AI Summary & Key Takeaways
AI InsightThe rates of ICU admission and mortality were found to be higher in injuries caused by being ejected from the vehicle compared to injuries caused by impact (p
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Abstract
Aim: This study examines the morbidity and mortality of chest traumas due to Pat-Pat accidents, which is one of the most frequently used motor vehicles in agriculture, especially in mountainous regions in developing countries. Material and Method: This retrospective study included 57 patients who were followed up in a single center between November 2018 and 2021 for thoracic trauma due to a Pat-Pat accident. Patients' age, gender, position in the vehicle, trauma mechanism, trauma location and time, trauma-related pathologies, treatments, and length of stay in hospital and intensive care unit were examined. Results: The cases included 44 (77.2%) men and 13 (22.8%) women with a mean age of 49.93±20.9 years. Of the accidents, 54 (94.7%) occurred on rural roads, 35 (61.4%) occurred on weekdays, 29 (50.9%) occurred in spring, and 20 (35.1%) occurred in summer. The cases consisted of 37 (64.9%) drivers and 20 (35.1%) passengers, of which 31 (54.4%) were injured due to collision and 26 (45.6%) were injured due to vehicle overturning and being ejected from the vehicle. All cases had rib fractures, 8 (14%) had sternum fracture, 25 (43.9%) had pneumothorax, 36 (63.2%) had hemothorax, 22 (38.6%) had pulmonary contusion, and 2 (3.5%) had cardiac contusion. While 19 (33.3%) of the cases were discharged after evaluation and treatment in the emergency department, 30 (52.6%) were treated in the ward, and 8 (14%) were treated in the intensive care unit (ICU). Thirty-three patients underwent a surgical procedure. The mean hospital stay was 7.8 days, and the mean ICU stay was 5.47 days. Mortality developed in 3 (5.3%) cases. The rates of ICU admission and mortality were found to be higher in injuries caused by being ejected from the vehicle compared to injuries caused by impact (p