Factors affecting mortality in traumatic diaphragmatic ruptures

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dc.authoridkaramustafaoglu, yekta altemur/0000-0002-5491-1219
dc.authoridtarladacalisir, taner/0000-0003-0499-341X
dc.authoridYORUK, YENER/0000-0001-6309-3054
dc.authorwosidkaramustafaoglu, yekta altemur/S-9512-2019
dc.authorwosidYoruk, Yener/W-4285-2017
dc.authorwosidtarladacalisir, taner/HGE-7061-2022
dc.contributor.authorTarladacalisir, Taner
dc.contributor.authorKaramustafaoglu, Y. Altemur
dc.contributor.authorYoruk, Yener
dc.date.accessioned2024-06-12T10:59:31Z
dc.date.available2024-06-12T10:59:31Z
dc.date.issued2014
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: This study aims to investigate possible factors affecting mortality in patients with traumatic diaphragmatic ruptures. Methods: Between May 1997 and May 2009 a total of 30 patients (27 males, 3 females; mean age 42.6 years; range 16 to 88 years) were operated in our clinic with a diagnosis of traumatic diaphragmatic rupture. The patients were evaluated retrospectively in terms of possible factors affecting mortality. Emergency surgery was performed 22 patients within the first seven days. Other two patients were operated in the latent phase and six patients were operated in the obstructive phase. Results: Thoracotomy was performed in nine patients, laparotomy in nine patients and thoracotomy + laparotomy in 12 patients. Eight patients were diagnosed by explorative laparotomy. The mean duration of hospitalization was 12 days (range, 1-50 days). Morbidity was observed in eight patients (27%), while mortality was seen in seven patients (23%). Five patients had no associated pathology, while various associated pathologies were observed in 25 patients. Additional surgical interventions were required for associated pathologies in 16 of these patients.(53%). Older age (p=0.020) and need for longer length of stay in the intensive care unit (p=0.020) were found to be negative prognostic factors affecting mortality. Conclusion: Associated organ injuries are the main prognostic factors which affect morbidity and mortality. Early weaning from mechanical ventilation, aggressive treatment and close follow-up of patients with elderly and those with organ injuries associated with traumatic diaphragmatic ruptures may reduce morbidity and mortality.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2014.8700
dc.identifier.endpage125en_US
dc.identifier.issn1301-5680
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-84897721711en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage118en_US
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2014.8700
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20476
dc.identifier.volume22en_US
dc.identifier.wosWOS:000330199000020en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayinciliken_US
dc.relation.ispartofTurk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal Of Thoracic And Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDiaphragmaticen_US
dc.subjectMortalityen_US
dc.subjectRuptureen_US
dc.subjectTraumaen_US
dc.subjectInjury Severityen_US
dc.subjectExperienceen_US
dc.subjectHerniaen_US
dc.titleFactors affecting mortality in traumatic diaphragmatic rupturesen_US
dc.typeArticleen_US

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