Traumatic sternal injury in patients with rib fracture: A single-center experience.
Clinical presentation
outcomes
rib fractures
sternal injury
Journal
International journal of critical illness and injury science
ISSN: 2229-5151
Titre abrégé: Int J Crit Illn Inj Sci
Pays: India
ID NLM: 101571136
Informations de publication
Date de publication:
Historique:
entrez:
24
7
2019
pubmed:
25
7
2019
medline:
25
7
2019
Statut:
ppublish
Résumé
We aimed to assess the pattern and impact of sternal injury with rib fracture in a Level 1 trauma center. 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. 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 ( 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.
Identifiants
pubmed: 31334049
doi: 10.4103/IJCIIS.IJCIIS_67_18
pii: IJCIIS-9-75
pmc: PMC6625325
doi:
Types de publication
Journal Article
Langues
eng
Pagination
75-81Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
Injury. 1998 Oct;29(8):609-12
pubmed: 10209593
Ann R Coll Surg Engl. 2000 May;82(3):162-6
pubmed: 10858676
Eur J Surg. 2001 Apr;167(4):243-8
pubmed: 11354314
Med J Aust. 1975 May 31;1(22):675-8
pubmed: 1152731
Am J Emerg Med. 2001 Sep;19(5):403-5
pubmed: 11555798
World J Surg. 2002 Oct;26(10):1243-6
pubmed: 12181604
Injury. 2003 Dec;34(12):924-7
pubmed: 14636736
J Trauma. 2004 Aug;57(2):301-4
pubmed: 15345976
J Trauma. 2004 Sep;57(3):576-81
pubmed: 15454805
J Trauma. 2004 Oct;57(4):837-44
pubmed: 15514539
Ann Thorac Surg. 2006 Aug;82(2):444-50
pubmed: 16863741
Injury. 2008 Jan;39(1):36-43
pubmed: 18001736
Am Surg. 2009 May;75(5):401-4
pubmed: 19445291
Emerg Med Australas. 2009 Oct;21(5):419-23
pubmed: 19694786
J Trauma Acute Care Surg. 2012 Nov;73(5 Suppl 4):S301-6
pubmed: 23114485
Am Surg. 2013 Jul;79(7):702-5
pubmed: 23816003
J Trauma Acute Care Surg. 2013 Sep;75(3):448-52
pubmed: 24089115
Emerg Med Int. 2013;2013:407589
pubmed: 24324890
J Emerg Trauma Shock. 2014 Jul;7(3):170-3
pubmed: 25114426
Int Orthop. 2016 Apr;40(4):791-8
pubmed: 25957589
Semin Roentgenol. 2016 Jul;51(3):203-14
pubmed: 27287951
Ann Emerg Med. 2016 Jul;68(1):133-4
pubmed: 27343649
Thorac Cardiovasc Surg. 2017 Oct;65(7):551-559
pubmed: 28187475
Unfallchirurg. 2018 Aug;121(8):642-648
pubmed: 29404636
Emerg Radiol. 2018 Aug;25(4):425-433
pubmed: 29619644
Ann Emerg Med. 1988 Sep;17(9):912-4
pubmed: 3415062
Ann Surg. 1987 Aug;206(2):200-5
pubmed: 3606246
Surg Gynecol Obstet. 1987 Mar;164(3):261-5
pubmed: 3824115
Br Med J (Clin Res Ed). 1985 Sep 21;291(6498):785
pubmed: 3929939
Am Surg. 1973 Jun;39(6):309-18
pubmed: 4706738
J Trauma. 1993 Jul;35(1):46-54
pubmed: 8331712
J Trauma. 1993 Jul;35(1):55-60
pubmed: 8331713
Arch Emerg Med. 1993 Mar;10(1):24-8
pubmed: 8452609
Injury. 1995 Nov;26(9):601-4
pubmed: 8550165