We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Clinical outcomes of multiple rib fractures: does age matter?
- Authors
Abdulrahman, H.; Afifi, I.; El-Menyar, A.; Al-Hassani, A.; Almadani, A.; Al-Thani, H.; Latifi, R.
- Abstract
Purpose: To evaluate the clinical outcomes of multiple rib fracture due to blunt trauma in young patients, a 3-year retrospective study was conducted. Patients with ≥3 rib fractures were divided into two groups (group I: <45 years old and group II: ≥45 years old). Mortality, hospital stay, ventilatory support, chest tubes insertion and associated injuries were studied. Results: Of the 902 patients admitted with blunt chest trauma, 240 (27 %) met the inclusion criteria and 72.5 % patients were <45 years old. The most common causes of injury were motor vehicle crash (59 %) and fall (29 %). The Injury Severity Score (ISS) was higher in group I (16 ± 9 vs. 13 ± 6; p = 0.04). Hospital mortality was higher in group II (6 vs. 2 %; p = 0.18). Pneumothorax, haemothorax and ventilatory support were comparable. Patients in group II were more likely to undergo chest tubes insertion (26 vs. 14 %; p = 0.04), while group I had a significantly higher incidence of associated abdominal injuries (25 vs. 12 %; p = 0.03). Conclusion: Old age presenting with rib fractures is associated with higher mortality in comparison to young age; however, this difference becomes statistically insignificant in the presence of multiple rib fracture.
- Subjects
BONE fractures -- Prognosis; RIB injuries; AGING; CLINICAL trials; STATISTICAL correlation; LENGTH of stay in hospitals; HOSPITALS; EVALUATION of medical care; DEATH rate; T-test (Statistics); SEVERITY of illness index; DATA analysis software; DESCRIPTIVE statistics; PROGNOSIS
- Publication
European Journal of Trauma & Emergency Surgery, 2013, Vol 39, Issue 6, p605
- ISSN
1863-9933
- Publication type
Article
- DOI
10.1007/s00068-013-0291-5