Table 1.
Variable | Value |
---|---|
Age (years), median [IQR 25–75] | 58.3 [46.5–77.0] |
Men, n (%) | 28 (67) |
SAPS II, median [IQR 25–75] | 26 [18–34] |
ISS, median [IQR 25–75] | 21 [16–28] |
TTSS, median [IQR 25–75] | 11 [9–12] |
Comorbidity | |
Charlson score, median [IQR 25–75] | 0 [0–1] |
Smoking, n (%) | 17 (40) |
Cause of thoracic trauma, n (%) | |
Road traffic accident | 20 (48) |
Domestic fall | 17 (40) |
Time from trauma to ICU admission (days), median [IQR 25–75] | 3.0 [2–5.8] |
Number of broken ribs, median [IQR 25–75] | 7 [5–8.8] |
Flail chest, n (%) | 39 (93) |
Pulmonary contusion, n (%)(1) | 27 (67) |
1 lobe | 16 (40) |
2 lobes | 7 (17) |
> 2 lobes | 4 (10) |
Pleural involvement, n (%)(1) | 34 (85) |
Isolated pleural effusion | 3 (7) |
Pneumothorax/Hemopneumothorax unilateral | 29 (72) |
Pneumothorax/Hemopneumothorax bilateral | 1 (2) |
Tension pneumothorax | 1 (2) |
Associated intra-thoracic fractures, n (%)(2) | 20 (51) |
Sternum | 3 (8) |
Clavicle | 5 (13) |
Scapula | 9 (23) |
Vertebrae | 3 (8) |
Extra-thoracic injury, n (%) | 17 (40) |
Head and neck injury, n | 2 |
(Specific intervention needed), n | (0) |
Face, n | 4 |
(Surgery needed), n | (2) |
Extremities, n | 5 |
(Surgery needed), n | (3) |
Abdomen, n | 3 |
(Specific intervention needed), n | (1) |
Spine, n | 3 |
(Surgical or radiological procedures needed), n | (2) |
Preoperative respiratory status, n (%) | |
Respiratory failure * | 12 (29) |
Invasive ventilation | 6 (14) |
Non-invasive ventilation | 6 (14) |
High flow nasal oxygen therapy | 1 (2) |
SAPS II, Simplified Acute Physiologic Score; ISS, Injury Severity Score; ICU, intensive care unit; TTSS, Thoracic Trauma Severity Score
*NIV was used for hypoxemic and hypercapnic patients, while HFNO was administered to hypoxemic patients without hypercapnia. Without rapid clinical or biological improvement, patients received invasive mechanical ventilation
Date available for 40 patients (1) and 39 patients (2)