{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:21:53Z","timestamp":1787761313272,"version":"build-2784847793"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Chest injury remains a major source of morbidity and mortality in trauma as approximately two-thirds of all severe traumas involve the chest.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine the changes in the profile management and outcome of severe chest injury in Jos University Teaching Hospital, Jos, Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This is an analysis of the Trauma Registry of Jos University Teaching Hospital\u2014a prospectively gathered database. Patients' entries with severe chest injuries for 7 years, from January 2012 to December 2018, were entered into a database and analyzed using the Epi Info Statistical Software, using simple statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In all, 162 patients presented with severe chest injury over a 7-year period, of whom 78 (48.1%) had polytrauma, while 84 (51.9%) had isolated chest injury. There were 139 males and 23 females, giving male: female ratio of 6:1. Over 95 (58.6%) of them were between 20 and 39 years. Blunt injury was predominant, constituting 66.7%. Motor vehicular crash was the most common mechanism of injury constituting 87 (53.7%), while gunshot injuries were responsible for 34 (21%). In managing these severe chest injuries, 146 (90%) of the patients had closed-chest tube thoracostomy as the definitive treatment, while 16 (9.9%) had thoracotomy. The mean and median duration of hospital stay was 13.3 and 10 days, respectively. The commonest complication was wound infection in 8 (4.9%) patients and a mortality of 5.9%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Blunt chest injury remains the commonest mechanism of chest injury but with an increasing proportion of penetrating injuries affecting predominantly young males. Most severe chest injury patients survive with simple interventions of resuscitation, and closed-chest tube thoracostomy for definitive treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_92_21","type":"journal-article","created":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T00:57:26Z","timestamp":1692579446000},"page":"1247-1251","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Severe Chest Injury Revisited - An Analysis of The Jos University Teaching Hospital Trauma Registry"],"prefix":"10.4103","volume":"24","author":[{"given":"SD","family":"Peter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KN","family":"Ozoilo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MW","family":"Isichei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Ale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JM","family":"Njem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Ojo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MA","family":"Misauno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BT","family":"Ugwu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-22-20240907","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/1757-7241-20-64","article-title":"Care of the injured worldwide: Trauma still the neglected disease of modern society","volume":"20","author":"Sakran","year":"2012","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"R3-22-20240907","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1016\/j.medin.2014.06.012","article-title":"Epidemiology of severe trauma","volume":"38","author":"Alberdi","year":"2014","journal-title":"Med Intensiva"},{"key":"R4-22-20240907","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/S0039-6109(16)44730-4","article-title":"Epidemiology of chest trauma","volume":"69","author":"LoCicero","year":"1989","journal-title":"Surg Clin North Am"},{"key":"R5-22-20240907","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/1117-6806.90360","article-title":"Profile of chest traumain Zaria, Nigeria: A preliminary report","volume":"17","author":"Edaigbini","year":"2011","journal-title":"Niger J Surg"},{"key":"R6-22-20240907","first-page":"64","article-title":"Severe chest trauma in Jos, Nigeria: Pattern and outcome of management","volume":"6","author":"Misauno","year":"2007","journal-title":"Niger J Orthop Trauma"},{"key":"R7-22-20240907","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1002\/bjs.6643","article-title":"Epidemiology of major trauma","volume":"96","author":"S\u00f8reide","year":"2009","journal-title":"Br J Surg"},{"key":"R8-22-20240907","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/0020-1383(86)90151-8","article-title":"Epidemiology and prognostic signs of chest injury patients","volume":"17","author":"Schulpen","year":"1986","journal-title":"Injury"},{"key":"R9-22-20240907","first-page":"439","article-title":"Trauma--epidemiology: Where are we today?","volume":"106","author":"P\u0103un","year":"2011","journal-title":"Chirurgia (Bucur"},{"key":"R10-22-20240907","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1097\/01.TA.0000091107.00699.C7","article-title":"Profile of chest trauma in a level I trauma center","volume":"57","author":"Kulshrestha","year":"2004","journal-title":"J Trauma"},{"key":"R11-22-20240907","doi-asserted-by":"crossref","first-page":"714","DOI":"10.18203\/2349-2902.isj20200809","article-title":"Profile