Karajizadeh Mehrdad, Adollahi Mahnazy, Yousefi Mohammad Reza, Bordbar Najmeh
Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University, Shiraz, Iran.
Sci Rep. 2025 Sep 2;15(1):32310. doi: 10.1038/s41598-025-13830-6.
Chest trauma is one of the most prevalent subgroups of trauma, accounting for 1 out of 4 deaths relating to trauma. Gaining insights into the trends of chest trauma is crucial in tackling its significant role in causing injuries and fatalities, particularly in low- and middle-income nations. Therefore, we aimed to investigate the prevalence of chest trauma, the types of injuries, mechanisms of injury, and predictors of mortality in the largest level one trauma center in southern Iran. This retrospective study included 4257 patients who were admitted to a tertiary medical center in southern Iran with chest trauma as the primary diagnosis from March 2019 to March 2022. All patients were divided into survived (n = 3505) and deceased (n = 752) groups. Data were analyzed by IBM SPSS statistics version 26, using independent samples t-test, Chi-Square test, and multivariate logistic regression. The mean age was 37 ± 16.1 and 50.15 ± 21.5 in survived group and deceased group, respectively. Most of the population were men in both groups. The mean of the injury severity score (ISS) was higher in the deceased group (37.22 ± 25.32) than in the survived group (15 ± 10.4). All on-arrival vital signs show significant differences between the two groups. Among various types of thoracic injuries, pneumothorax (OR 2.04, CI 1.52-2.73, P = 0.001) and rib fracture (OR 1.34, CI 1.00-1.79, P = 0.04) increases the odds of mortality. Multivariate logistic regression analysis showed that age, gender, ISS, types of thoracic injury, and some on-arrival vital signs are proper mortality predictors in patients with chest wall injury. Multiple risk factors including age, gender, ISS, type of injury, and on-arrival vital signs have been indicated for predicting mortality in chest trauma patients. Proper care and immediate management of these risk factors could lower the mortality morbidity among these patients.
胸部创伤是创伤中最常见的亚组之一，占创伤相关死亡人数的四分之一。深入了解胸部创伤的趋势对于应对其在造成伤害和死亡方面的重要作用至关重要，特别是在低收入和中等收入国家。因此，我们旨在调查伊朗南部最大的一级创伤中心中胸部创伤的患病率、损伤类型、损伤机制和死亡率预测因素。这项回顾性研究纳入了2019年3月至2022年3月期间因胸部创伤作为主要诊断入住伊朗南部一家三级医疗中心的4257例患者。所有患者分为存活组（n = 3505）和死亡组（n = 752）。数据采用IBM SPSS statistics 26版进行分析，使用独立样本t检验、卡方检验和多因素逻辑回归分析。存活组和死亡组的平均年龄分别为37±16.1岁和50.15±21.5岁。两组中大多数人群为男性。死亡组的损伤严重程度评分（ISS）平均值（37.22±25.32）高于存活组（15±10.4）。所有入院时的生命体征在两组之间均显示出显著差异。在各种类型的胸部损伤中，气胸（OR 2.04，CI 1.52 - 2.73，P = 0.001）和肋骨骨折（OR
