Prevalence and Clinical Import of Thoracic Injury Identified by Chest Computed Tomography but Not Chest Radiography in Blunt Trauma: Multicenter Prospective Cohort Study

Purpose: We aimed to assess the pattern and impact of sternal injury with rib fracture in a Level 1 trauma center. Patients and Methods: We conducted a retrospective review of trauma registry data to identify patients who presented with sternal fracture between 2010 and 2017. Data were analyzed and compared in patients with and without rib fracture. Results: We identified 212 patients with traumatic sternal injury, of them 119 (56%) had associated rib fractures. In comparison to those who had no rib fracture, patients with rib fractures were older (40.1 ± 13.6 vs. 37.8 ± 14.5), were frequently involved in traffic accidents (75% vs. 71%), had higher chest abbreviated injury scale (AIS 2.8 ± 0.6 vs. 2.2 ± 0.5) and Injury Severity Score ( ISS 17.5 ± 8.6 vs. 13.3 ± 9.6), were more likely to be intubated (33% vs. 19%), required chest tube insertion (13.4% vs. 4.3%), and received blood transfusion (29% vs. 17%). Rates of spine fracture, head injury, and solid organ injury were comparable in the two groups. Manubrium, clavicular and scapular fractures, lung contusion, hemothorax, and pneumothorax were significantly more evident in those who had rib fractures. Hospital length of stay was prolonged in patients with rib fractures ( P = 0.008). The overall mortality was higher but not statistically significant in patients with rib fractures (5.0% vs. 3.2%). Conclusions: Sternal fractures are rare, and detection of associated injuries requires a high index of suspicion. Combined sternal and rib fractures are more evident in relatively older patients after chest trauma. This combination has certain clinical implications that necessitate further prospective studies.

show abstract

“…However, CT is superior to chest radiography, as it can demonstrate significant lesions in cases with normal initial radiography. [3031]…”

Section: Discussionmentioning

confidence: 99%

Traumatic sternal injury in patients with rib fracture: A single-center experience

Al-Thani

Jabbour

El‐Menyar

et al. 2019

Int J Crit Illn Inj Sci

View full text Add to dashboard Cite

show abstract

Utility of chest CT after a chest X-ray in patients presenting to the ED with non-traumatic thoracic emergencies

Gezer

Balci

Tuna

et al. 2017

The American Journal of Emergency Medicine

View full text Add to dashboard Cite

The Diagnostic Performance and Utility of Chest XR in Relation to Chest CT in Nontraumatic Respiratory Emergency Patients

Cevhertaş,

Baykan,

Sağlam

et al. 2023

Nigerian Journal of Clinical Practice

View full text Add to dashboard Cite

Prevalence and Clinical Import of Thoracic Injury Identified by Chest Computed Tomography but Not Chest Radiography in Blunt Trauma: Multicenter Prospective Cohort Study

Cited by 3 publications

References 5 publications

Traumatic sternal injury in patients with rib fracture: A single-center experience

Traumatic sternal injury in patients with rib fracture: A single-center experience

Utility of chest CT after a chest X-ray in patients presenting to the ED with non-traumatic thoracic emergencies

The Diagnostic Performance and Utility of Chest XR in Relation to Chest CT in Nontraumatic Respiratory Emergency Patients

Contact Info

Product

Resources

About