THE PROFILE OF CHEST INJURIES IN A SOUTHEASTERN NIGERIA TEACHING HOSPITAL, A 10-YEAR EXPERIENCE

Nwafor IA, Eze JC, Ezemba N, Onyekwulu OC , Adikwu Brown, Anyanwu CH

Available online Jul 19, 2018.

[ Original ] Volume 23, Issue 2, 2014, Pages 162-169


Abstract

Background
Globally, major chest injuries have both high morbidity and mortality. A detailed study of chest injuries in south-eastern Nigeria is
here presented.
Aims
To determine the incidence, the predisposing factors, the pattern of presentation and the outcome of management of chest injuries.
Materials and methods
This is a retrospective study spanning a period of 10 years(2002-2011). The medical records of all patients with documented chest
injuries that presented to our hospital within the period under review, were retrieved and analysed, by simple arithmetic
percentages.
Result
A total of 402 patients(average of 40/year) with the age ranges in the spectrum of 0-10 and 81-90 years, with a mean of 2.2 were
found. Gender-wise, 301 males(74.9%) and 101 females(25.1%) were affected. The aetiological or the predisposing factors were
blunt chest injuries(61.2%) and penetrating chest injuries(38.8%). In the pattern of presentation, haemothorax(20.9%),
haemopneumothorax(16.2%), pneumothorax(17.4%) including simple, open and tension types as well as multiple ribs
fractures(7.7%) constituted the majority. In the management strategies, conservative methods were mainly used. The outcome
ranged from very good to fair.
Conclusion
The management of chest injuries in our sub-region like any other developing countries is very much challenging. Concerted efforts
are needed to overcome the burden it imposes.


Keywords

aetiological , haemothorax,

April - June 2014

Volume 23 | Issue 2

Page Nos. 162-169

Online since Jul 13, 2018

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