Trauma Evaluation of Patients with Chest Injury in the 2008 Earthquake of Wenchuan, Sechuan, China

Yang Hu; Yun Tang; Yong Yuan; Tian-Peng Xie; Yong-Fan Zhao
April 2010
World Journal of Surgery;Apr2010, Vol. 34 Issue 4, p728
Academic Journal
The purpose of the present study was twofold: to summarize the characteristics of trauma patients with thoracic injury in the 2008 earthquake of Wenchuan, Sichuan, China, and to validate the accuracy of the Injury Severity Score (ISS), the New Injury Severity Score (NISS), and the Chest Injury Index (CII) in prediction of respiratory failure. A group of 1,823 patients injured in the earthquake of Wenchuan were transferred to West China Hospital, Sichuan University, between May 12 and May 27, 2008. Of these 1,823 patients, 184 (10.1%) had suffered chest injury. They were enrolled in this cohort study. The risk factors of respiratory failure were analyzed with unconditional Logistic Regression. The predictive accuracies of ISS, NISS, and CII were compared with Receiver Operator Characteristic (ROC) curves. Of the group of patients with chest injuries, 156 (84.78%) had suffered injury to more than one organ, and 38 developed respiratory failure, for an incidence of 20.65%. The duration of mechanical ventilation ranged from 3 to 72 days (mean: 18.82 ± 15.94 days). The occurrence of flail chest, pulmonary contusion, and crush syndrome was shown to be the risk factor for respiratory failure. There are statistical differences in area under the ROC curve between NISS and the other two trauma scores in prediction of respiratory failure. The best cut-off point of NISS is 24, with a sensitivity of 94.74% and specificity of 79.45%. Chest injury in earthquake is often accompanied with multiple injuries. The incidence of respiratory failure is high. The NISS can accurately predict the development of respiratory failure in chest injury patients. We recommend that NISS should be considered as a useful tool for trauma evaluation.


Related Articles

  • Renal disaster relief in Europe: the experience at L’Aquila, Italy, in April 2009. Vanholder, Raymond; Stuard, Stefano; Bonomini, Mario; Sever, Mehmet Sukru // Nephrology Dialysis Transplantation;Oct2009, Vol. 24 Issue 10, p3251 

    On 6 April 2009, an earthquake struck the city of L’Aquila and the surrounding Abruzzo mountains. The disaster left 66 000 people homeless, while 1500 were wounded and 298 died. Although Europe as a whole is not so often affected by massive earthquakes, Italy is an exception with 12...

  • Multimedia.  // Jurnalul de Chirurgie;2010, Vol. 6 Issue 4, p562 

    No abstract available.

  • Dissecting Inflammatory Complications in Critically Injured Patients by Within-Patient Gene Expression Changes: A Longitudinal Clinical Genomics Study. Desai, Keyur H.; Chuen Seng Tan; Leek, Jeffrey T.; Maier, Ronald V.; Tompkins, Ronald G.; Storey, John D. // PLoS Medicine;Sep2011, Vol. 8 Issue 9, p1 

    Background: Trauma is the number one killer of individuals 1-44 y of age in the United States. The prognosis and treatment of inflammatory complications in critically injured patients continue to be challenging, with a history of failed clinical trials and poorly understood biology. New...

  • Ventilatory Management of Acute Lung Injury and Acute Respiratory Distress Syndrome. Fan, Eddy; Needham, Dale M.; Stewart, Thomas E. // JAMA: Journal of the American Medical Association;12/14/2005, Vol. 294 Issue 22, p2889 

    Context The acute lung injury and acute respiratory distress syndrome are critical illnesses associated with significant morbidity and mortality. Mechanical ventilation is the cornerstone of supportive therapy. However, despite several important advances, the optimal strategy for ventilation and...

  • Optimizing Patient Outcomes After Therapeutic Hypothermia for Traumatic Brain Injury.  // Trends in Medical Research;2011, Vol. 6 Issue 3, p241 

    No abstract available.

  • Indications for Routine Pathologic Examination of Specimens Removed During Trauma Operations. Gertz, Ryan; Salim, Ali; Teixeira, Pedro; Ley, Eric J.; Inaba, Kenji; Chandrasoma, Para; Anderson, Dennis; Margulies, Daniel R. // World Journal of Surgery;Apr2010, Vol. 34 Issue 4, p733 

    Surgical specimens removed during trauma operations are routinely submitted for examination by pathology. This practice has not been systematically evaluated and the incidence of abnormal results from these examinations remains unknown. The objective of this study was to identify the incidence...

  • Review of Van earthquakes form an orthopaedic perspective: a multicentre retrospective study. Guner, Savas; Guner, Sukriye; Isik, Yasemin; Gormeli, Gokay; Kalender, Ali; Turktas, Ugur; Gokalp, Mehmet; Gozen, Abdurrahim; Isik, Mustafa; Ozkan, Sezai; Turkozu, Tulin; Karadas, Sevdegul; Ceylan, Mehmet; Ediz, Levent; Bulut, Mehmet; Gunes, Yusuf; Gormeli, Ayse; Erturk, Cemil; Eseoglu, Metehan; Dursun, Recep // International Orthopaedics;Jan2013, Vol. 37 Issue 1, p119 

    Purpose: This is a descriptive analysis, of victims of Turkey's October 23, 2011 and November 21, 2011 Van earthquakes. The goal of this study is investigated the injury profile of the both earthquakes in relation to musculoskeletal trauma. Methods: We retrospectively reviewed medical records of...

  • Preventing Trauma Surgeons From Becoming Family Doctors. Haider, Adil H. // Annals of Internal Medicine;2/19/2013, Vol. 158 Issue 4, p291 

    A personal narrative is presented which explores the author's experience of being involved in trauma department in hospital in Baltimore region in the U.S. and the subsequent issues that arise when dealing with patient's relatives after accidents.

  • Symptomatic multipartite patella: imaging findings and pain relief. A description of two cases. Perdikakis, Evangelos; Pothitakis, Chrysovalantis // Central European Journal of Medicine;Apr2013, Vol. 8 Issue 2, p172 

    Musculoskeletal injuries in the non-elite athletes are a clinical entity that is being seen more frequently nowadays. The term 'weekend warriors' applies to amateur participants in sports activities and is related to an increasing number of musculoskeletal injuries mainly due to overuse....


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics