Comparison of penetrating thoracic traumas in patients with gunshot and stab wounds in an emergency department

Authors : Nil SAYLAM, Deniz ALGEDİK GÜRSOY, Ali ŞAHİN, Ufuk AYDIN, Doğaç Niyazi ÖZÜÇELİK

Pages : 1-6

Doi:10.18621/eurj.449806

View : 22 | Download : 11

Publication Date : 2020-01-04

Article Type : Research Paper

Abstract :Objectives: Thoracic trauma is among the most important causes of mortality in emergency departments. In this study of penetrating stab wounds insert ignore into journalissuearticles values(PSWs); and gunshot wounds insert ignore into journalissuearticles values(GSWs); admitted to the emergency department with penetrating thoracic trauma cases clinical findings, emergency treatment approaches and survivals were compared with literature information. Methods: One hundred fifty-two patients who applied to Bakırköy Dr. Sadi Konuk Training and Research Hospital Emergency Department with penetrating thoracic trauma on 1 January 2014 and 31 December 2014 were evaluated retrospectively the patients. SPSS 22.0, NY, USA program was used in the analyzes. Results: Patients administered with PSW were 79.6%, with GSW were 20.4%. Patients in the group GSW were admitted to the emergency department with more serious symptoms than patients in the group PSW insert ignore into journalissuearticles values(Triage level 2, GSW: 87.1%, PSW: 62.8% and Triage level 3, GSW: 12.9% vs. PSW: 37.2%);, insert ignore into journalissuearticles values( p = 0.010);. Hemothorax insert ignore into journalissuearticles values(25.8%); in PSW patients and pneumothorax insert ignore into journalissuearticles values(40.5%); in GSW patients was detected more frequently. Surgical treatment was performed in 14.9% of patients with PSW, tube thoracostomy was performed in 24%, and 62.82% were treated with conservative treatment. Surgical treatment was performed in 35.5% of GSW patients and tube thoracostomy was performed in 29%, and 48.4% were treated with conservative treatment insert ignore into journalissuearticles values( p > 0.05);. Conclusion: Despite the lower incidence of GSW than PSW in emergency departments, GSW require more surgical intervention and have a higher mortality rate. 
Keywords : thoracic trauma, emergency, triage, mortality, penetrating