Comparison of Penetrating and Blunt Traumatic Diaphragmatic Injuries
Purpose Traumatic diaphragmatic injury (TDI) is no longer considered to be a rare condition in Korea. This study investigated differences in the prevalence of accompanying injuries and the prognosis in patients with traumatic diaphragmatic damage according to the mechanism of injury. Methods We retr...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2019-12-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2019-034.pdf |
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| author | Sang Su Lee Sung Youl Hyun Hyuk Jun Yang Yong Su Lim Jin Seong Cho Jae Hyug Woo |
| author_facet | Sang Su Lee Sung Youl Hyun Hyuk Jun Yang Yong Su Lim Jin Seong Cho Jae Hyug Woo |
| author_sort | Sang Su Lee |
| collection | DOAJ |
| description | Purpose Traumatic diaphragmatic injury (TDI) is no longer considered to be a rare condition in Korea. This study investigated differences in the prevalence of accompanying injuries and the prognosis in patients with traumatic diaphragmatic damage according to the mechanism of injury. Methods We retrospectively reviewed the medical records of patients with TDI who were seen at a regional emergency medical center from January 2000 to December 2018. Among severe trauma patients with traumatic diaphragmatic damage, adults older than 18 years of age with a known mechanism of injury were included in this study. Surgery performed within 6 hours after the injury was sustained was defined as emergency surgery. We assessed the survival rate and likelihood of respiratory compromise according to the mechanism of injury. Results In total, 103 patients were analyzed. The patients were categorized according to whether they had experienced a penetrating injury or a blunt injury. Thirty-five patients had sustained a penetrating injury, and traffic accidents were the most common cause of blunt injuries. The location of the injury did not show a statistically significant difference between these groups. Severity of TDI was more common in the blunt injury group than in the penetrating injury group, and was also more likely in patients with respiratory compromise. However, sex, the extent of damage, and the initial Glasgow coma scale score had no significant relationship with severity. Conclusions Based on the findings of this study, TDI should be recognized and managed proactively in patients with blunt injury and/or respiratory compromise. Early recognition and implementation of an appropriate management strategy would improve patients’ prognosis. Multi-center, prospective studies are needed in the future. |
| format | Article |
| id | doaj-art-f25700f49a3c474bb7523c6f1b4bebca |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2019-12-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-f25700f49a3c474bb7523c6f1b4bebca2025-01-06T01:31:31ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832019-12-0132421021910.20408/jti.2019.034994Comparison of Penetrating and Blunt Traumatic Diaphragmatic InjuriesSang Su Lee0Sung Youl Hyun1Hyuk Jun Yang2Yong Su Lim3Jin Seong Cho4Jae Hyug Woo5 Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaPurpose Traumatic diaphragmatic injury (TDI) is no longer considered to be a rare condition in Korea. This study investigated differences in the prevalence of accompanying injuries and the prognosis in patients with traumatic diaphragmatic damage according to the mechanism of injury. Methods We retrospectively reviewed the medical records of patients with TDI who were seen at a regional emergency medical center from January 2000 to December 2018. Among severe trauma patients with traumatic diaphragmatic damage, adults older than 18 years of age with a known mechanism of injury were included in this study. Surgery performed within 6 hours after the injury was sustained was defined as emergency surgery. We assessed the survival rate and likelihood of respiratory compromise according to the mechanism of injury. Results In total, 103 patients were analyzed. The patients were categorized according to whether they had experienced a penetrating injury or a blunt injury. Thirty-five patients had sustained a penetrating injury, and traffic accidents were the most common cause of blunt injuries. The location of the injury did not show a statistically significant difference between these groups. Severity of TDI was more common in the blunt injury group than in the penetrating injury group, and was also more likely in patients with respiratory compromise. However, sex, the extent of damage, and the initial Glasgow coma scale score had no significant relationship with severity. Conclusions Based on the findings of this study, TDI should be recognized and managed proactively in patients with blunt injury and/or respiratory compromise. Early recognition and implementation of an appropriate management strategy would improve patients’ prognosis. Multi-center, prospective studies are needed in the future.http://www.jtraumainj.org/upload/pdf/jti-2019-034.pdfhernia, diaphragmatic, traumaticwounds, penetratingwounds, nonpenetratingprognosis |
| spellingShingle | Sang Su Lee Sung Youl Hyun Hyuk Jun Yang Yong Su Lim Jin Seong Cho Jae Hyug Woo Comparison of Penetrating and Blunt Traumatic Diaphragmatic Injuries Journal of Trauma and Injury hernia, diaphragmatic, traumatic wounds, penetrating wounds, nonpenetrating prognosis |
| title | Comparison of Penetrating and Blunt Traumatic Diaphragmatic Injuries |
| title_full | Comparison of Penetrating and Blunt Traumatic Diaphragmatic Injuries |
| title_fullStr | Comparison of Penetrating and Blunt Traumatic Diaphragmatic Injuries |
| title_full_unstemmed | Comparison of Penetrating and Blunt Traumatic Diaphragmatic Injuries |
| title_short | Comparison of Penetrating and Blunt Traumatic Diaphragmatic Injuries |
| title_sort | comparison of penetrating and blunt traumatic diaphragmatic injuries |
| topic | hernia, diaphragmatic, traumatic wounds, penetrating wounds, nonpenetrating prognosis |
| url | http://www.jtraumainj.org/upload/pdf/jti-2019-034.pdf |
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