Rib Fractures in the Elderly

Bulger, Eileen M.; Arneson, Matthew A.; Mock, Charles; Jurkovich, Gregory J.

doi:10.1097/00005373-200006000-00007

Cited by 592 publications

(495 citation statements)

References 17 publications

Supporting

Mentioning

453

Contrasting

Unclassified

Order By: Relevance

“…There are various studies that reported a direct correlation between the age and the incidence of pulmonary complications and mortality in patients with rib fractures. The studies found that the age over 60years is a risk factor for higher mortality rate in patients underwent blunt chest trauma and rib fractures (13,14). The positive correlation is explained with the particularities of patients in advanced age and in the elderly -the reduced pulmonary reserves, the increased sensitivity to the slightest hemodynamic changes, the presence of comorbidities.…”

Section: Discussionmentioning

confidence: 97%

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

Dimitrov¹,

Novakov²,

Bonev³

et al. 2017

TJS

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 97%

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

Dimitrov¹,

Novakov²,

Bonev³

et al. 2017

TJS

View full text Add to dashboard Cite

show abstract

“…However, there are also numerous contraindications to epidural catheter placement in trauma patients, including thoracic vertebral fractures, spinal cord injury, coagulopathy, unstable pelvis, and severe head injury [23,24].…”

Section: Discussionmentioning

confidence: 99%

“…23,24 Other limitations to this study is that it is a retrospective study with all it's inherent limitations. It was conducted in only one Trauma center and could not be generalized to a larger population.…”

Section: Limitationsmentioning

confidence: 99%

Traumatic flail chest injuries and the benefits of epidural analgesia

B¹,

Babsail²,

Elhusseini³

et al. 2017

Clin Res Trials

View full text Add to dashboard Cite

Introduction: Many poly-trauma patients sustain chest wall injuries. Flail chest is considered one of the uncommon injuries that may happen in traumatized patients and may increase morbidity and mortality in polytrauma patients. Pulmonary contusion, mechanical ventilation, pneumonia, sepsis and poor pain control are expected to be common complications in patients sustaining chest wall injuries. We hypothesize that the use of epidural analgesia can lead to improved clinical outcomes in this group of patients.

show abstract

“…Due to a number of physiological changes (such as osteoporosis and the thinning of cortical bone), older people tend to exhibit a greater injury risk for a given crash exposure compared to younger people (Morris et al, 2002(Morris et al, , 2003Kent et al, 2005Kent et al, , 2009. Older people are also frailer than younger -they tend to exhibit greater morbidity and fatality risk for a given injury compared to younger people (Bulger et al, 2000;Evans, 2001;Martinez et al, 1994;Miller et al, 1998;Miltner and Salwender, 1995;Peek-Asa et al, 1998). As a result, older people tend to be injured (even fatally) in lowerseverity collisions that may be normally survivable for younger persons (Kent et al, 2005).…”

mentioning

confidence: 99%

Epidemiology of injuries sustained by rear-seat passengers in frontal motor vehicle crashes

Bose

Crandall

Forman

et al. 2017

Journal of Transport & Health

View full text Add to dashboard Cite

ObjectiveAdvanced occupant protection systems in motor-vehicles (e.g., seat belts and airbags), while widely adopted for front-seat passengers, are either absent or offer disproportionally lower safety to rearseat passengers in similar crashes. Optimization of advanced restraint systems for the rear-seat environment will require a detailed understanding of epidemiology and associated risk factors for injuries sustained by rear-seat passengers. Thus, the objective of the study is to use national level motor-vehicle travel and crash data to quantify rear-seat travel exposure, and determine the descriptive characteristics and the injury outcomes for rear-seat passengers involved in frontal collisions. MethodsWhile U.S. travel data from the 2009 National Household Travel Survey was used to determine rear-seat travel estimates, crash data from 2001 to 2010 National Automotive Sampling System Crash Worthiness Data System was used to enroll rear-seat passengers injured in a frontal crash. The descriptive epidemiology of rear-seat crash victims was separately done for the three age-groups: children (8 to 15 (8-15 years old), adults (16 to 59 (16-59 years old), and senior adults (60+). ResultsThe study indicated that senior adults in rear-seats were associated with a significantly higher rate of sustaining fatal (6%) and severe injuries (16% for MAIS 3+ injuries) in comparison to the younger cohorts. The distribution of severe injuries further indicated that the thorax was the most frequently injured region across all age groups irrespective of the belt-use status. ConclusionsFindings of the study conclude that while rear-seat travel in the U.S. is still very low and improving belt usage is a primary concern among rear-seat passengers; however, the epidemiology supports the need for adapting rear-seat restraint performance for effective protection for all groups of rear-seat passengers.Keywords: Rear seat passenger; seatSeat belt; motorMotor vehicle crash; airbagAirbag; frontalFrontal crash; optimizedOptimized restrain systems trips in a motor-vehicle involve a rear-seat passenger , and rear seat occupants are present in approximately 13-17% of all tow-away collisions (Parenteau and Viano, 2003). As a result of low-exposure, rear-seat passengers are responsible for less than 10% of overall fatalities and injured victims (USDOT,(USDOT, 1997. Consequently, this cohort of vehicle passengers has traditionally received less attention than front seat occupants in terms of targeted injury countermeasures and understanding of the relative risk factors applicable to the rear-seat environment ).Various studies indicate that for children, a car's rear seat is safer than the front seat (Smith and Cummings, 2004;Kuppa et al., 2005). Moreover, recent research indicate that the fatality and injury-reducing efficacy of the rear seat highly depends on the passenger's age since the rear seat has been reported to be less safe than the front seat for older persons. Kuppa et al. (2005) reported a greater fatality risk for rear s...

show abstract

Rib Fractures in the Elderly

Cited by 592 publications

References 17 publications

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

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

Traumatic flail chest injuries and the benefits of epidural analgesia

Epidemiology of injuries sustained by rear-seat passengers in frontal motor vehicle crashes

Contact Info

Product

Resources

About