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Very long-term effects of conservatively treated blunt thoracic trauma: A retrospective analysis.
Kelderman, Indy; Dickhoff, Chris; Bloemers, Frank W; Zuidema, Wietse P.
Afiliación
  • Kelderman I; Department of Surgery, Amsterdam University Medical Center Amsterdam, the Netherlands. Electronic address: i.kelderman@amsterdamumc.nl.
  • Dickhoff C; Department of Cardiothoracic surgery, Amsterdam University Medical Centres, Amsterdam, the Netherlands.
  • Bloemers FW; Department of Surgery, Amsterdam University Medical Center Amsterdam, the Netherlands.
  • Zuidema WP; Department of Surgery, Amsterdam University Medical Center Amsterdam, the Netherlands.
Injury ; 55(4): 111460, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38458000
ABSTRACT

INTRODUCTION:

Despite the high incidence of blunt thoracic trauma and frequently performed conservative treatment, studies on very long-term consequences for these patients remain sparse in current literature. In this study, we identify prevalence of long-term morbidity such as chronic chest pain, shortness of breath, and analyze the effect on overall quality of life and health-related quality of life.

METHODS:

Questionnaires were send to patients admitted for blunt thoracic trauma at our institution and who were conservatively treated between 1997 and 2019. We evaluated the presences of currently existing chest pain, persistence of shortness of breath after their trauma, the perceived overall quality of life, and health-related quality of life. Furthermore, we analyzed the effect of pain and shortness of breath on overall quality of life and health-related quality of life.

RESULTS:

The study population consisted of 185 trauma patients with blunt thoracic trauma who were admitted between 1997 and 2019, with a median long term follow up of 11 years. 60 percent still experienced chronic pain all these years after trauma, with 40,7 percent reporting mild pain, 12,1 percent reporting moderate pain, and with 7,7 percent showing severe pain. 18 percent still experienced shortness of breath during exercise. Both pain and shortness of breath showed no improvement in this period. Pain and shortness of breath due to thoracic trauma were associated with a lower overall quality of life and health-related quality of life.

CONCLUSION:

Chronic pain and shortness of breath may be relatively common long after blunt thoracic trauma, and are of influence on quality of life and health-related quality of life in patients with conservatively treated blunt thoracic trauma.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de las Costillas / Traumatismos Torácicos / Heridas no Penetrantes / Dolor Crónico Límite: Humans Idioma: En Revista: Injury Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de las Costillas / Traumatismos Torácicos / Heridas no Penetrantes / Dolor Crónico Límite: Humans Idioma: En Revista: Injury Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos