Recent Advances in the Assessment and Management of Thoracic Trauma

  • 2,095

    Total downloads

  • 12k

    Total views and downloads

Submit your idea

You will be redirected to our submission process.

Submit your manuscript summarySubmit your manuscript

About this Research Topic

Submission closed

Background

The earliest recorded reference to thoracic trauma is found in the Edwin Smith Papyrus, which is believed to be a copy of an older manuscript dating circa 3000 BC. Throughout the millennia, the management of chest injuries changed dramatically: from open packing and local treatment with common ingredients in the era of Hippocrates, to wound debridement and closure in the 13th century, and the use of closed drainage systems and thoracotomy during the World War II. Medical advances led to a substantial reduction in mortality from thoracic trauma, from a staggering 90% during the American Civil War to less than 10% in recent civilian experience. However, chest injuries continue to be associated with high mortality, accounting directly for approximately 25% of trauma-related deaths and contributing to another 25%. Furthermore, thoracic trauma results in significant morbidity, with nearly 1 in 4 patients requiring hospital admission, and it can cause long-term disability.


The adverse effects of thoracic trauma are the result of injury to the chest wall and/or vital intrathoracic structures either by blunt or penetrating mechanisms. Blunt trauma is responsible for over 70% of thoracic injuries, with the majority occurring in road traffic accidents. In these cases, the age of the patient plays a critical role in the severity of the injury and subsequent management. For instance, chest wall fractures are rare in paediatric patients, but intrathoracic injuries are more significant in this population. In elderly patients, mortality from thoracic trauma is high even with minor injuries. On the other hand, penetrating injuries are uncommon in patients at either end of the age spectrum, but they are the leading cause of hospitalisation and death from trauma in young individuals up to the fourth decade of life in both developed and developing countries.


It becomes apparent that thoracic trauma remains a global public health challenge. Despite the high prevalence of chest injuries and their negative social impact, there is a lack of standardized methodology to assess the severity of thoracic trauma and a relative paucity of clinical evidence to evaluate long-term outcomes produced by different interventions. Recent research on advanced imaging modalities, various analgesic techniques, and several methods of surgical stabilisation of fractures are steps in the right direction, but more is required to reduce the high burden of morbidity and mortality associated with thoracic trauma.


The primary aim of this Research Topic is to present recent advances in the assessment and management of thoracic trauma, with a greater focus on blunt injuries. Indicatively, potential themes could include surgical treatment of rib or other chest-wall fractures, systemic and regional analgesia for pain control, management of intrathoracic injuries, and rehabilitation for sequelae of thoracic trauma. To that end, we welcome all article types that are suitable for submission to the Thoracic Surgery section of Frontiers in Surgery. Hopefully, this Research Topic will serve to inform best practices and identify priorities for further research.

Keywords: thoracic trauma, thoracic injury, chest trauma, chest injury, blunt, penetrating

Important note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

Topic editors

Frequently asked questions

  • Frontiers' Research Topics are collaborative hubs built around an emerging theme.Defined, managed, and led by renowned researchers, they bring communities together around a shared area of interest to stimulate collaboration and innovation.

    Unlike section journals, which serve established specialty communities, Research Topics are pioneer hubs, responding to the evolving scientific landscape and catering to new communities.

  • The goal of Frontiers' publishing program is to empower research communities to actively steer the course of scientific publishing. Our program was implemented as a three-part unit with fixed field journals, flexible specialty sections, and dynamically emerging Research Topics, connecting communities of different sizes and maturity.

    Research Topics originate from the scientific community. Many of our Research Topics are suggested by existing editorial board members who have identified critical challenges or areas of interest in their field.

  • As an editor, Research Topics will help you build your journal, as well as your community, around emerging, cutting-edge research. As research trailblazers, Research Topics attract high-quality submissions from leading experts all over the world.

    A thriving Research Topic can potentially evolve into a new specialty section if there is sustained interest and a growing community around it.

