Medical Journal of the Islamic Republic Of Iran

en A Prospective Study of Chest Trauma Scoring System as A Morbidity and Mortality Predictor in Patients with Blunt Chest Trauma Trauma Surgery Trauma Surgery Original Research: Clinical Science Original Research: Clinical Science Background: Predicting the outcome of blunt chest trauma by scoring systems is of utmost value. We aimed to assess the role of the chest trauma scoring system (CTS) in predicting blunt chest trauma outcomes among Egyptians.    Methods: A prospective observational study included 45 patients admitted to the cardiothoracic emergency unit of Al-Azhar University hospitals. We documented their demographic data, history, cause and mode of trauma, vital parameters, and necessary investigations (e.g., chest X-ray and Computed Tomography) when the patient was admitted to the cardiothoracic department. All patients were assessed using the chest trauma scale (CTS) and followed up till death or discharge.       Results: The patient's age ranged between 18 to 76 years (mean 42.67 years). Eighty percent were males, and 48% needed mechanical ventilation (MV). The period of MV was ranged from 1 to 5 days (mean 2.81 days). Twenty-two patients had pneumonia. Eight patients died with a chest trauma scale ranging from 2 to 12 with a median of 6. About 87 percent of patients had unilateral lesions, and 5 had criminal causes. Road traffic accidents were the most typical cause of trauma (60%). There was a significant relation between mortality among the studied patients and each MV, length of ICU duration, chest trauma scale, laterality of trauma, and associated injuries. There was a statistically significant relation between the chest trauma scale and the need for MV, the timing of MV, the presence of pneumonia, and mortality.    Conclusion: CTS ≥ 6.5 can predict mortality with 100.0% sensitivity, specificity of 62.2%, and accuracy of 68.9%. However, a score of ≥ 5.5 can predict the development of pneumonia with a sensitivity of 81.8%, specificity of 78.3%, and accuracy of 80%. Chest Trauma, Blunt, Severity, Mortality, Intensive Care 16 20 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-8222-2&slc_lang=en&sid=1 Mahmoud Helmy Elsaied Hussein m.h973@yahoo.com 200319475328460088755 200319475328460088755 Yes Department of Forensic Medicine and Clinical Toxicology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Ibrahim Fadl Mahmoud dr_ifm@yahoo.com 200319475328460088756 200319475328460088756 No Department of Intensive Care and Pain Medicine, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Yasser MS. Eita dryasserms@realpub.org 200319475328460088757 0009-0001-3643-2919 No Department of Intensive Care and Pain Medicine, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Mohamed A. Ahmed Aglan drmaglan@realpub.org 200319475328460088758 0009-0009-3152-0918 No Department of Forensic Medicine and Clinical Toxicology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Mohammad Seddiek A. Esmaiel DrmSeddiek@realpub.org 200319475328460088759 0009-0000-5242-425x No Department of Cardiothoracic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Gamal Abdelshafy Ibrahim Farag drgfarag@realpub.org 200319475328460088760 200319475328460088760 No Department of Cardiothoracic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Neazy Abdmokhles Abdelmottaleb neazy.icu@domazhermedicine.edu.eg 200319475328460088761 0009-0006-5953-3911 No Department of Anesthesia, Intensive Care and Pain Medicine, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt Mohamed Attia Elkahely drmalkahely@realpub.org 200319475328460088762 200319475328460088762 No Department of Cardiothoracic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt Mohamed A Mansour Drmamansour@realpub.org 200319475328460088763 0009-0007-2597-8178 No Department of Cardiothoracic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt