mechanical ventilation.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">At the time of admission, 84.4% of patients presented only symptoms related to the injury, with no general repercussions, and 66.7% had an RTS of 12. The number of rib fractures was a reliable indicator of severity, as was the presence of multiple injuries, lung contusion, need for mechanical ventilation, and cardiorespiratory repercussions. Neither age nor presence of hemothorax was found to be an indicator of severity. Pleural drainage was performed in 756 cases and was effective in 670 (88.6%).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">There are a number of indicators of severity in chest trauma, related more closely to the type and repercussions of the trauma than to the age of the patient. There is a high incidence of fluid or gas accumulation in the pleural space, though this can be easily managed by pleural drainage, which constitutes the main therapeutic procedure in chest trauma.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Revisamos la experiencia en traumatismos to-rácicos (TT) atendidos entre enero de 1992 y junio de 2005 con la intención de establecer criterios de gravedad en ellos.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Durante dicho período se atendieron 1.772 casos con edades comprendidas entre los 7 y 98 años (1.346 varones; 76%) y con una media de edad de 46,4 años. Se aplicó la escala Revised Trauma Score (RTS) y se tuvieron en cuenta, como indicadores, la edad, el grado de traumatismo, el número de fracturas costales, la presencia de contusión pulmonar, hemotórax, la repercusión cardiorrespiratoria y la necesidad de ventilación mecánica.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En el momento del ingreso el 84,4% tenía únicamente síntomas relacionados con el traumatismo, sin repercusión general, y el 66,7% presentaba un índice RTS de 12. El número de fracturas costales fue un marcador eficaz de gravedad, al igual que la presencia de politraumatismo, contusión pulmonar, necesidad de ventilación mecánica y repercusión cardiorrespiratoria. La edad no se reveló como un índice de gravedad, y tampoco la presencia de hemotórax. En 756 ocasiones se realizó drenaje pleural, que fue resolutivo en 670 (88,6%).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los TT tienen una serie de indicadores de gravedad, más relacionados con el tipo e impacto del traumatismo que con la edad del paciente. El síndrome de ocupación pleural es un problema de mucha incidencia, aunque de resolución fácil con un drenaje pleural. Éste constituye la principal arma terapéutica en los TT.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:41 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Manejo inicial de los traumatismos torácicos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J Freixinet" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Patol Respir" "fecha" => "2001" "volumen" => "4" "paginaInicial" => "77" "paginaFinal" => "78" "itemHostRev" => array:3 [ "pii" => "S0009739X09001717" "estado" => "S300" "issn" => "0009739X" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "ATLS" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "Comité de Trauma del Colegio Americano de Cirujanos. 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| 2024 August | 43 | 39 | 82 |
| 2024 July | 33 | 29 | 62 |
| 2024 June | 31 | 37 | 68 |
| 2024 May | 42 | 28 | 70 |
| 2024 April | 29 | 24 | 53 |
| 2024 March | 17 | 14 | 31 |
