Journal of Clinical Healthcare 2/2015
ARTYKUŁY ORYGINALNE (ORIGINAL PAPERS)
Urazy klatki piersiowej w materiale Szpitalnego Oddziału
Ratunkowego Szpitala Uniwersyteckiego w Krakowie
(Chest traumas in the material of the Emergency Room at the University Hospital
in Krakow)
K Gnojek
1,A,B,D
, Z Kopański
1,2,C,F
, R Gajdosz
1,E
1. Wydział Nauk o Zdrowiu Collegium Medicum Uniwersytet Jagielloński
2. Collegium Masoviense – Wyższa Szkoła Nauk o Zdrowiu
Abstract—
Introduction: These days rib cage injuries are gaining more and more both social and medical dimensions. The great topicality
made the author undertake her own research.
The purpose of the thesis: The purpose of the research was to determine the frequency of rib cage injuries with reference to the following
factors: gender, age, applying alcohol and/or intoxicating substances by a patient, characteristics of basic injury, characteristics of injury
circumstances, characteristics of accompanying injuries.
Material and methods
Material :Medical documentation of the University Hospital Emergency Department in Krakow covering the period from 01.09.2014 to
31.12.2014 was subjected to a retrospective analysis. According to previously adopted examination procedure, a group of 204 patients aged
19-85 had been selected which became a base of further analysis.
Methodology: Based on the
ICD-10 , select some patients
from the sick treated in the University Hospital Emergency Department in Krakow from 01.09.2014 to 31.12.2014 who were assigned a code of
the nosological diagnosis S20, S20, S21, S22, S23, S24, S25, S26, S27, S28, S29.
Results and conclusions
The results achieved show that rib cage injuries appeared a bit more often in men than women. The frequency of appearing rib cage injuries
was highest in the group of patients aged over 55; nevertheless, the lowest in the age group under 25. In all remaining age ranges it stayed at
a comparable level. Under alcohol influence and/or other intoxicating substances was 7% of the examined people. In the moment of sustaining
rib cage injury, men were three times more often under the influence of alcohol than women. The patients under the age of 24 and between
35-44 were drunk the most frequently. In all remaining age ranges the frequency of the patients being under the influence of alcohol was
comparable. No intoxicating substances were detected at any of the examined patients.
The most frequent types of rib cage injuries found in the studied examination i.e. superficial thorax injury (S. 20), fracture of rib(s), sternum and
thoracic spine (S. 22) concerned both of genres with comparable frequency. However, dislocation and sprain of joints and ligaments of thorax
(S. 23), injury of blood vessels of thorax (S. 25) and crushing injury of thorax and traumatic amputation of part of thorax (S. 28) happened only
in men. Irrespective of the examined age range, superficial injury of thorax (S. 20) was the most frequent injury that occurred. The injury
described as a fracture of rib(s), sternum and thoracic spine (S. 22) appeared the most rarely in the youngest age group (up to 24), and the
most often in the group above 55. One should pay attention to the fact that along with the increasing age of the examined people, in spite of
the dominance of the injury S. 20 in all age rages, the frequency of appearing remaining particular injuries changed. While in the youngest age
group (to 24), the remaining injuries (apart from S.20) occurred with a comparable frequency, injuries S.22 dominated in the oldest group (over
55) among others remaining ones, excluding S.20. The frequency of injuries defined as S.22 seems to increase along with age which turned
out to be fairly characteristic. Comparing the achieved results shows that a fall from the body height happened more often in women, while a
fall from the height over three times more frequent and beating over twice more often occurred in men in comparison with women. The rib
cage injuries associated with crushing concerned exclusively men. All the remaining causes of the injuries spread with the comparable
frequency to both genders. For the majority of the examined age ranges, there were congenital circumstances to experience a rib cage injury.
In the youngest age group (to 24) and at the age between 25-34, the most frequent reason of rib cage injury turned out to be beatings, in the
age range between 25-34 traffic accidents, from 45 up – a fall from the body height. Above that age limit, the participation of a fall from the
body height amongst all the examined reasons was clearly increasing along with time.
The essential results show that rib cage injury in women was assisted with superficial head injuries (S00-S09) which happened nearly twice
more often than in men. Next men meeting with the rib cage injury suffered superficial injuries involving multiple body regions (T00-T07) three
times more frequent than women. The frequency distribution of appearing remaining situating injuries co-accompanying rib cage injuries was
comparable in both genders. In younger age ranges, superficial injuries of shoulder and upper arm (S40-S49) are the most often
accompanying injuries of rib cage injury, while they barely happen in later years. However, the frequency of superficial injuries involving
multiple body regions (T00-T07) increases along with the age of the patients who experienced rib cage injury which in the youngest age range
(to 24) do not occur at all.
Key words —
chest injuries, epidemiology, SOR
.
11-20
