Clinical presentation, acute care management and discharge information of patients with thoracic trauma in South Africa and Sweden: a prospective multicenter observational study
Purpose Thoracic trauma causes pain and hospitalisation. Middle- and high-income countries have different trauma contexts and populations. To report patients’ clinical presentation (pain and shortness of breath) and its influence on hospital length of stay (LOS), acute care management, and discharge...
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| Veröffentlicht in: | European journal of trauma and emergency surgery (Munich : 2007) 2025-12, Vol.51 (1), p.21, Article 21 |
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| container_title | European journal of trauma and emergency surgery (Munich : 2007) |
| container_volume | 51 |
| creator | van Aswegen, Heleen Roos, Ronel Svensson-Raskh, Anna Svensson, Annie Sehlin, Maria Caragounis, Eva-Corina Plani, Frank Fagevik-Olsén, Monika |
| description | Purpose
Thoracic trauma causes pain and hospitalisation. Middle- and high-income countries have different trauma contexts and populations. To report patients’ clinical presentation (pain and shortness of breath) and its influence on hospital length of stay (LOS), acute care management, and discharge destinations in South Africa (SA) and Sweden.
Methods
Prospective observational multicenter study by means of clinical record review. Two centers in SA and four centers in Sweden participated. One thousand nine hundred and eighteen adults with thoracic trauma were screened over the 20 months period. Study objectives guided information retrieved from clinical records. Statistical analysis was done with significance at p-value |
| doi_str_mv | 10.1007/s00068-024-02753-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11739195</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3156799216</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2632-a4d154461a3a9e6525fb73044e4920c0f368eaffbfe08bdea6f527fe46c46eed3</originalsourceid><addsrcrecordid>eNp9ksuO1DAQRSMEYh7wAyyQJTYsJuBH4iRsRqMWL2kkFgNrq-KUuz1K4sZOetSfxR9S0xmax4JFlJLq1L1V1s2yF4K_EZxXbxPnXNc5lwV9Vany_aPsVNRa5U1TiMfHWqmT7CylW6K5LuXT7EQ1taRSnWY_Vr0fvYWebSMmHCeYfBgvGNh5QmYhIhtghDUO1GMwdqzzyW4grpH50YU4HAZYcGxLFUGJ3flpw6ZNiGC9ZVOEeQCC2U2YqXHlIvkdpG7usMPxHQMyD2mLdvI78pv7yVtSwshCmzDuDha0Yprmbv8se-KgT_j84X-effvw_uvqU3795ePn1dV1bqVWMoeiE2VRaAEKGqSzS9dWihcFFo3kljulawTnWoe8bjsE7UpZOSy0LTRip86zy0V3O7cDdvcLRejNNvoB4t4E8Obvzug3Zh12RohKNaIpSeH1g0IM32dMkxno7bDvYcQwJ6NEqaumkUIT-uof9DbMkW5eKFlWvKmIkgtl6blSRHfcRnBzHwmzRMJQJMwhEmZPQy__vOM48isDBKgFSNQa1xh_e_9H9ifVccg1</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3156257097</pqid></control><display><type>article</type><title>Clinical presentation, acute care management and discharge information of patients with thoracic trauma in South Africa and Sweden: a prospective multicenter observational study</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>van Aswegen, Heleen ; Roos, Ronel ; Svensson-Raskh, Anna ; Svensson, Annie ; Sehlin, Maria ; Caragounis, Eva-Corina ; Plani, Frank ; Fagevik-Olsén, Monika</creator><creatorcontrib>van Aswegen, Heleen ; Roos, Ronel ; Svensson-Raskh, Anna ; Svensson, Annie ; Sehlin, Maria ; Caragounis, Eva-Corina ; Plani, Frank ; Fagevik-Olsén, Monika</creatorcontrib><description>Purpose
Thoracic trauma causes pain and hospitalisation. Middle- and high-income countries have different trauma contexts and populations. To report patients’ clinical presentation (pain and shortness of breath) and its influence on hospital length of stay (LOS), acute care management, and discharge destinations in South Africa (SA) and Sweden.
Methods
Prospective observational multicenter study by means of clinical record review. Two centers in SA and four centers in Sweden participated. One thousand nine hundred and eighteen adults with thoracic trauma were screened over the 20 months period. Study objectives guided information retrieved from clinical records. Statistical analysis was done with significance at p-value < 0.05.
