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Prevalence of chest trauma, associated injuries and mortality: a level I trauma centre experience

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A review of prospectively collected data in our trauma unit for the years 1998–2003 was undertaken. Adult patients who suffered multiple trauma with an Injury Severity Score (ISS) of ≥16, admitted to hospital for more than 72 hours and with sustained blunt chest injuries were included in the study. Demographic details including pre-hospital care, trauma history, admission vital signs, blood transfusions, details of injuries and their abbreviated injury scores (AIS), operations, length of intensive care unit and hospital stays, Injury Severity Score (ISS) and mortality were analysed. Fulfilling the inclusion criteria with at least one chest injury were 1,164 patients. The overall mortality reached 18.7%. As expected, patients in the higher AIS groups had both a higher overall ISS and mortality rate with one significant exception; patients with minor chest injuries (AISchest = 1) were associated with mortality comparable to injuries involving an AISchest = 3. Additionally, the vast majority of polytraumatised patients with an AISchest = 1 died in ICU sooner than patients of groups 2–5.


Nous avons pratiqué une revue prospective des données de notre unité de traumatologie pour l'année 1998 à 2003. Les patients présentant des polytraumatismes sévères et dont le score ISS était de 16, admis à l'hôpital pour plus de 72 heures et présentant des traumatismes thoraciques ont été inclus dans cette étude. Les détails démographiques, les traitements pratiqués, l'histoire du traumatisme, les signes vitaux, les lésions vitales à l'admission, les transfusions sanguines, le détail des traumatismes selon le score AIS, les traitements en unité de soins intensifs ainsi que la durée de séjour, le score de sévérité des traumatismes et la mortalité ont été analysés. 1 164 patients présentant au moins un traumatisme thoracique ont été inclus. Le taux de mortalité a été de 18,7%. Les patients avec un score AIS élevé, associés à un score ISS élevé avaient un taux de mortalité significatif avec une exception significative pour les patients présentant un traumatisme thoracique minime (AIS thoracique = 1) associés à une mortalité comparable aux traumatismes de score AIS = 3. De plus, la grande majorité des patients polytraumatisés avec un score AIS = 1 sont décédés en unité de soins intensifs de façon plus précoce que les patients des groupes 2 à 5.

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Correspondence to Peter V. Giannoudis.

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Veysi, V.T., Nikolaou, V.S., Paliobeis, C. et al. Prevalence of chest trauma, associated injuries and mortality: a level I trauma centre experience. International Orthopaedics (SICOT) 33, 1425–1433 (2009).

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