Plain X‑ray Findings Among Chest Trauma Patients in Lagos
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Abstract
Background: Chest trauma survivors experience a complexity of problems. Plain radiography of the chest has being the standard
diagnostic tool in the initial evaluation of chest trauma patients. The aim of this study is to identify plain chest radiograph findings seen
in chest trauma patients and investigate the major causes of chest trauma.
Methodology: The study is a cross‑sectional retrospective study designed to identify plain chest radiograph findings in all patients with chest trauma in two public hospitals in Lagos, Nigeria from June 2012 to September 2012. The data was analyzed using epidemiology information (Epi Info) software.
Results: A total of 200 patients that underwent chest X‑ray due to chest trauma were reviewed. The majority of the cases were of the age group of 36–45 years, followed by age range 46–55 years. The majority of the cases at the National Orthopedic Hospital Igbobi were males 71 (61.7%) while females accounted for 44 (38.3%). The figures for the cases at The Lagos State University Teaching Hospital were 63 (74.1%) for males and 22 (25.8%) were female. Clinical information revealed that most cases of chest trauma were caused by road traffic accident, followed by gunshot injuries. The most common radiograph finding was rib fracture.
Conclusion: Chest injury is more common in males. The majority of the chest trauma cases were related to blunt chest trauma. Rib fracture is the most common finding in chest radiographs of patients with blunt and penetrating trauma.
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References
1. Martin E. Concise Medical Dictionary. 8th ed. UK: House Books Limited; 2010.
2. Keough V, Pudelek B. Blunt chest trauma: Review of selected pulmonary injuries focusing on pulmonary contusion. AACN Clin Issues 2001; 12:270‑81.
3. Peitzman AB. The Trauma Manual. Philadelphia PA 19103 USA: Lippincott Williams and Wilkins; 2002. p. 203.
4. Feliciano, David V, Mattox, Kenneth L. Trauma. 7th ed. Atlanta: McGraw‑Hill Professional; 2012. p. 468.
5. Moloney JT, Fowler SJ, Chang W. Anesthetic management of thoracic trauma. Curr Opin Anaesthesiol 2008;21:41‑6.
6. LoCicero J 3rd, Kenneth LM. Epidemiology of chest trauma. Thorac Trauma J (Researchgate) 1989;69:15‑9.
7. Thomas MO, Ogunleye EO. Etiopathology and management challenges of blunt chest trauma in Nigeria. Asian Cardiovasc Thorac Ann 2009;17:608‑11.
8. Primack S, Collins J. Blunt nonaortic chest trauma: Radiographic and CT findings. Emerg Radiol 2002;9:5‑12.
9. Mezue WC, Ndubuisi CA, Erechukwu UA, Ohaegbulam SC. Chest injuries associated with head injury. Niger J Surg 2012;18:8‑12.
10. Adeboye VO, Ladipo JK, Brimmo IA, Adebo A O. Review of blunt chest trauma patients treated. Afr J Med Med Sci 2002;31:315‑20.
11. Ekpe EE, Eyo C. Determinants of mortality in chest trauma patients. Niger J Surg 2014;20:30‑4.
12. Nagarur G. Thoracic trauma. Indian J Thorac Cardiovasc Surg 2004;20:144‑8.
13. Clark GC, Schecter WP, Trunkey DD. Variables affecting outcome in blunt chest trauma: Flail chest vs. pulmonary contusion. J Trauma
1988;28:298‑304.
14. Dalal S, Nityesha M, Vashisht M, Dahiya R. Prevalence of chest trauma at an apex institute of North India: A retrospective study. Intern J Surg 2008;18:2008.
15. Ali N, Gali BM. Pattern and management of chest injuries in Maiduguri, Nigeria. Ann Afr Med 2004;3:181‑4.
16. Massaga FA, Mchembe M. The pattern and management of chest trauma at Muhimbili National Hospital, Dar es Salaam. East Cent Afr J Surg 2010;15:124‑9.
17. Odelowo EO. Pattern of trauma resulting from motorcycle accidents in Nigerians: A two‑year prospective study. Afr J Med Med Sci 1994; 23:109‑12.
18. Marts B, Durham R, Shapiro M, Mazuski JE, Zuckerman D, Sundaram M, et al. Computed tomography in the diagnosis of blunt thoracic injury. Am J Surg 1994;168:688‑92.
19. Poole GV, Morgan DB, Cranston PE, Muakkassa FF, Griswold JA. Computed tomography in the management of blunt thoracic trauma. J Trauma 1993;35:296‑300.
20. Zinck SE, Primack SL. Radiographic and CT findings in blunt chest trauma. J Thorac Imaging 2000;15:87‑96.
21. Miller LA. Chest wall, lung, and pleural space trauma. Radiol Clin North Am 2006;44:213‑24, viii.
22. Griffith JF, Rainer TH, Ching AS, Law KL, Cocks RA, Metreweli C. Sonography compared with radiography in revealing acute rib fracture. AJR Am J Roentgenol 1999;173:1603‑9.
23. Saaiq M, Zubair M, Ullah I, Shah SA. Chest Trauma, Significant source of morbidity and mortality. Ann Pak Inst Med Sci 2010;6:172‑177.