Panamerican Journal of Trauma, Critical Care & Emergency Surgery

Register      Login

VOLUME 10 , ISSUE 1 ( January-April, 2021 ) > List of Articles

SYSTEMATIC REVIEW

Epidemiological Profile of Thoracic Trauma in Brazil: A Systematic Review

Gabriel A Roberto, Carolina M Britto Rodrigues, Sthefano A Gabriel, Rodrigo A Sardenberg

Keywords : Thoracic trauma, Trauma, Trauma epidemiology thoracic lesions, Trauma in Brazil

Citation Information : Roberto GA, Britto Rodrigues CM, Gabriel SA, Sardenberg RA. Epidemiological Profile of Thoracic Trauma in Brazil: A Systematic Review. Panam J Trauma Crit Care Emerg Surg 2021; 10 (1):31-38.

DOI: 10.5005/jp-journals-10030-1306

License: CC BY-NC 4.0

Published Online: 00-04-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: One of the main injuries found in traumatized patients is thoracic trauma (TT) and corresponds to 25% of deaths in polytrauma patients. According to the World Health Organization, more than nine people die per minute from some type of trauma, with an expense equivalent to 12% for all diseases. Materials and methods: This is a study that addresses the epidemiology of TT in Brazil through a systematic review of the literature on TT in Brazil, conducted in electronic databases following the guidelines of Preferred Notification Items for Systematic Reviews and Meta-analyses (PRISMA). Exclusion criteria were: case reports of other causes of trauma, animal studies, literature reviews, and studies that did not cover chest trauma. The Statistical Package for Social Sciences (SPSS) version 21.0 was used to analyze the results. Results: Initially, 760 studies were found, of which 36 articles were selected as relevant to the study on the epidemiological characteristics of TT. With a high global prevalence, trauma is considered a public health problem, associated with high morbidity and mortality, in developed and developing countries. Interpretation: The Southeast Region had greater statistical relevance (p = 0.033) for mechanisms and causes of TT. The penetrating chest trauma [gunshot wounds (GSW) and stab wounds (SW)], showed greater statistical relevance in the South (p = 0.04) and Midwest (p = 0.04), among the other regions, the value was (p ≥ 0.5).


