Karakteristik Pasien Hemotoraks Akibat Trauma di RSUP Prof. Dr. R. D. Kandou Manado
DOI:
https://doi.org/10.35790/38byem25Keywords:
trauma toraks; hemotoraks; trauma tumpulAbstract
Abstract: Thoracic trauma is a fairly common occurrence in Indonesia, and North Sulawesi is the province with the highest incidence of thoracic trauma. Many patients with thoracic trauma end up with hemothorax. This study aimed to determine the characteristics of hemothorax patients at Prof.. Dr. R. D. Kandou General Hospital in Manado. This was a descriptive study with a retrospective approach, using purposive sampling technique. The results showed that there were 73 patients as samples in this study, with the median age of 38 years (12-84 years). The majority of patients were male (83.6%), unemployed (42.5%), had high school/MA education (67.1%). Meanwhile, the majority of trauma were blunt trauma (64.4%), multiple trauma (43.8%), located mostly on the left side (52.1%), and managed mostly with chest tube (72.6%). The length of stay of patients was mostly in the range of 7-14 days (50%), and the mortality rate was relatively high (11.1%). In conclusion, hemothorax due to trauma at Prof. Dr. R. D. Kandou General Hospital in Manado most commonly occurs in productive-aged males with blunt trauma. Chest tube insertion is the primary management, and to date, the mortality rate of hemothorax remains relatively high.
Keywords: thoracic trauma; hemothorax; blunt trauma
Abstrak: Trauma toraks merupakan kejadian yang cukup sering terjadi di Indonesia, dan Provinsi Sulawesi Utara memiliki angka kejadian trauma toraks tertinggi. Sebagian besar pasien trauma toraks berujung pada kondisi hemotoraks. Penelitian ini bertujuan untuk mengetahui karakteristik pasien hemotoraks di RSUP Prof. Dr. R. D. Kandou Manado dengan menggunakan metode deskriptif dan pendekatan retrospektif, serta teknik sampling purposive sampling. Hasil penelitian mendapatkan 73 pasien hematoraks sebagai sampel penelitian dengan nilai median usia 38 tahun (12-84 tahun). Persentase tertinggi didapatkan pada jenis kelamin laki-laki (83,6%), tidak bekerja (42,5%), dan status pendidikan tamat SMA/MA (67,1%). Trauma terbanyak ialah trauma tumpul (64,4%), multitrauma (43,8%), lokasi pada sisi kiri (52,1%), dengan tata laksana menggunakan selang dada (72,6%). Lama rawat terbanyak pada rentang waktu 7-14 hari (50%), dan mortalitas cukup tinggi (11,1%). Simpulan penelitian ini ialah hemotoraks akibat trauma di RSUP Prof. Dr. R. D. Kandou Manado paling sering terjadi pada laki-laki usia produktif dengan etiologi trauma tumpul. Selang dada merupakan tatalaksana utama, dan sejauh ini angka mortalitas hemotoraks masih cukup tinggi.
Kata kunci: trauma toraks; hemotoraks; trauma tumpul
References
1. Tim Rikesdas 2018. Laporan Riskesdas 2018 Nasional Kementrian Kesehatan RI. Jakarta: Lembaga Penelitian dan Pengembangan Kesehatan; 2019. p. 247–66.
2. Jailaini MMF, Hashim Y, Hamid AMF. Revamping hemothorax management: the promise of low‐dose intrapleural fibrinolytic therapy as an alternative. Respirol Case Rep. 2024;12(8):e70012. Doi: https://doi.org/10.1002/rcr2.70012
3. Zeiler J, Idell S, Norwood S, Cook A. Hemothorax: A Review of the Literature. Clin Pulm Med. 2020;27(1):1–12. Doi: https://doi.org/10.1097/CPM.0000000000000343
4. Lyons NB, Abdelhamid MO, Collie BL, Ramsey WA, O’Neil CF, Delamater JM, et al. Small versus large-bore thoracostomy for traumatic hemothorax: A systematic review and meta-analysis. Journal of Trauma Acute Care Surg. 2024;97(4):631–8. Doi: https://doi.org/10.1097/TA.0000000000004412
5. Holcomb GW, Murphy P, Peter S. Thoracic trauma. In: Holcomb and Ashcraft’s Pediatric Surgery (7th ed). China: Elsevier; 2020. p. 224–35.
6. Laluyan MA, Tomuka D, Kristanto EG. Pola luka kekerasan tajam pada korban hidup di Rumah Sakit Bhayangkara Tingkat III Manado periode Juli 2019-Juni 2022. Medical Scope Journal. 2023;5(1):105–11. Doi: https://doi.org/10.35790/msj.v5i1.4
7. Dogrul BN, Kiliccalan I, Asci ES, Peker SC. Blunt trauma related chest wall and pulmonary injuries: an overview. Chinese J Traumatol. 2020;23(3):125–38. Doi: https://doi.org/10.1016/j.cjtee.2020.04.003
8. Gillen M, Yen IH, Trupin L, Swig L, Rugulies R, Mullen K, et al. The association of socioeconomic status and psychosocial and physical workplace factors with musculoskeletal injury in hospital workers. Am J Ind Med. 2007;50(4):245–60. Doi: https://doi.org/10.1002/ajim.20429 PubMed PMID: 17311255
9. İliklerden MD, Çobanoglu U, Sayır F, İliklerden ÜH. Late complications due to thoracıc traumas. Turkish Journal of Trauma and Emergency Surgery Ulus Travma Acil Cerrahi Derg 2022;28(3):328-35. Doi: https://doi.org/10.14744/tjtes.2020.07242
10. Broaddus VC, Ernst JD, King TE, Lazarus SC, Sarmiento KF, Schnapp LM, et al. Hemothorax. In: Murray & Nadel’s Textbook of Respiratory Medicine (7th ed). Philadelphia: Elsevier; 2022. p. 1570–4.
11. Sikander N, Ahmad T, Shaikh KA, Abid A, Mazcuri M, Nasreen S. Analysis of injury patterns and outcomes of blunt thoracic trauma in elderly patients. Cureus. 2020 Aug 23. Doi: https://doi.org/10.7759/cureus.9974
12. Patrini D, Panagiotopoulos N, Pararajasingham J, Gvinianidze L, Iqbal Y, Lawrence DR. Etiology and management of spontaneous haemothorax. J Thorac Dis. 2015;7(3):520–6. Doi: https://doi.org/10.3978/j.issn.2072-1439.2014.12.50
13. Werner M, Bergis B, Duranteau J. Bleeding management of thoracic trauma. Curr Opin Anaesthesiol. 2025;38(2):107–13. Doi: https://doi.org/10.1097/ACO.0000000000001469
14. Cakmak M. Characteristics of the patients undergoing surgical treatment for hemothorax: a descriptive study. Biomedical Research. 2017;28(6). Available from: www.biomedres.info
15. Adenan ST, Lubis SRH, Mardiana D. Analysis of risk factor traffic crashes and implementation of road safety: a systematic literature review. Jurnal Kesehatan. 2024;17(2):161–75. Doi: https://doi.org/10.23917/jk.v17i2.5354
16. Cervantes-Sevilla JR, Ramírez-Cervera M, Guzman-Ruvalcaba MJ. Traumatic hemothorax with rib fixation in a professional jockey following a horse stomping incident. Cureus. 2024 Dec 8. Doi: https://doi.org/10.7759/cureus.75349
17. Aydın S, Kahraman Aydın S, Gülmez B, Güneş SG, Kavurmacı Ö, Dadaş ÖF. Rib fracture characteristics increasing the risk of hemothorax: a multicenter study. Sci Rep. 2024;14(1):29827. Doi: https://doi.org/10.1038/s41598-024-79548-z
18. Ahmed K, Al-Hassani A, El-Menyar A, Nabir S, Ahmed MN, Almadani A, et al. Time to resolution of radiologically detected hemothorax in trauma patients: a retrospective observational study. World J Radiol. 2025;17(4):105960. Doi: https://doi.org/10.4329/wjr.v17.i4.105960
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Prili L. Langi, Christha Z. Tamburian, Eko Arianto
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
COPYRIGHT
Authors who publish with this journal agree to the following terms:
Authors hold their copyright and grant this journal the privilege of first publication, with the work simultaneously licensed under a Creative Commons Attribution License that permits others to impart the work with an acknowledgment of the work's origin and initial publication by this journal.
Authors can enter into separate or additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (for example, post it to an institutional repository or publish it in a book), with an acknowledgment of its underlying publication in this journal.
Authors are permitted and encouraged to post their work online (for example, in institutional repositories or on their website) as it can lead to productive exchanges, as well as earlier and greater citation of the published work (See The Effect of Open Access).
