Non-life-threatening blunt chest trauma: Appropriate investigation and treatment

Dubinsky, Isser; Low, Aaron

doi:10.1016/s0735-6757(97)90004-8

Cited by 45 publications

(31 citation statements)

References 4 publications

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“…Our results are compatible with Dubinsky (Dubinsky and Low, 1997). So that, we need a better investigation method than X-ray.…”

Section: Discussionsupporting

confidence: 90%

“…Documentation is important for medicolegal issues and non-steroidal anti inflammatory drugs (NSAID) are usually enough for soft tissue trauma, on the other hand narcotics or intercostal nerve block may be necessary for pain management in rib fractures (Dubinsky and Low, 1997). Stawicki et al (2004) and Holcomb et al (2003) reported determining the number of fractured ribs may be important because of increased risk of death in the presence of more than four rib fractures in patients older than 45 years.…”

Section: Discussionmentioning

confidence: 99%

“…Antero-posterior (AP) and oblique direct X-rays are mostly used in diagnosis (Dubinsky and Low, 1997;Bansidhar et al, 2002 ). Non-displaced rib fractures may be frequently missed with using only direct radiograpy for diagnosis (Bansidhar et al, 2002;Bhavnagri and Mohammed, 2009;Turk et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

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Ultrasonography as a better diagnostic efficiency in rib fracture

Uzun

Beksaç²,

Kara³

et al. 2013

jecm

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Article HistoryIn this study, our aim was to demonstrate the need of use of ultrasonography in rib fractures in order not to face medicolegal problems. One hundred patients admitted to our emergency service with mild to moderate blunt thorax trauma were included in our study prospectively. The inclusion criteria were pain upon palpation of ribs, deep inspiration, coughing but no any other pathologies like a pneumothorax, hemothorax. All patients are evaluated with ultrasonography (USG) and direct X-rays. X-ray revealed rib fracture diagnosis in 45 of 100 patients. Rib fracture is determined with using USG in 47 of 55 patients who are agreed on lack of rib fracture with direct X-rays. USG evaluation performed by an experienced radiologist is necessary in rib fractures for early diagnosis, arranging the treatment, documentation and preventing medicolegal problems.

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“…Our results are compatible with Dubinsky (Dubinsky and Low, 1997). So that, we need a better investigation method than X-ray.…”

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Ultrasonography as a better diagnostic efficiency in rib fracture

Uzun

Beksaç²,

Kara³

et al. 2013

jecm

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“…However, most of the injuries in their study were rib fractures, and none of the patients had hemopneumothorax; therefore, their results might be subject to selection bias. 16 Based on the results of the present study and other surveys on this matter, it can be concluded that in most cases scoring systems can be utilized in order to avoid unnecessary radiographies. In this regard, TIRC as an accurate scoring system is recommended to be used to order CXR for multiple trauma patients.…”

Section: Discussionmentioning

confidence: 53%

Validation of thoracic injury rule out criteria as a decision instrument for screening of chest radiography in blunt thoracic trauma

Safari

Yousefifard

Baikpour

et al. 2016

Journal of Clinical Orthopaedics and Trauma

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a b s t r a c tBackground: Thoracic injury rule out criteria (TIRC) were first introduced as a decision instrument for selective chest radiography in blunt thoracic trauma in 2014. However, the validity of this model has not been assessed in other studies. In this regard, the present survey evaluates the validity of TIRC model in a multi-center setting.Methods: In this cross-sectional study, clinical presentations and chest radiograms of multiple trauma patients referring to 6 educational hospitals in Iran were evaluated. Data were gathered prospectively during 2015. In each center, data collection and interpretation of radiograms were conducted by two different emergency medicine specialists. Measures were then taken for assessment of discriminatory power and calibration of the model. Results:Data from 2905 patients were gathered (73.17% were male; the mean age was 33.53 AE 15.42 years). Area under the receiver operating characteristics curve of the TIRC model for detection of thoracic traumatic injuries was 0.93 (95%CI: 0.93-0.94). Sensitivity andspecificity of the model were 100 (98.91-100) and 67.65 (65.76-69.45), respectively.

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“…Blunt thoracic traumas constitute the vast majority of thorax traumas, and the rib fractures are the most common finding (1)(2)(3). There are many studies that present a significant rate of rib fractures in patients underwent blunt thoracic trauma-from 7% to 40% (4,5).…”

Section: Introductionmentioning

confidence: 99%

An analysis of 212 cases of rib fractures due to blunt thoracic trauma

Dimitrov¹,

Novakov²,

Bonev³

et al. 2017

TJS

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PURPOSE. The aim of this retrospective study was to investigate the role of rib fractures for the outcome in blunt chest trauma, to examine the mortality rate and the need of hospitalization of patients underwent blunt thoracic trauma. METHODS. 212 patients with fractured ribs after blunt thoracic trauma were included in the study. The mechanism of trauma, the number of fractured ribs; the type of associated thoracic injuries and the mortality rate were analyzed. RESULTS. The patients were divided in two groups according to the number of fractured ribs-group 1-patients with up to two fractured ribs-72 patients/33,9%/, and group 2-with three or more fractured ribs-140 patients /66,1%/. The number of associated chest injuries was significantly higher in the second group-in 133 patients/95%/.The mortality rate was 16,9% /36 patients/.The mortality rate was significantly higher for the group of patients at the age above 65 years and for the group of patients with multiple/≥3/ rib fractures. CONCLUSIONS. Our study confirms the role of rib fractures as a marker of severity in cases of blunt chest trauma patients.

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Non-life-threatening blunt chest trauma: Appropriate investigation and treatment

Cited by 45 publications

References 4 publications

Ultrasonography as a better diagnostic efficiency in rib fracture

Ultrasonography as a better diagnostic efficiency in rib fracture

Validation of thoracic injury rule out criteria as a decision instrument for screening of chest radiography in blunt thoracic trauma

An analysis of 212 cases of rib fractures due to blunt thoracic trauma

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