  • Each Research Topic must be approved by the specialty chief editor, and it falls under the editorial oversight of our editorial boards, supported by our in-house research integrity team. The same standards and rigorous peer review processes apply to articles published as part of a Research Topic as for any other article we publish.

    In 2023, 80% of the Research Topics we published were edited or co-edited by our editorial board members, who are already familiar with their journal's scope, ethos, and publishing model. All other topics are guest edited by leaders in their field, each vetted and formally approved by the specialty chief editor.

  • Publishing your article within a Research Topic with other related articles increases its discoverability and visibility, which can lead to more views, downloads, and citations. Research Topics grow dynamically as more published articles are added, causing frequent revisiting, and further visibility.

    As Research Topics are multidisciplinary, they are cross-listed in several fields and section journals – increasing your reach even more and giving you the chance to expand your network and collaborate with researchers in different fields, all focusing on expanding knowledge around the same important topic.

    Our larger Research Topics are also converted into ebooks and receive social media promotion from our digital marketing team.

     

  • Frontiers offers multiple article types, but it will depend on the field and section journals in which the Research Topic will be featured. The available article types for a Research Topic will appear in the drop-down menu during the submission process.

    Check available article types here 

  • Yes, we would love to hear your ideas for a topic. Most of our Research Topics are community-led and suggested by researchers in the field. Our in-house editorial team will contact you to talk about your idea and whether you’d like to edit the topic. If you’re an early-stage researcher, we will offer you the opportunity to coordinate your topic, with the support of a senior researcher as the topic editor. 

    Suggest your topic here 

  • A team of guest editors (called topic editors) lead their Research Topic. This editorial team oversees the entire process, from the initial topic proposal to calls for participation, the peer review, and final publications.

    The team may also include topic coordinators, who help the topic editors send calls for participation, liaise with topic editors on abstracts, and support contributing authors. In some cases, they can also be assigned as reviewers.

  • As a topic editor (TE), you will take the lead on all editorial decisions for the Research Topic, starting with defining its scope. This allows you to curate research around a topic that interests you, bring together different perspectives from leading researchers across different fields and shape the future of your field. 

     

    You will choose your team of co-editors, curate a list of potential authors, send calls for participation and oversee the peer review process, accepting or recommending rejection for each manuscript submitted.

  • As a topic editor, you're supported at every stage by our in-house team. You will be assigned a single point of contact to help you on both editorial and technical matters. Your topic is managed through our user-friendly online platform, and the peer review process is supported by our industry-first AI review assistant (AIRA).

  • If you’re an early-stage researcher, we will offer you the opportunity to coordinate your topic, with the support of a senior researcher as the topic editor. This provides you with valuable editorial experience, improving your ability to critically evaluate research articles and enhancing your understanding of the quality standards and requirements for scientific publishing, as well as the opportunity to discover new research in your field, and expand your professional network.

  • Yes, certificates can be issued on request. We are happy to provide a certificate for your contribution to editing a successful Research Topic.

  • Research Topics thrive on collaboration and their multi-disciplinary approach around emerging, cutting-edge themes, attract leading researchers from all over the world.

  • As a topic editor, you can set the timeline for your Research Topic, and we will work with you at your pace. Typically, Research Topics are online and open for submissions within a few weeks and remain open for participation for 6 – 12 months. Individual articles within a Research Topic are published as soon as they are ready.

    Find out more about our Research Topics

  • Our fee support program ensures that all articles that pass peer review, including those published in Research Topics, can benefit from open access – regardless of the author's field or funding situation.

    Authors and institutions with insufficient funding can apply for a discount on their publishing fees. A fee support application form is available on our website.

  • In line with our mission to promote healthy lives on a healthy planet, we do not provide printed materials. All our articles and ebooks are available under a CC-BY license, so you can share and print copies.

     

Impact

  • 12kTopic views
  • 9,399Article views
  • 2,095Article downloads
View impact