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Prevalence and Factors Associated with Mortality among chest injury Patients Admitted at Muhimbili National Hospital in Dar es Salaam, Tanzania

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International Journal of Clinical Medicine 2021年第9期12卷 364-376页

作者： Janeth Stanslaus Masuma Respicious Lwezimula Boniface Edwin Rwebugisa Lugazia Muhimbili University of Health and Allied Sciences (MUHAS) Dar es Salaam Tanzania Muhimbili Orthopaedic Institute (MOI) Dar es Salaam Tanzania injury Control Centre Tanzania (ICCT) Dar es Salaam Tanzania Jakaya Kikwete Cardiac Institute Dar es Salaam Tanzania

Introduction: Accidents represent a significant proportional of non-communicable disease in the current century, and chest injury is common. However, management and outcome of these injuries is poor in low resource setting like Tanzania. The aim of this study was to determine the prevalence and factors associated with mortality among chest injury patients at a tertiary level health facility in Tanzania. Method: A prospective Cross-Sectional study of chest injuries among trauma patients attended at Muhimbili National Hospital between September 2019 and February 2020. Results: A total of 282 trauma patients were seen, out of which 51/282 (18.1%) sustained chest injury. Road Traffic Crashes were the leading cause of chest injury 41/51 (80.4%). Majority 17/51 (33.3%) presented with lung contusion, followed by pneumohemothorax and rib fractures each 8/51 (15.7%). Most of the patients 27/51 (52.9%) were managed by tube thoracostomy and 42.1% conservatively. Mortality was 11/51 (21.6%). Independent factors associated with mortality were: Associated injuries (Odds Ratio (OR) 0.07, 95% CI 0.01 - 1.16, p = 0.02), Multimodal analgesia (Odds Ratio (OR) 0.22, 95% CI 0.05 - 0.98, p = 0.05), more than 24 hours to treatment (Odds Ratio (OR) 5.53, 95% CI 1.25 - 24.3, p = 0.02), Bilateral chest involvement (Odds Ratio (OR) 4.61, 95% CI 1.12 - 18.7, p = 0.02), and Invasive ventilation (Odds Ratio (OR) 31.5, 95% CI 4.47 - 53.8, p = 0.00). Conclusion: chest injuries prevail significantly among trauma patients in Tanzania, mostly due to road traffic crashes. injury preventive measures especially for road traffic crashes need to be reinforced, and establishment of chest injury management protocol in Tanzania.

关键词： chest injury Road Traffic Crashes Tanzania

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乌司他丁治疗严重胸外伤致急性肺损伤/急性呼吸窘迫征的临床研究

乌司他丁治疗严重胸外伤致急性肺损伤/急性呼吸窘迫征的临床研究

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第三届重症医学大会

作者：皮勇桂文芳顾向亮戴丽星肖志英湖北省中山医院

目的评价乌司他丁在严重胸外伤致急性肺损伤/急性呼吸窘迫综合征患者中的治疗效果和作用。方法对40例严重胸外伤致ALI/ARDS患者进行临床总结,并将40例患者随机分为实验组(n=20)和对照组

关键词： ulinastatin chest injury ALI/ARDS mortality

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