Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases
Yıl: 2020 Cilt: 26 Sayı: 1 Sayfa Aralığı: 80 - 85 Metin Dili: İngilizce DOI: 10.14744/tjtes.2019.82930 İndeks Tarihi: 10-11-2020
Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases
Öz: BACKGROUND: This study aims to investigate the factors associated with mortality in patients with traumatic diaphragmatic rupture (TDR).METHODS: The records of patients who were operated on at a single hospital with the indication of blunt or penetrating thoracoabdominal injuries between January 2010 and June 2018 and who were perioperatively diagnosed with a diaphragmatic injury wereevaluated retrospectively. The details of demographic characteristics, the type and localization of the trauma, presence and number ofassociated organ injuries, vital signs at admission, time from admission until surgery, type of operation, type of diaphragmatic repair,therapeutic approach, complications and Injury Severity Score (ISS) were analyzed.RESULTS: A total of 92 patients were included in this study. The mortality rate throughout the postoperative period was 15.2%. Apenetrating injury was detected in 77.2% of the patients. Associated organ injury was most frequently in the liver, which was significantas a factor that increased mortality (p=0.020). The mortality rate was significantly lower among patients who underwent repair ofdiaphragmatic rupture when compared with untreated patients (p=0.003). Atelectasis was the most common complication. An ISS ≥24points in patients with TDR was found to be an independent risk factor associated with mortality (p=0.003).CONCLUSION: Other organs are frequently involved in cases of TDR, and mortality increased significantly in cases with associatedliver injury. An ISS of ≥24 was determined to be an independent risk factor associated with mortality. Since the main determinant ofmortality was the presence or absence of additional organ injuries, it is important that this should be taken into consideration in thesepatients
Anahtar Kelime: Travmatik diyafragma yaralanması olan hastalarda mortalite ile ilişkili faktörler: Doksan iki olgunun analizi
Öz: AMAÇ: Travmatik diyafragma rüptürü (TDR) olan hastalarda mortalite ile ilişkili faktörleri irdelemektir. GEREÇ VE YÖNTEM: Ocak 2010 ile Haziran 2018 tarihleri arasında künt ve penetran torakoabdominal yaralanma nedeniyle ameliyata alınıp peroperatif diyafragma yaralanması tespit edilen hastalar geriye dönük olarak değerlendirildi. Hastaların demografik özellikleri, travmanın tipi, lokalizasyonu, ilişkili organ yaralanması varlığı, ek organ yaralanması sayısı, hastanın geliş anındaki tansiyon durumu, ameliyata alınma zamanı, operasyon şekli, diyafragma onarım şekli, terapötik yaklaşım türü, komlikasyonlar ve Yaralanma Şiddet Skorları (ISS) değerlendirildi. BULGULAR: Çalışmaya 92 hasta alındı. Mortalite oranı %15.2 idi. Yaralanmanın şekli %77.2 penetran travma ile idi. İlişkili organ yaralanması en fazla karaciğer olup mortaliteyi arttırıcı faktör olarak anlamlıydı (p=0.020). Diyafragma tamiri yapılan hastalarda mortalite yapılmayanlara göre anlamlıydı (p=0.003). En sık komplikasyon atelektazi idi. TDR olan hastaların ISS’nin 24 ve üzerinde olması mortalite ile ilşkili bağımsız bir risk faktörü olarak tespit edildi (p=0.003). TARTIŞMA: Travmatik diyafragma rüptürü sıklıkla diğer organlar ile birliktelik gösterip özellikle karaciğer yaralanmasının eşlik ettiği durumlarda mortalite anlamlı derecede artmaktadır. Ayrıca ISS’nin 24 ve üzerinde olması mortalite ile ilşkili bağımsız bir risk faktörü olarak tespit edilmiştir. Mortaliteyi belirleyen asıl sebep ek organ yaralanmaları olduğu için diyafragma yaralanması olan hastalarda bu durum göz ardı edilmemesi kanısındayız