PDF Share
  1. Edgecombe L, Sigmon DF, Angus LD. Thoracic trauma. Treasure Island (FL): StatPearls Publishing; 2020. Jan last Update: January 31, 2020.
  2. Souza VS, Santos AC, Pereira LV, et al. Clinical and epidemiological profile of victims of chest trauma undergoing surgical treatment at a referral hospital. Clinical and epidemiological profile of victims of chest trauma undergoing surgical. treatment at a referral hospital. Sci Med 2013(2):96–101.
  3. Batista SEA, Baccani JG, Silva RAP, et al. Análise comparativa entre os mecanismos de trauma, as lesões e o perfil de gravidade das vítimas, em Catanduva - SP. Rev Col Bras Cir 2006;33(1):6–10. DOI: https://doi.org/10.1590/S0100-69912006000100003.
  4. Guevara Rubio N, Olivarec Bonilla M, Ortega Sánchez R. Perfil epidemiológico del paciente con trauma de tórax em el Servicio de Urgencias Adultos del Hospital. General Archivos de Medicina de Urgencia de México 2012;4(3):105–111.
  5. Potlabathin RP, Kanala A. Experience with chest trauma: analysis of 400 cases. J Evid Based Med Healthc 2016;3(73):3986–3989. DOI: 10.18410/jebmh/2016/852.
  6. Gawryszewewski VP, Koizumi MS, Jorge MHPM. As causas externas no Brasil no ano 2000: comparando a mortalidade e a morbidade. Cad Saúde Pública (Rio de Janeiro) 2004;20(4):995–1003. DOI: http://dx.doi.org/10.1590/S0102- 311X2004000400014.
  7. Jorge MHPM, Gotlieb SLD, Laurenti R. O sistema de informações sobre mortalidade: problemas e propostas para o seu enfrentamento II - Mortes por causas externas. Rev Bras Epidemiol (São Paulo) 2002;5(2):212–223. DOI: http://dx.doi.org/10.1590/S1451-790X2002000200008.
  8. Ministério da Saúde. Política nacional de redução da morbimortalidade por acidentes e violência. Rev Saúde Pública (São Paulo) 2000;34(4):427–430. DOI: http://dx.doi.org/10.1590/S0034-89102000000400020.
  9. Campeão HR, Copes WS, Sacco WJ, et al. Estudo dos principais resultados do trauma: estabelecendo normas nacionais para atendimento ao trauma. J Trauma 1990;30(11):1356–1365. DOI: 10.1097/00005373-199011000-00008.
  10. Scapolan MB, Vieira NLP, Nitrini SS, et al. Thoracic trauma: analysis of 100 consecutive cases. Einstein (São Paulo) 2010;8(3):339–342. DOI: 10.1590/s167945082010ao1532.
  11. Fontelles MJP, Mantovani M. Trauma torácico: fatores de risco de complicações pleuropulmonares pós-drenagem pleural fechada. Rev Col Bras Cir 2000;27(6):400–407. DOI: 10.1590/S0100-69912000000600008.
  12. Calhoon JH, Trinkle JK. Pathophysiology of chest trauma. Chest Surg Clin N Am 1997;7:199–211.
  13. Silas MG, Belluzzo BR, Miguel EG. Thoracic injuries – review of 231 cases. Arq Med ABC 1990;13(1-2):19–21.
  14. Symbas PN. Chest drainage tubes. Surg Clin North Am 1989;69(1):41–46. DOI: 10.1016/S0039-6109(16)44733-X.
  15. Westphal, Luiz F. Trauma torácico: análise de 124 pacientes submetidos à toracotomia. Rev Col Bras Cir 2009;36(6):482–486. DOI: 10.1590/S0100-69912009000600004.
  16. American College of Surgeons. ATLS: advanced trauma life support for doctors: student course manual. 10th ed., Chicago (IL): American College of Surgeons; 2018.
  17. Whizar-Lugo V, Sauceda-Gastelum A, Hernández-Armas A, et al. Chest trauma: an overview. J Anesth Crit Care Open Acess 2015;3(1):2–11.
  18. Giannini JÁ, Soldá SC, Saad Júnior R. Trauma de tórax. in Emergências Traumáticas e Não Traumáticas, ed. Coimbra RSM, Soldá SC, Casaroli AA, et al. São Paulo: Atheneu; 2001. pp. 57–69.
  19. Naufel Júnior CR, Talini C, Barbier Neto L. Thoracic trauma profile of attended victims at Hospital Universitário Evangélico De Curitiba (HUEC). Rev Med UFPR 2014;1(2):42–46. DOI: 10.5380/rmu.v1i2.40701.
  20. Aucar JA, Fernandez L, Wagner-Mann C. If a picture is worth a thousand words, what is a trauma computerized tomography panel worth. Am J Surg 2007;194(6):734–739. DOI: 10.1016/j.amjsurg.2007.08.036discussion 739-40.
  21. Brink M, Deunk J, Dekker HM, et al. , Criteria for the selective use of chest computed tomography in blunt trauma patients. Eur Radiology 2010;20(4):818–828. DOI: 10.1007/s00330-009-1608-y.
  22. Fenili R, Alcacer JAM, Cardona MC. Traumatismo torácico: uma breve revisão. Arq Catarin Med 2002;31(1-2):31–36.
  23. Rowan KR, Kirkpatrick AW, Liu D, et al. Traumatic pneumothorax detection with thoracic US: correlation with chest radiography and CT – initial experience. Radiology 2002;225(1):210–214. DOI: 10.1148/radiol.2251011102.
  24. Flato UPF, Guimarães HP, Lopes RD, et al. Usefulness of extended-FAST (EFAST-extended focused assessment with sonography for trauma) in critical care setting. Rev Bras Ter Intensiva 2010;22(3). DOI: 10.1590/S0103-507X2010000300012.
  25. BRASIL. Secretaria de Assuntos Estratégicos da Presidência da República. Instituto de Pesquisa Econômica Aplicada. Acidentes de trânsito nas rodovias federais brasileiras: caracterização, tendências e custos para a sociedade. Brasília, 2015 jul 20. Disponível em: http://www.ipea.gov.br/portal/index.php?option=com_content&view=article&id=2627. [access april, 2020].
  26. Zanette GZ, Waltrick RS, Monte MB. Epidemiological profile of thoracic trauma in a reference hospital of Foz do Rio Itajai. Rev Col Bras Cir 2019;46(2). DOI: 10.1590/0100-6991e-20192121.
  27. Mesquita Filho M, Mesquita Filho J, Mello MHP. Features of morbidity due to external causes at emergency services. Rev Bras Epidemiol 2007;10(4):579–591. DOI: 10.1590/S1415-790X2007000400016.
  28. Silva LAP, Ferreira AC, Paulino RES, et al. Retrospective analysis of the prevalence and epidemiological profile of trauma patients in a secondary hospita. Rev Med 2017;96(4):246–253. DOI: 10.11606/issn.1679-9836.v96i4p246-254.
  29. Cuba RMBF, Bezerra JAF. Thoracic trauma: retrospective study of 168 cases. Rev Col Bras Cir 2005;32(2):57–59. DOI: 10.1590/S0100-69912005000200002.
  30. Broska Júnior CA, Botelho AB, Linhares AC, et al. Perfil das pacientes vítimas de trauma torácico submetidos à drenagem de tórax. Rev Col Bras Cir 2017;44(1). DOI: 10.1590/0100-69912017001005.
  31. Mahran DG, Farouk O, Qayed MH, et al. Pattern and trend of injuries among trauma unit attendants in upper Egypt. Traum Mon 2016;21(2):e20967. DOI: 10.5812/traumamon.20967.
  32. Oliveira NLB, Souza EM, Cunha GZ. Mortality in traffic accidents: temporary trend between 1996 and 2012. Cien Cuid Saude 2017;16(4). DOI: 10.4025/cienccuidsaude.v16i4.38343.
  33. Saldanha RF, Pechansky F, Benzano D, et al. Differences between attendance in emergency care of male and female victims of traffic accidents in Porto alegre, Rio Grande do Sul state, Brazil. Cien Saude Colet 2014;19(9):3925–3930. DOI: 10.1590/1413-81232014199.12892013.
  34. Spencer Netto FAC, Campos JM, Lima LFC, et al. Predictors of mortality in patients with cardiac trauma who arrive alive in the operation room. Rev Col Bras Cir 2001;28(2):87–94. DOI: 10.1590/S0100-69912001000200003.
  35. Cerqueira D, Coelho D, Siqueira R, Brasil, Secretaria de Assuntos Estratégicos da Presidência da República. Instituto de Pesquisa Econômica Aplicada. Mapas de Armas de Fogo nas Microrregiões Brasileiras. Brasília, 2015 jul 20. Disponível em: https://ipea.gov.br/agencia/images/stories/PDFs/relatoriopesquisa/mapaarmas.pdf. [access april, 2020].
  36. Brasil, Ministério da Saúde. Banco de dados do Sistema Único de Saúde-SIM. Disponível em http://www.datasus.gov.br [access april, 2020].
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.