Vol. 72 No. 3 (2020)
Original Articles

Thoracic trauma in the elderly

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  • Roberto González L.,
  • Alberto Fuentes E.,
  • Alejandra Riquelme U.,
  • Rodrigo Reyes M.,
  • Enrique Seguel S.,
  • Aleck Stockins L.,
  • Andrés Jadue T.,
  • Manuel Rivera J.,
  • Emilio Alarcón C.
Roberto González L.
Cirujano Cardiotorácico, Centro Cardiovascular, Hospital Clínico Regional de Concepción: “Dr. Guillermo Grant Benavente”, Concepción, Chile. Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción
Alberto Fuentes E.
Egresado carrera de Medicina, Facultad de Medicina, Universidad de Concepción, Concepción, Chile.
Alejandra Riquelme U.
Posbecada Cirugía General, Facultad de Medicina, Departamento de Cirugía, Universidad de Concepción, Concepción, Chile.
Rodrigo Reyes M.
Cirujano Cardiovascular, Centro Cardiovascular, Hospital Clínico Regional de Concepción: “Dr. Guillermo Grant Benavente”, Concepción, Chile. Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción, Concepción, Chile.
Enrique Seguel S.
Cirujano Cardiovascular, Centro Cardiovascular, Hospital Clínico Regional de Concepción: “Dr. Guillermo Grant Benavente”, Concepción, Chile. Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción, Concepción, Chile.
Aleck Stockins L.
Cirujano Cardiovascular, Centro Cardiovascular, Hospital Clínico Regional de Concepción: “Dr. Guillermo Grant Benavente”, Concepción, Chile. Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción, Concepción, Chile.
Andrés Jadue T.
Cirujano Cardiovascular, Centro Cardiovascular, Hospital Clínico Regional de Concepción: “Dr. Guillermo Grant Benavente”, Concepción, Chile.
Manuel Rivera J.
Egresado carrera de Medicina, Facultad de Medicina, Universidad de Concepción, Concepción, Chile.
Emilio Alarcón C.
Cirujano Cardiotorácico, Centro Cardiovascular, Hospital Clínico Regional de Concepción: “Dr. Guillermo Grant Benavente”, Concepción, Chile. Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción, Concepción, Chile.
DOI: https://doi.org/10.35687/s2452-45492020003543

Published 2020-04-28

Keywords

How to Cite

1.
González L. R, Fuentes E. A, Riquelme U. A, Reyes M. R, Seguel S. E, Stockins L. A, et al. Thoracic trauma in the elderly. Rev Cir. [Internet]. 2020 Apr. 28 [cited 2026 Aug. 23];72(3). Available from: https://plataforma.revistacirugia.cl/index.php/revistacirugia/article/view/543
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Abstract

Introduction: Trauma is the fifth leading cause of death in the elderly (60 or older), with blunt trauma being the most frequent.

Objective: To describe characteristics, Trauma Severity Indices (TSI) and morbidity and mortality in hospitalized elderly for Thoracic Trauma (TT).

Materials and Method: Crosssectional descriptive study was carried out. Term: from January 1981 to December 2017. Database review, surgical protocols and medical records were performed. TT description of characteristics was conducted in hospitalized elderly. TSI was calculated: Injury Severity Score (ISS), Revised Trauma Score (RTS-T), Trauma Injury Severity Score (TRISS).

Results: Total 4.163 TT, 513 elderly (12.3%). Men: 350 (68.2%), average age 71.2 ± 8.4 years, 70 median (range 60-103). Isolated TT: 350 (68.2%), 163 associated with extrathoracic trauma (31.8%) and of these 96 (18.7%) were considered polytraumatism. Blunt trauma 456 (88.9%) and penetrating 57 (11.1%). Most frequent domestic accident mechanism was 196 (38.2%) and 158 traffic accidents (30.8%). Frequently thoracic injuries or findings: 409 rib fractures (79.7%), 186 hemothorax (36.3%), and 185 pneumothorax (36.1%). Final treatment: 287 Medical treatment (55.9%), 193 pleurotomy (37.6%), and 40 thoracic surgery (7.8%). Extrathoracic surgery 33 (6.4%). Average hospitalization: 9.0 ± 8.8 days. According IGT: ISS 12.1 ± 9.6, RTS-T 11.6 ± 1.3, TRISS 8.1. Morbidity: 76 (14.8%) and mortality: 26 (5.1%).

Discussion: Most TT in elderly are blunt, caused by domestic accidents. Injuries and most frequent findings were rib fractures and hemothorax. Mortality was lower than expected according to TSI.

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