Background: trauma is the third most common cause of death in all age groups; one out of four trauma patients die due to thoracic injury or its complications. Chest trauma is usually caused by motor vehicle accident, falling from height, violence including bullet and stab injury. Chest wall and pulmonary injuries range from rib fractures to flail chest, pneumothorax,hemothorax, pulmonary contusion and tracheobronchial injuries. Only 10% of thoracic trauma patients require operative management and the remaining 90% can be treated with simple methods such as appropriate airway, oxygen support, analgesics and tube thoracostomy. With early and appropriate diagnosis, the morbidity and mortality can be significantly reduced by simple treatment methods. 1 Objective:to assess the pattern and management outcome ofhospitalizedchest trauma patients in TGSH. Methods: A single center based retrospective cross-sectional study was done. Data was collected from patient’s record to assess pattern and outcomes hospitalized chest trauma patients at TGSH during a one year period of time. All patients who were admitted with the diagnosis of chest trauma in TGSH from March 1, 2020 to March 30, 2021 were included in the study. A structured research tool was used to collect all necessary data from the patients’ medical record. The collected data was entered into SPSS version 25for analysis and descriptive and logistic regression models were used to present the result. Results: a total of 76 patients hospitalized for chest trauma were included in the study. Violence was the leading cause of chest trauma among this patients followed by RTA. The peak age incidence of chest trauma was 18 to 45 years with a mean of 39.96 (±17.23) years. The mortality rate was found to be 5.3% and complication developed in 31.6% of patients.ICU admission (AOR 23.785, 95% CI 1.731-326.771) Presence of associated spinal cord injury (AOR 13.302, 95% CI 1.013-174.662) was factors associated with death among traumatic chest injury patients. Bilateral chest trauma (AOR 0.178, 95% CI 0.045-0.688)and laparotomy (AOR 5.656, CI 1.479-21.626) were associated with development of complication in this study.