International Surgery Journal | November 2018 | Vol 5 | Issue 11 Page 3621 International Surgery Journal Iyer S et al. Int Surg J. 2018 Nov;5(11):3621-3626 http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 Original Research Article Study of epidemiology and outcome of chest trauma at an apex tertiary care trauma centre Sandhya Iyer 1 , Mansha Singh 1 *, Vinay Jathen 2 INTRODUCTION Trauma represents a major epidemic of non- communicable disease in the present century. This burden of disease accounts for almost 12% of the world’s burden of disease. In India over 80,000 persons die in the traffic crashes annually. Over 1.2 million are injured seriously and about 3,00,000 disabled permanently. The economic loss estimated to our country due to accidents amounts to Rs.5000 crores annually. 1 Trauma strikes down society’s youngest and potentially most productive members. Of the innumerable modalities of accidental trauma, chest trauma is potentially dangerous as far as risk to life is concerned. Chest trauma is present in about 50% of trauma victims and is the cause of death in about 25%. 2 Less than 10% of blunt chest injuries and only 15% to 30% of penetrating chest injuries require operative intervention. 3 Present study focuses on the epidemiology and outcome associated with both, blunt and penetrating chest trauma, over a period of one year in our high- volume tertiary level trauma centre in Mumbai. Our centre is situated at the epicenter of an industrialized area along a major national highway and at the helm of the largest slum in Asia with a vast suburban transport system obviously catering to a large quantum of the population. ABSTRACT Background: Trauma accounts for 12% of the world’s burden of disease. Chest trauma is present in about 50% of trauma victims and is the cause of death in about 25%. Present study focuses on the epidemiology and outcome associated with both, blunt and penetrating chest trauma, over a period of one year in our high-volume tertiary level trauma centre in Mumbai. Methods: A prospective study including all patients between the ages of 18-60 years who suffered from chest trauma and were admitted to trauma ICU over a period of one year. Master chart was maintained of all data collected and Revised trauma Score and Apache II Score was calculated. Results: Using Stepwise Logistic Regression Analysis it was found that factors significantly affecting mortality were Age, Revised Trauma Score <7, Apache II score >18 and infective complications. Conclusions: Mortality from chest trauma can be significantly reduced by development of better trauma care systems, prevention of shock and hypoxia and adherence to strict aseptic precautions to prevent infective complications. Keywords: Chest trauma, RTS, APACHE II 1 Department of General Surgery, LTMGH, Mumbai, Maharashtra, India 2 Department of Surgical Oncology, Bombay Hospital, Mumbai, Maharashtra, India Received: 24 August 2018 Accepted: 27 September 2018 *Correspondence: Dr. Mansha Singh, E-mail: singhmansha@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/2349-2902.isj20184634