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Kaya S, ALTIN Ö, ALTUNTAŞ Y, ÖZDEMİR A, CESUR E, BİLDİK N, kucuk h (2020). Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases. , 80 - 85. 10.14744/tjtes.2019.82930 |
| Chicago | Kaya Selçuk,ALTIN ÖNDER,ALTUNTAŞ Yunus Emre,ÖZDEMİR Attila,CESUR Ekin Ezgi,BİLDİK Nejdet,kucuk hasan Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases. (2020): 80 - 85. 10.14744/tjtes.2019.82930 |
| MLA | Kaya Selçuk,ALTIN ÖNDER,ALTUNTAŞ Yunus Emre,ÖZDEMİR Attila,CESUR Ekin Ezgi,BİLDİK Nejdet,kucuk hasan Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases. , 2020, ss.80 - 85. 10.14744/tjtes.2019.82930 |
| AMA | Kaya S,ALTIN Ö,ALTUNTAŞ Y,ÖZDEMİR A,CESUR E,BİLDİK N,kucuk h Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases. . 2020; 80 - 85. 10.14744/tjtes.2019.82930 |
| Vancouver | Kaya S,ALTIN Ö,ALTUNTAŞ Y,ÖZDEMİR A,CESUR E,BİLDİK N,kucuk h Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases. . 2020; 80 - 85. 10.14744/tjtes.2019.82930 |
| IEEE | Kaya S,ALTIN Ö,ALTUNTAŞ Y,ÖZDEMİR A,CESUR E,BİLDİK N,kucuk h "Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases." , ss.80 - 85, 2020. 10.14744/tjtes.2019.82930 |
| ISNAD | Kaya, Selçuk vd. "Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases". (2020), 80-85. https://doi.org/10.14744/tjtes.2019.82930 |
| APA | Kaya S, ALTIN Ö, ALTUNTAŞ Y, ÖZDEMİR A, CESUR E, BİLDİK N, kucuk h (2020). Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases. Ulusal Travma ve Acil Cerrahi Dergisi, 26(1), 80 - 85. 10.14744/tjtes.2019.82930 |
| Chicago | Kaya Selçuk,ALTIN ÖNDER,ALTUNTAŞ Yunus Emre,ÖZDEMİR Attila,CESUR Ekin Ezgi,BİLDİK Nejdet,kucuk hasan Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases. Ulusal Travma ve Acil Cerrahi Dergisi 26, no.1 (2020): 80 - 85. 10.14744/tjtes.2019.82930 |
| MLA | Kaya Selçuk,ALTIN ÖNDER,ALTUNTAŞ Yunus Emre,ÖZDEMİR Attila,CESUR Ekin Ezgi,BİLDİK Nejdet,kucuk hasan Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases. Ulusal Travma ve Acil Cerrahi Dergisi, vol.26, no.1, 2020, ss.80 - 85. 10.14744/tjtes.2019.82930 |
| AMA | Kaya S,ALTIN Ö,ALTUNTAŞ Y,ÖZDEMİR A,CESUR E,BİLDİK N,kucuk h Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(1): 80 - 85. 10.14744/tjtes.2019.82930 |
| Vancouver | Kaya S,ALTIN Ö,ALTUNTAŞ Y,ÖZDEMİR A,CESUR E,BİLDİK N,kucuk h Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(1): 80 - 85. 10.14744/tjtes.2019.82930 |
| IEEE | Kaya S,ALTIN Ö,ALTUNTAŞ Y,ÖZDEMİR A,CESUR E,BİLDİK N,kucuk h "Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases." Ulusal Travma ve Acil Cerrahi Dergisi, 26, ss.80 - 85, 2020. 10.14744/tjtes.2019.82930 |
| ISNAD | Kaya, Selçuk vd. "Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases". Ulusal Travma ve Acil Cerrahi Dergisi 26/1 (2020), 80-85. https://doi.org/10.14744/tjtes.2019.82930 |