Results
Three-hundred-sixty-four participants were recruited with most being male (n = 170/179 (95%) SA; n = 125/185 (68%) Sweden). Type and mechanism of injury differed (SA penetrating (82%) versus Sweden blunt (95%); SA assaults (90%) versus Sweden falls (44%)). Unilateral haemopneumothorax was common (SA 68%, Sweden 35%) and managed with intercostal drainage. Rib cage injuries were common in the Swedish cohort with rib fixation surgery for 17%. Physiotherapy treatment frequency was mostly daily. Blunt injury resulted in higher pain levels during deep breathing (day 1: p = 0.014; day 2: p < 0.001; day 3: p < 0.001) and shortness of breath during activity (day 1: p = 0.036; day 2: p = 0.003; day 3: p < 0.001). LOS was shorter for SA cohort (5 (± 4) versus 7 (± 5) days; p = 0.024). Age influenced LOS in the blunt injury group. Discharge destination was mostly home (99% SA, 56% Sweden).
Conclusion
Priority care is indicated for those who are older and have blunt thoracic injury to prevent pulmonary complications and prolonged hospitalisation.</description><identifier>ISSN: 1863-9933</identifier><identifier>ISSN: 1863-9941</identifier><identifier>EISSN: 1863-9941</identifier><identifier>DOI: 10.1007/s00068-024-02753-y</identifier><identifier>PMID: 39820653</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Critical Care Medicine ; Dyspnea - etiology ; Dyspnea - therapy ; Emergency Medicine ; Female ; Humans ; Intensive ; Length of Stay - statistics & numerical data ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Observational studies ; Original ; Original Article ; Patient Discharge - statistics & numerical data ; Prospective Studies ; South Africa - epidemiology ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Sweden - epidemiology ; Thoracic Injuries - epidemiology ; Thoracic Injuries - therapy ; Trauma ; Traumatic Surgery ; Wounds, Nonpenetrating - therapy</subject><ispartof>European journal of trauma and emergency surgery (Munich : 2007), 2025-12, Vol.51 (1), p.21, Article 21</ispartof><rights>The Author(s) 2025</rights><rights>2025. The Author(s).</rights><rights>Copyright Springer Nature B.V. Dec 2025</rights><rights>The Author(s) 2025 2025</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2632-a4d154461a3a9e6525fb73044e4920c0f368eaffbfe08bdea6f527fe46c46eed3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00068-024-02753-y$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00068-024-02753-y$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39820653$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Aswegen, Heleen</creatorcontrib><creatorcontrib>Roos, Ronel</creatorcontrib><creatorcontrib>Svensson-Raskh, Anna</creatorcontrib><creatorcontrib>Svensson, Annie</creatorcontrib><creatorcontrib>Sehlin, Maria</creatorcontrib><creatorcontrib>Caragounis, Eva-Corina</creatorcontrib><creatorcontrib>Plani, Frank</creatorcontrib><creatorcontrib>Fagevik-Olsén, Monika</creatorcontrib><title>Clinical presentation, acute care management and discharge information of patients with thoracic trauma in South Africa and Sweden: a prospective multicenter observational study</title><title>European journal of trauma and emergency surgery (Munich : 2007)</title><addtitle>Eur J Trauma Emerg Surg</addtitle><addtitle>Eur J Trauma Emerg Surg</addtitle><description>Purpose
Thoracic trauma causes pain and hospitalisation. Middle- and high-income countries have different trauma contexts and populations. To report patients’ clinical presentation (pain and shortness of breath) and its influence on hospital length of stay (LOS), acute care management, and discharge destinations in South Africa (SA) and Sweden.
Methods
Prospective observational multicenter study by means of clinical record review. Two centers in SA and four centers in Sweden participated. One thousand nine hundred and eighteen adults with thoracic trauma were screened over the 20 months period. Study objectives guided information retrieved from clinical records. Statistical analysis was done with significance at p-value < 0.05.
