Critical analysis of thoracotomies performed in the emergency room in 10 years

• Main Authors: Marcelo Beck Guimarães, Diego Carrão Winckler, Nádia Gabriele Rudnick, Ricardo Breigeiron
• Format: Article
• Language: English
• Published: Colégio Brasileiro de Cirurgiões
• Series: Revista do Colégio Brasileiro de Cirurgiões
• Subjects: Thoracotomy; Wounds and Injuries; Thoracic Injuries; Thoracic Surgical Procedures
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000400263&lng=en&tlng=en

OBJECTIVE: To conduct a critical analysis of thoracotomies performed in the emergency rooms.METHODS: We analyzed mortality rates and survival as outcome variables, mechanism of injury, site of injury and anatomic injury as clinical variables, and gender and age as demographic variables of patients undergoing thoracotomy in the emergency room after traumatic injury.RESULTS: Of the 105 patients, 89.5% were male. The average age was 29.2 years. Penetrating trauma accounted for 81% of cases. The most common mechanism of trauma was wound by a firearm projectile (gunshot), in 64.7% of cases. Patients with stab wounds (SW) accounted for 16.2% of cases. Overall survival was 4.7%. Survival by gunshot was 1.4%, and by SW, 23.5%. The ERT following blunt trauma showed a 100%mortality.CONCLUSION: The results obtained in the Emergency Hospital of Porto Alegre POA-HPS are similar to those reported in the world literature.