Closed chest trauma. Brief reflections
DOI:
https://doi.org/10.35381/s.v.v9i18.4662Keywords:
Chest trauma, non-penetrating wounds, pneumothorax, hemothorax, contusions, (Source: DeCS)Abstract
Objectives: To compile updated information on closed thoracic trauma through a bibliographic review of recent scientific literature. Materials and methods: A qualitative bibliographic review was conducted through searches in Scielo and LILACS databases. Scientific articles from the last five years (2020-2025) in Spanish and English languages were included, focusing exclusively on closed thoracic trauma. Other types of trauma, theses, books, presentations and texts prior to 2020 were excluded. Results: Closed thoracic trauma represents approximately 60% of all thoracic trauma in adults, being more prevalent in young men. Associated mortality varies between 10% and 25%. Injury mechanisms include direct impacts and indirect forces from acceleration/deceleration. Diagnosis is based on clinical history, physical examination and imaging studies, with computed tomography being more sensitive than plain radiography. Management varies from conservative treatment to surgical intervention depending on severity.
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References
Shengchao Z, Meiwen T, Jianghua M, Juhua Y, Xuan Q, Wei J, et al. Thoracic trauma: a descriptive review of 4168 consecutive cases in East China. Medicine (Baltimore). 2019;98(14). https://doi.org/10.1097/MD.0000000000014993
Konstantina C, Gabriel H, Beatrix H, Ralph AS, Gregor JK. Lessons from a large trauma center: impact of blunt chest trauma in polytrauma patients—still a relevant problem? Scand J Trauma Resusc Emerg Med. 2017;25:42. https://doi.org/10.1186/s13049-017-0384-y
Chun SB, Il HP, Joong HO, Keum SB, Kang HL, Eunbi. Epidemiology of trauma patients and analysis of 268 mortality cases: trends of a single center in Korea. Yonsei Med J. 2015;56(1). https://doi.org/10.3349/ymj.2015.56.1.220
Petrone P, Ruano Campos G, Brathwaite CEM, Joseph DAK. Prevalence, diagnosis and treatment of traumatic pulmonary injuries. Rev Colomb Cir. 2019;34(2). https://doi.org/10.30944/20117582.107
American College of Surgeons. Advanced Trauma Life Support (ATLS) Student Course Manual. 10th ed. Chicago, IL: American College of Surgeons; 2019.
Tintinalli JE, Stapczynski JS, Ma OJ, Yealy DM, Meckler GD, Cline DM. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 9th ed. New York, NY: McGraw-Hill Education; 2020. https://n9.cl/1vhqr
Moore EE, Cogbill TH, Jurkovich GJ, et al. Trauma. En: Zinner MJ, Ashley SW, editores. Maingot's Abdominal Operations. 13th ed. New York: McGraw-Hill; 2012.
Huguet J, Gervais C, Gosselin M, et al. Management of thoracic trauma. CMAJ. 2021;193(1):E1–E2. https://doi.org/10.1503/cmaj.200826
McKee H, MacKenzie E, Tindall A, et al. Patterns of thoracic injury in blunt trauma. J Trauma. 2020;88(1):145-150. https://doi.org/10.1097/TA.0000000000002558
Chiumello D, Pintaudi M, Froio S, et al. Diagnostic accuracy of ultrasound for the detection of thoracic injuries after blunt trauma: a systematic review and meta-analysis. Crit Care. 2020;24(1):1-10. https://doi.org/10.1186/s13613-020-00758-5
Kwan A, Kuo A, Alavi A, et al. The role of ultrasound in the management of thoracic trauma: a review. Injury. 2021;52(6):1348-1354. https://doi.org/10.1016/j.injury.2020.11.026
Kearney J, Egan L, McLoughlin E, et al. The management of rib fractures in the elderly: a systematic review. Eur J Trauma Emerg Surg. 2022;48(3):683-689. https://doi.org/10.1007/s00068-022-01985-1
Kocak M, Ozer S, Yilmaz A. Multidisciplinary approach in traumatic thoracic injuries: a review. J Trauma Nurs. 2023;30(1):10-188. https://doi.org/10.1097/JTN.0000000000000642
Tran J, Haussner W, Shah K. Traumatic pneumothorax: a review of current diagnostic practices and evolving management. J Emerg Med. 2021;61(5):517-528. https://doi.org/10.1016/j.jemermed.2021.07.006
Parra KT, Mayberry J, Edwards NM, Long WB, Martin MJ. Traumatic thoracic rib cage and chest wall hernias: A review and discussion of management principles. Am J Surg. 2021;221(6):1238-1245. https://doi.org/10.1016/j.amjsurg.2021.03.024
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