DOI: https://doi.org/10.22141/1608-1706.6.18.2017.121193

Flail chest: gender- and age-related clinical and epidemiological characteristics

S.I. Panasenko, S.O. Huryev

Abstract


Background. Nowadays, injuries are the main cause of mortality among people aged up to 45 years. Clinical epidemiology methods make up a scientific basis in practical prophylaxis problem solving and improvement of trauma patients’ medical care system. The purpose of this research was to study gender- and age-related characteristics of traumas with flail chest and to determine their influence on survival and mortality rates. Materials and methods. A clinical and epidemiological research of 64 clinical cases of a combined blunt thoracic trauma with flail chest (FC) was conducted. In-group allocation aspects and intergroup gender and age relations with survival and mortality data have been studied. Results. As a result, it was found that FC phenomenon was more likely to affect males (79.7 %) of a socially productive age of 40–59 years (51.6 %) as a result of road traffic injuries with pedestrians (28.1 %) and drivers (21.9 %). The dominant factor of trauma in patients with FC was road traffic injuries which made up 62.5 % of all cases. Moreover, FC was 4 times more common in men than in women. Conclusions. Gender and age factors are closely interrelated and they have a resulting influence on the consequences of injuries with FC.


Keywords


flail chest; clinical and epidemiological research; gender-related trauma characteristics; survival; mortality

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