None listed
Conditions
Brief summary
A clinical score has been developed in UK emergency departments to predict the risk of complications after blunt chest wall trauma in patients without multi-trauma and those without immediate life-threatening injuries. The model comprises five risk factors: age, number of rib fractures, pre-existing chronic lung disease, use of preinjury anticoagulants and oxygen saturation on initial assessment in the ED. The patient is scored on each risk factor and the total score is used to guide the clinician in the ED as to whether the patient should be admitted to the ward, critical care unit or can be safely discharged home. However, this score requires validation in New Zealand. The aim is to carry out a retrospective validation of the scoring system developed in the UK to provide an insight as to whether the score would be beneficial in New Zealand ED settings. In particular, we want to assess how the scoring system performs as a prognostic tool for all, early and late complications of chest wall trauma.
Interventions
Observational study looking at patients presenting with thoracic blunt trauma. Data regarding all complications felt to be due to the blunt trauma will be recorded. Data will be used to inform on a trauma risk stratification score, that will be retrospectively validated.
Data during the initial presentation, as well as any subsequent presentation to secondary or tertiary care, deemed to be due to a complication of the initial trauma, will be recorded and utilised.
No participant involvement is
Observational study looking at patients presenting with thoracic blunt trauma. Data regarding all complications felt to be due to the blunt trauma will be recorded. Data will be used to inform on a trauma risk stratification score, that will be retrospectively validated. Data during the initial presentation, as well as any subsequent presentation to secondary or tertiary care, deemed to be due to a complication of the initial trauma, will be recorded and utilised. No participant involvement is required due to the retrospective nature of the study and the ulitsation of normal health care records collected by the hospitals.
Sponsors
Saptarshi Mukerji
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
• Male or Female, aged 18 years or above. No upper age limit has been set. • Patients who have presented with a primary diagnosis of blunt chest trauma.
Exclusion criteria
• Patients with penetrating chest trauma • Patients presenting with any immediate life-threatening injuries • Patients with multi-trauma defined as any concurrent injuries, in addition to chest trauma, that will significantly determine the patient’s management
Outcome results
None listed