Document Type : Original Article
Authors
1 Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2 Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, IranShiraz University of Medical Sciences
Abstract
Objective: This study is aimed to determine the prevalence and mortality rate of trauma patients who underwent resuscitative thoracotomy in a level one trauma center in southern Iran.
Methods: This cross-sectional descriptive study conducted at Rajaee Hospital (Shiraz, Iran) from March 2018 to October 2022, included trauma patients who underwent RT surgery. Demographic information, vital signs upon arrival, mechanism of injury, type of trauma, admission and discharge dates, length of hospital stay, blood transfusions, associated injuries, and clinical and laboratory factors were evaluated. Statistical analyses were conducted using SPSS software.
Results: A total of 147 trauma patients underwent RT. Patients had the mean age 39 ± 18.49 years. The majority of participants were male (82.40%). Blunt trauma was the most common type of injury, with a survival rate of 3%, while penetrating trauma had a survival rate of 20%. The leading cause of trauma-related fatalities was road traffic accidents (78.9%). Most RT procedures were performed in cardiopulmonary resuscitation (CPR) rooms (75.5%). In addition, systolic and diastolic blood pressure levels in survival group were lower than non-survival, respectively (83.0 ± 34.96 vs. 97.83 ± 33.10) and (40.75 ± 20.91 vs. 62.48 ± 25.36). More importantly, survivors had a higher Glasgow Coma Scale than non-survivors (8.40 ± 6.14 vs. 4.75 ± 3.84).
Conclusions: The study revealed a low survival rate among trauma patients undergoing RT. Blunt trauma to the chest emerged as an independent predictor of poor outcomes. Future studies should further explore indications and outcomes of RT to inform effectively clinical practice.
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