Flail chest: gender- and age-related clinical and epidemiological characteristics
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.
Full Text:PDF (Українська)
Sleet D.A. Injury prevention, violence prevention, and trauma care: building the scientific base / D.A. Sleet, L.L. Dahlberg, S.V. Basavaraju, J.A. Mercy, L.C. McGuire, A. Greenspan // MMWR Surveill Summ. — 2011. — № 60. — Р. 78-85.
Centers for Disease Control and Prevention. Web-based Injury Statistics Query and Reporting System (WISQARS) // http://www. cdc.gov/ncipc/wisqars
Cubbin C. Socioeconomic status and injury morta-lity: individual and neighbourhood determinants / C. Cubbin, F.B. LeClere, G.S. Smith // J. Epidemiol. Community Health. — 2000. — № 54. — Р. 517-524.
Frieden T.R. A framework for public health action: the health impact pyramid / T.R. Frieden // Am. J. Public. Health. — 2010. — № 100. — Р. 590-595.
Гур’єв С.О. Клініко-епідеміологічна та клініко-нозологічна характеристика травми стегна як компоненту полісистемного пошкодження / С.О. Гур’єв, А.І. Цвях // Клінічна хірургія. — 2014. — № 9. — С. 57-61.
Государственный доклад о состоянии здоровья населения Российской Федерации в 2008 году. — М.: ГЭОТАР-Медиа, 2009. — 120 с.
Copyright (c) 2018 TRAUMA
This work is licensed under a Creative Commons Attribution 4.0 International License.
© Publishing House Zaslavsky, 1997-2018