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Best Paper Awards
World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
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EVALUATION AND TREATMENT WARFARE CHEST INJURIES
Mohammad Ahmad Shaaban*, Sulman Alkadi, Dommar Roumieh
Background: Chest injuries constitute a major cause of morbidity, with a significant impact on global health. Objective: The aim of this study was to determine the demographics, clinical manifestations, management, and outcome of thoracic injuries during the conflict. Patients and Methods: An Observational Cross Sectional Study was conducted for the period six years (May 2015 – May 2021) at Tishreen University Hospital in Lattakia-Syria. The study included all patients admitted with thoracic injuries resulting from warfare trauma. Results: A total of 180 patients, 169 males (93.9%) and 11 females (6.1%) with a mean age 27.3±5.2 years were included in the study. The peak age group was 20-40 years (81.7%), shrapnel fragments represented the most frequent mechanism of injury (60.6%), followed by gunshot (30%) and closed trauma (9.4%). Chest injury was isolated in 36.7% with presence of other combined organs injuries in 63.7%. Pulmonary contusion represented the most common isolated injury which found in 65 cases (36.1%), and the accompanied abdominal injuries were observed in 51 cases (44.7%). Management of injuries was performed by chest tube thoracostomy in 70.6% of the cases and thoracotomy in 29.4%. The number of the performed surgical procedures was 77 procedures, which were more frequent in the case of pulmonary laceration on average 13.9% of the total number of patients, and in presence of gunshot or shrapnel on average 12.8%. Duration of hospitalization was longer in patients who underwent thoracotomy and extrathoracic surgery (37 day), with higher rate of mortality (18.75%). Conclusion: Chest war injuries carry a high morbidity and mortality with enormous demands on the available limited financial resource, so that prompt and efficient management is considered crucial to improve the outcome.[Full Text Article]