| 2024 February | 18 | 18 | 36 |
| 2023 March | 4 | 5 | 9 |
| 2023 February | 14 | 15 | 29 |
| 2023 January | 22 | 39 | 61 |
| 2022 December | 20 | 32 | 52 |
| 2022 November | 21 | 29 | 50 |
| 2022 October | 28 | 34 | 62 |
| 2022 September | 21 | 27 | 48 |
| 2022 August | 21 | 46 | 67 |
| 2022 July | 19 | 41 | 60 |
| 2022 June | 17 | 30 | 47 |
| 2022 May | 17 | 33 | 50 |
| 2022 April | 22 | 37 | 59 |
| 2022 March | 21 | 35 | 56 |
| 2022 February | 14 | 23 | 37 |
| 2022 January | 17 | 33 | 50 |
| 2021 December | 17 | 48 | 65 |
| 2021 November | 19 | 106 | 125 |
| 2021 October | 41 | 69 | 110 |
| 2021 September | 21 | 62 | 83 |
| 2021 August | 16 | 41 | 57 |
| 2021 July | 12 | 38 | 50 |
| 2021 June | 11 | 30 | 41 |
| 2021 May | 15 | 24 | 39 |
| 2021 April | 27 | 66 | 93 |
| 2021 March | 22 | 35 | 57 |
| 2021 February | 12 | 20 | 32 |
| 2021 January | 15 | 16 | 31 |
| 2020 December | 13 | 12 | 25 |
| 2020 November | 16 | 19 | 35 |
| 2020 October | 11 | 14 | 25 |
| 2020 September | 18 | 4 | 22 |
| 2020 August | 56 | 11 | 67 |
| 2020 July | 28 | 29 | 57 |
| 2020 June | 8 | 8 | 16 |
| 2020 May | 11 | 19 | 30 |
| 2020 April | 15 | 20 | 35 |
| 2020 March | 11 | 14 | 25 |
| 2020 February | 15 | 14 | 29 |
| 2020 January | 15 | 22 | 37 |
| 2019 December | 11 | 12 | 23 |
| 2019 November | 9 | 11 | 20 |
| 2019 October | 4 | 13 | 17 |
| 2019 September | 12 | 18 | 30 |
| 2019 August | 10 | 13 | 23 |
| 2019 July | 11 | 27 | 38 |
| 2019 June | 4 | 13 | 17 |
| 2019 May | 15 | 18 | 33 |
| 2019 April | 11 | 16 | 27 |
| 2019 March | 11 | 15 | 26 |
| 2019 February | 16 | 10 | 26 |
| 2019 January | 5 | 7 | 12 |
| 2018 December | 9 | 15 | 24 |
| 2018 November | 23 | 25 | 48 |
| 2018 October | 23 | 24 | 47 |
| 2018 September | 13 | 17 | 30 |
| 2018 May | 7 | 0 | 7 |
| 2018 April | 9 | 19 | 28 |
| 2018 March | 6 | 15 | 21 |
| 2018 February | 8 | 14 | 22 |
| 2018 January | 15 | 21 | 36 |
| 2017 December | 7 | 6 | 13 |
| 2017 November | 3 | 6 | 9 |
| 2017 October | 12 | 18 | 30 |
| 2017 September | 4 | 6 | 10 |
| 2017 August | 14 | 18 | 32 |
| 2017 July | 7 | 10 | 17 |
| 2017 June | 14 | 33 | 47 |
| 2017 May | 10 | 17 | 27 |
| 2017 April | 3 | 18 | 21 |
| 2017 March | 8 | 31 | 39 |
| 2017 February | 5 | 16 | 21 |
| 2017 January | 3 | 8 | 11 |
| 2016 December | 7 | 8 | 15 |
| 2016 November | 10 | 12 | 22 |
| 2016 October | 13 | 7 | 20 |
| 2016 September | 15 | 10 | 25 |
| 2016 August | 18 | 7 | 25 |
| 2016 July | 14 | 7 | 21 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 85 | 11 | 96 |
| 2015 September | 93 | 12 | 105 |
| 2015 August | 58 | 9 | 67 |
| 2015 July | 114 | 10 | 124 |
| 2015 June | 62 | 10 | 72 |
| 2015 May | 77 | 12 | 89 |
| 2015 April | 87 | 7 | 94 |
| 2015 March | 118 | 5 | 123 |
| 2015 February | 111 | 7 | 118 |
| 2015 January | 61 | 8 | 69 |
| 2014 December | 63 | 5 | 68 |
| 2014 November | 60 | 7 | 67 |
| 2014 October | 83 | 13 | 96 |
| 2014 September | 74 | 9 | 83 |
| 2014 August | 67 | 12 | 79 |
| 2014 July | 75 | 14 | 89 |
| 2014 June | 65 | 9 | 74 |
| 2014 May | 68 | 12 | 80 |
| 2014 April | 85 | 9 | 94 |
| 2014 March | 80 | 10 | 90 |
| 2014 February | 73 | 11 | 84 |
| 2014 January | 75 | 9 | 84 |
| 2013 December | 56 | 12 | 68 |
| 2013 November | 51 | 11 | 62 |
| 2013 October | 48 | 8 | 56 |
| 2013 September | 61 | 12 | 73 |
| 2013 August | 51 | 6 | 57 |
| 2013 July | 79 | 17 | 96 |
| 2013 June | 61 | 9 | 70 |
| 2013 May | 56 | 6 | 62 |
| 2013 April | 36 | 1 | 37 |
| 2013 March | 9 | 3 | 12 |
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