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http://dx.doi.org/10.5090/kjtcs.2010.43.1.47

The Prognostic Factors of Traumatic Diaphragmatic Rupture  

Cho, Sukki (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital)
Lee, Eung-Bae (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital)
Seok, Yang-Ki (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital)
Publication Information
Journal of Chest Surgery / v.43, no.1, 2010 , pp. 47-52 More about this Journal
Abstract
Background: Traumatic diaphragmatic rupture is not common, but it requires swiftly performing an emergency operation. This study was conducted to evaluate the prognostic factors for mortality after surgically treating traumatic diaphragmatic rupture. Material and Method: From Jan 2001 to Dec. 2008, we experienced 37 cases of multiple traumas with diaphragmatic injuries that were confirmed by surgical procedures. We evaluated various factors, including the type of injury, the associated injuries, the preoperative vital signs, the ISS, the time until surgery and the rupture size. Result: There were 30 patients with blunt trauma and 7 patients with penetrating trauma. Thirty-four patients had associated injuries and the mean ISS was 20.8. Postoperative complications occurred in 11 patients and hospital mortalities occurred in 6 patients. The prognostic factors that had an influence on the postoperative mortalities were the preoperative intubation state, the patient who exhibited hypotension and a high ISS. Conclusion: Traumatic diaphragmatic rupture is just one part of multiple traumas. The postoperative mortalities might depend on not only on the diaphragmatic rupture itself, but also on the severity of the associated injuries.
Keywords
Diaphragm; Trauma; Rupture; Prognosis;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Rubikas R. Diaphragmatic injuries. Eur J Cardiothorac Surg 2001;20:53-7   DOI   ScienceOn
2 Hanna WC, Ferri LE, Fata P, Razek T, Mulder DS. The current status of traumatic diaphragmatic injury: Lessons learned from 105 patients over 13 years. Ann Thorac Surg 2008;85:1044-8   DOI   ScienceOn
3 Sacco R, Quitadamo S, Rotolo N, et al. Traumatic diaphragmatic rupture: personal experience. Acta Bio Med 2003;74:71-3
4 Turhan K, Makay O, Cakan A, et al. Traumatic diaphragmatic rupture: look to see. Eur J Cardiothorac Surg 2008; 33:1082-5   DOI   ScienceOn
5 Mihos P, Potaris K, Gakiddis J, et al. Traumatic rupture of the diaphragm: experience with 65 patients. Injury 2003;34:169-72   DOI   ScienceOn
6 Shah R, Sabaratnam S, Mearns A. Traumatic rupture of diaphragm. Ann Thorac Surg 1995;60:1444-9   DOI   ScienceOn
7 Brasel KJ, Borgstrom DC, Meyer P, Weigelt JA. Predictors of outcome in blunt diaphragm rupture. J Trauma 1996;41:484-7   DOI   ScienceOn
8 Lee SJ, Jung JH, Sohn DS, Cho DY. Clinical characteristics of patients with traumatic diaphragm injury and comparison of scoring systems as predictors. Korean J Thorac Cardiovasc Surg 2005;38:56-62
9 Epstein LI, Lempke RE. Rupture of the right hemidiaphragm due to blunt trauma. J Trauma 1968;8:19-28   DOI   PUBMED
10 Waldschmidt ML, Laws HL. Injuries of the diaphragm. J Trauma 1980;20:587-91   PUBMED