Is it as harmless as it appears? Thoracic traumas caused by Pat-Pat accidents

Authors : Barış HEKİMOĞLU, Muhammet Ali BEYOGLU

Pages : 1267-1271

Doi:10.32322/jhsm.1115917

View : 17 | Download : 14

Publication Date : 2022-09-25

Article Type : Research Paper

Abstract :Aim: This study examines the morbidity and mortality of chest traumas due to Pat-Pat accidents, which is one of the most frequently used motor vehicles in agriculture, especially in mountainous regions in developing countries. Material and Method: This retrospective study included 57 patients who were followed up in a single center between November 2018 and 2021 for thoracic trauma due to a Pat-Pat accident. Patients` age, gender, position in the vehicle, trauma mechanism, trauma location and time, trauma-related pathologies, treatments, and length of stay in hospital and intensive care unit were examined. Results: The cases included 44 insert ignore into journalissuearticles values(77.2%); men and 13 insert ignore into journalissuearticles values(22.8%); women with a mean age of 49.93±20.9 years. Of the accidents, 54 insert ignore into journalissuearticles values(94.7%); occurred on rural roads, 35 insert ignore into journalissuearticles values(61.4%); occurred on weekdays, 29 insert ignore into journalissuearticles values(50.9%); occurred in spring, and 20 insert ignore into journalissuearticles values(35.1%); occurred in summer. The cases consisted of 37 insert ignore into journalissuearticles values(64.9%); drivers and 20 insert ignore into journalissuearticles values(35.1%); passengers, of which 31 insert ignore into journalissuearticles values(54.4%); were injured due to collision and 26 insert ignore into journalissuearticles values(45.6%); were injured due to vehicle overturning and being ejected from the vehicle. All cases had rib fractures, 8 insert ignore into journalissuearticles values(14%); had sternum fracture, 25 insert ignore into journalissuearticles values(43.9%); had pneumothorax, 36 insert ignore into journalissuearticles values(63.2%); had hemothorax, 22 insert ignore into journalissuearticles values(38.6%); had pulmonary contusion, and 2 insert ignore into journalissuearticles values(3.5%); had cardiac contusion. While 19 insert ignore into journalissuearticles values(33.3%); of the cases were discharged after evaluation and treatment in the emergency department, 30 insert ignore into journalissuearticles values(52.6%); were treated in the ward, and 8 insert ignore into journalissuearticles values(14%); were treated in the intensive care unit insert ignore into journalissuearticles values(ICU);. Thirty-three patients underwent a surgical procedure. The mean hospital stay was 7.8 days, and the mean ICU stay was 5.47 days. Mortality developed in 3 insert ignore into journalissuearticles values(5.3%); cases. The rates of ICU admission and mortality were found to be higher in injuries caused by being ejected from the vehicle compared to injuries caused by impact insert ignore into journalissuearticles values(p<0.05);. Conclusion: Pat-Pat accidents cause severe thoracic trauma. In these vehicle accidents with no significant safety precautions, morbidity and mortality are quite high, especially in thoracic trauma caused by ejection from a vehicle.
Keywords : Agriculture vehicles, Pat Pat, thoracic surgery, trauma