THORACIC TRAUMA: IMPACT OF AGE ON MORBIDITY AND MORTALITY

1749 thoracic trauma patients were divided into 3 groups according to age and type of injury. Blunt thoracic trauma comprised 54% of children, 47% of adults and 71% of elderly (p<0.001). Penetrating trauma was the cause in 48% of children, 53% of adults and 29% of elderly. Laparotomy was performed more frequently in the adult patients with penetrating injury and was found significant compared to children and elderly (p<0.00l and p<0.05). For penetrating injury thoracotomy rate was not significant among the groups. For blunt injury mortality rate significant in the elderly compared to adults (p<0.00l) and to children (p<0.05). For penetrating injury mortality was significant between elderly and children (p<0.05) and between children and adults (p<0.05). Thoracotomy rate was 8.75% for penetrating and 7.9% for trauma. Overall mortality rate was 7.9% for blunt and 5.2% for penetrating injuries.

TORAKS TRAVMASI: YAÞIN MORBÝDÝTE VE MORTALÝTE ÜZERÝNE ETKÝSÝ

Toraks Travmasý nedeniyle kliniðimizde tedavi gören 1749 olgu yaþ gruplarýna ve yaralanma tipine göre 3 gruba ayrýldý. Künt travma oraný çocuklarda %54 eriþkinlerde %47 iken yaþlýlarda bu oran %71 idi (p<0.001). Penetran travma oraný çocuk ve eriþkinlerde sýrasýyla %46 ve %53 iken yaþlýlarda bu oran %29 idi (p<0.001). Laparotomi penetran travmalý eriþkin olgularda (%23.1) daha sýk yapýlmýþtýr ve çocuk ve yaþlý gruplar ile karþýlaþtýrýldýðýnda istatistiki olarak anlamlý bulunmuþtur (p<0.001 ve p<0.05). Künt travmalý olgularda mortalite oraný yaþlýlarda eriþkinlere (p<0.001) ve çocuklara (p<0.05) göre karþýlaþtýrýldýðýnda istatistiki olarak anlamlý bulundu. Penetran travmalý olgulardaki mortalite oraný yaþlý ve çocuk grubu arasýnda (p<0.05) ve çocuk ve eriþkin grubu arasýnda (p<0.05) istatistiki olarak anlamlý bulundu. Penetran travmalý 77 olguda (%8.75), künt travmalý 69 (%7.9) olguda torakotomi yapýlmýþtýr. Künt travmalý olgulardaki genel mortalite oraný %7.2 penetran travmalý olgularda %5.2 idi.