Risk Factors for 24-Hour Mortality After Traumatic Rib Fractures Owing to Motor Vehicle Accidents: A Nationwide Population-Based Study

Lien, Yung Chang; Chen, Chao Hung; Lin, Herng Ching

doi:10.1016/j.athoracsur.2009.06.002

Cited by 62 publications

(41 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Yung chang et al showed that patients, who had hemopneumothorax, extremity fractures, pelvic fractures, head injuries, spleen injury, hepatic injury, heart injury, and diaphragm injury compared with patients, who had none of these injuries had higher adjusted odds of traumatic ribs fracture within 24 hours mortality (27).…”

Section: Discussionmentioning

confidence: 99%

Blunt Thoracic Injury Mortality and Clinical Presentation

Yadollahi¹,

Arabi²,

Mahmoudi³

et al. 2018

Trauma Mon

View full text Add to dashboard Cite

Background: Blunt thoracic trauma is the third most common injury in poly-trauma patients following head and extremities injuries; this study aimed at investigating the prevalence of blunt chest trauma and its injury pattern, mechanism of injury, length of hospital stay, treatment period, and risk factors. Methods: In this cross-sectional study, 7,410 patients, who referred to Shahid Rajaee hospital, during years 2010 to 2014 were selected through census sampling. The participants' demographic data, mechanism of injury, type of thoracic injury, location of fracture, length of stay, and injury severity scores (ISS) were recorded.Results: Most patients were male (5498, 74.2%), 63.3% were 15 to 40 years old, and their mean age was 37.53 ± 0.21 years. The most commonly reported mechanism of injury was car accident (2,999, 40.5%) followed by falls (1,529,20.6%, and motorbike accidents (964, 13.1%). Head, neck and thorax injuries were most common comorbidities in thorax trauma patients. The mortality rate was 1.5%. Indeed, the patients, who had rib fracture (P = 0.01) (OR3.66, CI [1.36 -9.82]), and multiple injuries of thorax (P < 0.001) (OR 8.10,.73]), had a higher mortality risk. Conclusions:The risk of blunt thoracic injuries was higher among specific types of injuries. Additionally, patients with blunt chest trauma, who had the risk factors of mortality required preventative measures and careful management in order to prevent traumarelated deaths.Keywords: Thoracic Injuries, Trauma, Blunt BackgroundTrauma is the leading cause of death in patients under 40 years of age (1) and the fourth leading cause of death globally (2, 3). World health organization (WHO) announced in 2004 that trauma was the fourth main cause of death in Iran, and would turn into the third cause of death by 2020 (4).With regards to the prevalence of thoracic trauma compared to other types of trauma, it is an important cause of morbidity and mortality, which has led to approximately 25% of trauma-related deaths in the United States (5). Thoracic trauma is the third most frequent injury after head and extremities in patients with multiple trauma (5). In addition, approximately 0.06% of disability cases per year are caused by chest trauma (6). Blunt thoracic injuries are the third most common injury in poly-trauma patients following head and extremities trauma (7). Blunt chest trauma is directly responsible for 25% of all trauma deaths (8).Generally, more than 50% of blunt chest trauma cases occur in fatal accidents and a large number of them are caused by motor vehicle crashes (63% to 78%), followed by falls, blows from blunt objects, or explosive devices (10% to 17%) (9).Blunt traumatic injuries (BTI) represent a high incidence of morbidity and mortality worldwide (10). The most common mechanisms of blunt trauma are road traffic accidents (RTAs), falls, and being struck by heavy objects (11,12).Patients with blunt chest trauma may be at a significant risk of developing respiratory failure (13). Some studies have also reported that up to ...

show abstract

Section: Discussionmentioning

confidence: 99%

Blunt Thoracic Injury Mortality and Clinical Presentation

Yadollahi¹,

Arabi²,

Mahmoudi³

et al. 2018

Trauma Mon

View full text Add to dashboard Cite

show abstract

“…There is uncertainty about the optimal technique and its indications. Several studies have attempted to characterize mortality risk factors in flail chest, but the findings are conflicting [13][14][15][16][17][18][19]. The cut points vary, parameters are not available before surgery, terms are too broadly defined, and the clinical applications are unclear.…”

mentioning

confidence: 95%

Risk Score for Predicting Mortality in Flail Chest

Zehr

Klar

Malthaner

2015

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

show abstract

“…Rib fractures, either in isolation or in combination with other injuries, can be a significant cause of morbidity and mortality (Ziegler and Agarwal, 1994;Lien et al, 2009). Previous research has documented that older occupants have a lower thoracic injury threshold, sustain more rib fractures and have a higher incidence of hemo/pneumothorax compared to younger occupants (Kent et al, 2005;Shimamura et al, 2003;Youn et al, 2009).…”

Section: Introductionmentioning

confidence: 94%