of chest injuries in a tertiary care center","volume":"7","author":"Jegoda","year":"2020","journal-title":"Int J Surg"},{"key":"R12-22-20240907","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/1749-8090-6-7","article-title":"Pattern and outcome of chest injuries at Bugando medical centre in Northwestern Tanzania","volume":"6","author":"Lema","year":"2011","journal-title":"J Cardiothorac Surg"},{"key":"R13-22-20240907","first-page":"102","article-title":"Chest trauma in a developing country","volume":"63","author":"Anyanwu","year":"1981","journal-title":"Ann R Coll Surg Engl"},{"key":"R14-22-20240907","first-page":"5","article-title":"Management of chest injuries: A prospective study","volume":"5","author":"Albadani","year":"2011","journal-title":"Yemeni J Med Sci"},{"key":"R15-22-20240907","first-page":"181","article-title":"Pattern and management of chest injuries in Maiduguri, Nigeria","volume":"3","author":"Ali","year":"2004","journal-title":"Ann Afr Med"},{"key":"R16-22-20240907","first-page":"122","article-title":"Management of chest trauma: A review","volume":"12","author":"Adebonojo","year":"1993","journal-title":"West Afr J Med"},{"key":"R17-22-20240907","first-page":"74","article-title":"Chest trauma in a regional trauma centre","volume":"2","author":"Okugbo","year":"2012","journal-title":"J West Afr Coll Surg"},{"key":"R19-22-20240907","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1057\/palgrave.jphp.3200155","article-title":"Gun violence in Nigeria: A focus on ethnoreligious conflict in Kano","volume":"28","author":"John","year":"2007","journal-title":"J Public Health Policy"},{"key":"R20-22-20240907","first-page":"170","article-title":"Gunshot injuries in Calabar, Nigeria: An indication of increasing societal violence and police brutality","volume":"6","author":"Udosen","year":"2006","journal-title":"Afr Health Sci"},{"key":"R21-22-20240907","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/1749-7922-8-44","article-title":"Challenges of the management of mass casualty: Lessons learned from the Jos crisis of 2001","volume":"8","author":"Ozoilo","year":"2013","journal-title":"World J Emerg Surg"},{"key":"R22-22-20240907","first-page":"349","article-title":"Ethnoreligious conflict and peace building in Nigeria: The case of Jos, Plateau State","volume":"2","author":"Osaretin","year":"2013","journal-title":"Acad J Interdiscip Stud"},{"key":"R23-22-20240907","doi-asserted-by":"crossref","first-page":"436","DOI":"10.4103\/1119-3077.134032","article-title":"Management of the mass casualty from the 2001 Jos crisis","volume":"17","author":"Ozoilo","year":"2014","journal-title":"Niger J Clin Pract"},{"key":"R24-22-20240907","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1177\/0886260507313975","article-title":"Posttraumatic stress disorder following ethnoreligious conflict in Jos, Nigeria","volume":"23","author":"Obilom","year":"2008","journal-title":"J Interpers Violence"},{"key":"R26-22-20240907","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4103\/0974-2700.173867","article-title":"Abdominal injuries in communal crises: The Jos experience","volume":"9","author":"Ojo","year":"2016","journal-title":"J Emerg Trauma Shock"},{"key":"R27-22-20240907","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1097\/00005373-199705000-00022","article-title":"Acute management of complex cardiac injuries","volume":"42","author":"Wall","year":"1997","journal-title":"J Trauma"},{"key":"R28-22-20240907","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.injury.2005.02.014","article-title":"Emergency thoracotomy in thoracic trauma-A review","volume":"37","author":"Hunt","year":"2006","journal-title":"Injury"},{"key":"R29-22-20240907","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1177\/000313480306901218","article-title":"Thoracotomy for blunt trauma: Traditional indications may not apply","volume":"69","author":"Hoth","year":"2003","journal-title":"Am Surg"},{"key":"R30-22-20240907","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1016\/j.injury.2010.02.004","article-title":"Urgent thoracotomy for penetrating chest trauma: Analysis of 158 patients of a single center","volume":"42","author":"Onat","year":"2011","journal-title":"Injury"},{"key":"R31-22-20240907","first-page":"9","article-title":"The burden of morbidity in polytrauma","volume":"14","author":"Ozoilo","year":"2014","journal-title":"Highl Med Res J"},{"key":"R32-22-20240907","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13049-017-0384-y","article-title":"Lessons from a large trauma center: Impact of blunt chest trauma in polytrauma patients-Still a relevant problem?","volume":"25","author":"Chrysou","year":"2017","journal-title":"Scand J Trauma Resusc Emerg Med"}],"container-title":["Nigerian Journal of Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_92_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:31:37Z","timestamp":1787758297000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_92_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":29,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/njcp.njcp_92_21","relation":{},"ISSN":["1119-3077"],"issn-type":[{"value":"1119-3077","type":"print"}],"subject":[],"published":{"date-parts":[[2021,8]]}}}