Results
Three-hundred-sixty-four participants were recruited with most being male (n = 170/179 (95%) SA; n = 125/185 (68%) Sweden). Type and mechanism of injury differed (SA penetrating (82%) versus Sweden blunt (95%); SA assaults (90%) versus Sweden falls (44%)). Unilateral haemopneumothorax was common (SA 68%, Sweden 35%) and managed with intercostal drainage. Rib cage injuries were common in the Swedish cohort with rib fixation surgery for 17%. Physiotherapy treatment frequency was mostly daily. Blunt injury resulted in higher pain levels during deep breathing (day 1: p = 0.014; day 2: p < 0.001; day 3: p < 0.001) and shortness of breath during activity (day 1: p = 0.036; day 2: p = 0.003; day 3: p < 0.001). LOS was shorter for SA cohort (5 (± 4) versus 7 (± 5) days; p = 0.024). Age influenced LOS in the blunt injury group. Discharge destination was mostly home (99% SA, 56% Sweden).
Conclusion
Priority care is indicated for those who are older and have blunt thoracic injury to prevent pulmonary complications and prolonged hospitalisation.</description><subject>Adult</subject><subject>Aged</subject><subject>Critical Care Medicine</subject><subject>Dyspnea - etiology</subject><subject>Dyspnea - therapy</subject><subject>Emergency Medicine</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Observational studies</subject><subject>Original</subject><subject>Original Article</subject><subject>Patient Discharge - statistics & numerical data</subject><subject>Prospective Studies</subject><subject>South Africa - epidemiology</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Sweden - epidemiology</subject><subject>Thoracic Injuries - epidemiology</subject><subject>Thoracic Injuries - therapy</subject><subject>Trauma</subject><subject>Traumatic Surgery</subject><subject>Wounds, Nonpenetrating - therapy</subject><issn>1863-9933</issn><issn>1863-9941</issn><issn>1863-9941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9ksuO1DAQRSMEYh7wAyyQJTYsJuBH4iRsRqMWL2kkFgNrq-KUuz1K4sZOetSfxR9S0xmax4JFlJLq1L1V1s2yF4K_EZxXbxPnXNc5lwV9Vany_aPsVNRa5U1TiMfHWqmT7CylW6K5LuXT7EQ1taRSnWY_Vr0fvYWebSMmHCeYfBgvGNh5QmYhIhtghDUO1GMwdqzzyW4grpH50YU4HAZYcGxLFUGJ3flpw6ZNiGC9ZVOEeQCC2U2YqXHlIvkdpG7usMPxHQMyD2mLdvI78pv7yVtSwshCmzDuDha0Yprmbv8se-KgT_j84X-effvw_uvqU3795ePn1dV1bqVWMoeiE2VRaAEKGqSzS9dWihcFFo3kljulawTnWoe8bjsE7UpZOSy0LTRip86zy0V3O7cDdvcLRejNNvoB4t4E8Obvzug3Zh12RohKNaIpSeH1g0IM32dMkxno7bDvYcQwJ6NEqaumkUIT-uof9DbMkW5eKFlWvKmIkgtl6blSRHfcRnBzHwmzRMJQJMwhEmZPQy__vOM48isDBKgFSNQa1xh_e_9H9ifVccg1</recordid><startdate>20251201</startdate><enddate>20251201</enddate><creator>van Aswegen, Heleen</creator><creator>Roos, Ronel</creator><creator>Svensson-Raskh, Anna</creator><creator>Svensson, Annie</creator><creator>Sehlin, Maria</creator><creator>Caragounis, Eva-Corina</creator><creator>Plani, Frank</creator><creator>Fagevik-Olsén, Monika</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20251201</creationdate><title>Clinical presentation, acute care management and discharge information of patients with thoracic trauma in South Africa and Sweden: a prospective multicenter observational study</title><author>van Aswegen, Heleen ; Roos, Ronel ; Svensson-Raskh, Anna ; Svensson, Annie ; Sehlin, Maria ; Caragounis, Eva-Corina ; Plani, Frank ; Fagevik-Olsén, Monika</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2632-a4d154461a3a9e6525fb73044e4920c0f368eaffbfe08bdea6f527fe46c46eed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Critical Care Medicine</topic><topic>Dyspnea - etiology</topic><topic>Dyspnea - therapy</topic><topic>Emergency Medicine</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Observational studies</topic><topic>Original</topic><topic>Original Article</topic><topic>Patient Discharge - statistics & numerical data</topic><topic>Prospective Studies</topic><topic>South Africa - epidemiology</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Sweden - epidemiology</topic><topic>Thoracic Injuries - epidemiology</topic><topic>Thoracic Injuries - therapy</topic><topic>Trauma</topic><topic>Traumatic Surgery</topic><topic>Wounds, Nonpenetrating - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Aswegen, Heleen</creatorcontrib><creatorcontrib>Roos, Ronel</creatorcontrib><creatorcontrib>Svensson-Raskh, Anna</creatorcontrib><creatorcontrib>Svensson, Annie</creatorcontrib><creatorcontrib>Sehlin, Maria</creatorcontrib><creatorcontrib>Caragounis, Eva-Corina</creatorcontrib><creatorcontrib>Plani, Frank</creatorcontrib><creatorcontrib>Fagevik-Olsén, Monika</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Aswegen, Heleen</au><au>Roos, Ronel</au><au>Svensson-Raskh, Anna</au><au>Svensson, Annie</au><au>Sehlin, Maria</au><au>Caragounis, Eva-Corina</au><au>Plani, Frank</au><au>Fagevik-Olsén, Monika</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical presentation, acute care management and discharge information of patients with thoracic trauma in South Africa and Sweden: a prospective multicenter observational study</atitle><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle><stitle>Eur J Trauma Emerg Surg</stitle><addtitle>Eur J Trauma Emerg Surg</addtitle><date>2025-12-01</date><risdate>2025</risdate><volume>51</volume><issue>1</issue><spage>21</spage><pages>21-</pages><artnum>21</artnum><issn>1863-9933</issn><issn>1863-9941</issn><eissn>1863-9941</eissn><abstract>Purpose
Thoracic trauma causes pain and hospitalisation. Middle- and high-income countries have different trauma contexts and populations. To report patients’ clinical presentation (pain and shortness of breath) and its influence on hospital length of stay (LOS), acute care management, and discharge destinations in South Africa (SA) and Sweden.
Methods
Prospective observational multicenter study by means of clinical record review. Two centers in SA and four centers in Sweden participated. One thousand nine hundred and eighteen adults with thoracic trauma were screened over the 20 months period. Study objectives guided information retrieved from clinical records. Statistical analysis was done with significance at p-value < 0.05.
Results
Three-hundred-sixty-four participants were recruited with most being male (n = 170/179 (95%) SA; n = 125/185 (68%) Sweden). Type and mechanism of injury differed (SA penetrating (82%) versus Sweden blunt (95%); SA assaults (90%) versus Sweden falls (44%)). Unilateral haemopneumothorax was common (SA 68%, Sweden 35%) and managed with intercostal drainage. Rib cage injuries were common in the Swedish cohort with rib fixation surgery for 17%. Physiotherapy treatment frequency was mostly daily. Blunt injury resulted in higher pain levels during deep breathing (day 1: p = 0.014; day 2: p < 0.001; day 3: p < 0.001) and shortness of breath during activity (day 1: p = 0.036; day 2: p = 0.003; day 3: p < 0.001). LOS was shorter for SA cohort (5 (± 4) versus 7 (± 5) days; p = 0.024). Age influenced LOS in the blunt injury group. Discharge destination was mostly home (99% SA, 56% Sweden).
Conclusion
Priority care is indicated for those who are older and have blunt thoracic injury to prevent pulmonary complications and prolonged hospitalisation.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39820653</pmid><doi>10.1007/s00068-024-02753-y</doi><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1863-9933 |
| ispartof | European journal of trauma and emergency surgery (Munich : 2007), 2025-12, Vol.51 (1), p.21, Article 21 |
| issn | 1863-9933 1863-9941 1863-9941 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Aged Critical Care Medicine Dyspnea - etiology Dyspnea - therapy Emergency Medicine Female Humans Intensive Length of Stay - statistics & numerical data Male Medicine Medicine & Public Health Middle Aged Observational studies Original Original Article Patient Discharge - statistics & numerical data Prospective Studies South Africa - epidemiology Sports Medicine Surgery Surgical Orthopedics Sweden - epidemiology Thoracic Injuries - epidemiology Thoracic Injuries - therapy Trauma Traumatic Surgery Wounds, Nonpenetrating - therapy |
| title | Clinical presentation, acute care management and discharge information of patients with thoracic trauma in South Africa and Sweden: a prospective multicenter observational study |
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