Rib and sternum fractures in the elderly and extreme elderly following motor vehicle crashes

Bansal, Vishal; Conroy, Carol; Chang, David C.; Tominaga, Gail T.; Coimbra, Raúl

doi:10.1016/j.aap.2010.10.009

Cited by 20 publications

(9 citation statements)

References 14 publications

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“…Table 1 summarizes the characteristics of the 13 included studies representing a total of 79,313 patients. [14][15][16][17][18][19][20][21][22][23][24][25][26] Studies were published between 1985 and 2016; 11 studies were performed in the United States, [14][15][16][17][20][21][22][23][24][25][26] 1 was performed in Egypt, 19 and 1 was performed in Israel. 18 All 13 were retrospective cohort studies, with the majority using data from trauma registries.…”

Section: Resultsmentioning

confidence: 99%

“…Six studies included mortality as a primary outcome of interest. [17][18][19]21,25,26 Eight studies included morbidity as a primary outcome of interest. [14][15][16][18][19][20]22,23 Six studies examined prognostic factors related to LOS.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies were found to have moderate to high ROB due to incomplete reporting on how prognostic factors were measured. [14][15][16][17][18][19]22,24,25 Most studies were judged to have high ROB based on partial reporting of confounder measurements. Seven studies were of moderate to high ROB in relation to outcome measurement.…”

Section: Resultsmentioning

confidence: 99%

“…One study found an association between a history of congestive heart failure and mortality after adjusting for age, ISS, the need for intubation, and trauma centre volume. 21 One study found a univariate association between ages ≥80 and mortality, 17 whereas two others found a multivariate association between advanced age and mortality. 21,26 The association between disease factors and mortality was examined in five studies.…”

Section: Quality Assessment Of Included Studiesmentioning

confidence: 99%

See 3 more Smart Citations

Risk factors for adverse outcomes in older adults with blunt chest trauma: A systematic review

Sawa

Green

Thoma

et al. 2018

CJEM

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Quality Assessment Of Included Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Risk factors for adverse outcomes in older adults with blunt chest trauma: A systematic review

Sawa

Green

Thoma

et al. 2018

CJEM

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“…It can be present in up to 27.7% of thoracic injuries associated with motor vehicle crashes in the extreme elderly population (>80 years of age). 4 Sternal fractures are often associated with other injuries, most commonly soft tissue contusions (56%) and rib fractures (49.6%). 2 When isolated, they are associated with a reported mortality rate of between 0.7% and 3.5%.…”

Section: Introductionmentioning

confidence: 99%

Delayed complications and functional outcome of isolated sternal fracture after emergency department discharge: a prospective, multicentre cohort study

Racine

Émond

Audette-Côté

et al. 2016

CJEM

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Objective: The aim of this study was to determine the incidence of delayed complications, specifically hemothorax, and functional outcome in patients with isolated sternal fracture discharged from the emergency department (ED) compared to patients with other minor thoracic trauma. Methods: This prospective cohort study was conducted in four university-affiliated Canadian EDs. Patients ages 16 and older discharged from the ED with an isolated minor thoracic injury were included and categorized as isolated sternal fracture, rib fracture, or no fracture. A standardized clinical and radiological follow-up was performed at 7 and 14 days as well as a phone follow-up at 30 and 90 days post-injury. Functional outcome was determined using the Medical Outcome Short-Form Health Survey (SF-12). Results: A total of 969 patients were included, of whom 32 (3.3%) had an isolated sternal fracture, 304 (31.3%) had rib fracture, and 633 (65.3%) had no fracture. Within 14 days, 112 patients presented with a delayed hemothorax: 12.5% of sternal fracture patients, 23% of rib fracture(s) patients, and 6% of minor thoracic injury patients without fracture (p < 0.05). At 90 days, 57.1% of patients with sternal fracture had moderate to severe disability compared to 25.4% and 21.2% for both of the other groups, respectively (p < 0.001). Conclusion: In this prospective study, we found that 12.5% (n = 4, p < 0.05) of patients with sternal fracture developed a delayed hemothorax, but the clinical significance of this remains questionable. The proportion of patients with sternal fracture who had moderate to severe disability was significantly higher than that of patients with other minor thoracic trauma. RÉSUMÉObjectif: L'étude visait à déterminer l'incidence de complications tardives, précisément de l'hémothorax, et de résultats cliniques fonctionnels chez des patients ayant subi une fracture isolée du sternum, et ce après le congé du département d'urgence (DU), comparativement à des patients ayant subi d'autres traumas thoraciques mineurs. Méthode: Il s'agit d'une étude prospective de cohorte qui a été menée dans quatre DU rattachés à des centres hospitaliers universitaires au Canada. Des patients âgés de 16 ans et plus ayant obtenu leur congé du DU après avoir subi un traumatisme thoracique mineur isolé ont participé à cette étude; leur état a été catégorisé comme suit : fracture isolée du sternum, fracture(s) de côte(s) ou aucune fracture. Un suivi clinique et radiologique standardisé a été effectué au 7 e et 14 e jour, ainsi qu'un suivi téléphonique au 30 e et 90 e jour après l'accident. Les résultats cliniques fonctionnels ont été évalués selon le questionnaire Medical Outcomes Short-Form Health Survey (SF-12). Résultats: Au total, 969 patients ont participé à l'étude, dont 32 (3,3%) souffraient d'une fracture isolée du sternum; 304 (31,3%), d'une fracture(s) de côte(s) et 633 (65,3%), d'aucune fracture. Au cours des 14 jours suivants, 112 patients ont consulté pour un hémothorax retardé : 12,5% à la suite d'une fracture du ster...

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Chest Wall Injury

Bulger

2013

Geriatric Trauma and Critical Care

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Rib and sternum fractures in the elderly and extreme elderly following motor vehicle crashes

Cited by 20 publications

References 14 publications

Risk factors for adverse outcomes in older adults with blunt chest trauma: A systematic review

Risk factors for adverse outcomes in older adults with blunt chest trauma: A systematic review

Delayed complications and functional outcome of isolated sternal fracture after emergency department discharge: a prospective, multicentre cohort study

Chest Wall Injury

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