Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma.

Accidents, Traffic Adult Aged Clavicle / injuries Female Fractures, Bone / surgery Humans Injury Severity Score Intensive Care Units Length of Stay Male Middle Aged Multiple Trauma / complications Registries Retrospective Studies Thoracic Injuries / surgery Treatment Outcome

Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
01 12 2021
Historique:
received: 26 12 2020
accepted: 22 11 2021
entrez: 2 12 2021
pubmed: 3 12 2021
medline: 27 1 2022
Statut: epublish

Résumé

Thoracic trauma has decisive influence on the outcome of multiply-injured patients and is often associated with clavicle fractures. The affected patients are prone to lung dysfunction and multiple organ failure. A multi-center, retrospective analysis of patient records documented in the TraumaRegister DGU was performed to assess the influence of surgical stabilization of clavicle fractures in patients with thoracic trauma. A total of 3,209 patients were included in the analysis. In 1362 patients (42%) the clavicle fracture was treated operatively after 7.1 ± 5.3 days. Surgically treated patients had a significant reduction in lung failure (p = 0.013, OR = 0.74), multiple organ failure (p = 0.001, OR = 0.64), intubation time (p = 0.004; -1.81 days) and length of hospital stay (p = 0.014; -1.51 days) compared to non-operative treatment. Moreover, surgical fixation of the clavicle within five days following hospital admission significantly reduced the rates of lung failure (p = 0.01, OR = 0.62), multiple organ failure (p = 0.01, OR = 0.59) and length of hospital stay (p = 0.01; -2.1 days). Based on our results, multiply-injured patients with thoracic trauma and concomitant clavicle fracture may benefit significantly from surgical stabilization of a clavicle fracture, especially when surgery is performed within the first five days after hospital admission.

Identifiants

DOI: 10.1038/s41598-021-02771-5 PMID: 34853398 PMC: PMC8636561
pubmed: 34853398
doi: 10.1038/s41598-021-02771-5
pii: 10.1038/s41598-021-02771-5
pmc: PMC8636561
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

23263

Informations de copyright

© 2021. The Author(s).

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Auteurs

Helge Eberbach (H)

Department of Orthopaedic and Trauma Surgery, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany. helge.eberbach@uniklinik-freiburg.de.

Rolf Lefering (R)

IFOM-Institute for Research in Operative Medicine, University Witten/Herdecke, Faculty of Health, Cologne, Germany.

Sven Hager (S)

Department of Surgery, Bautzen Hospital, Oberlausitz-Kliniken gGmbH, Bautzen, Germany.

Klaus Schumm (K)

Department of Orthopaedic and Trauma Surgery, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.

Lisa Bode (L)

Department of Orthopaedic and Trauma Surgery, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.

Martin Jaeger (M)

Department of Orthopaedic and Trauma Surgery, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.

Dirk Maier (D)

Department of Orthopaedic and Trauma Surgery, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.

Johannes Kalbhenn (J)

Department of Anesthesiology and Intensive Care Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Thorsten Hammer (T)

Department of Orthopaedic and Trauma Surgery, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.

Hagen Schmal (H)

Department of Orthopaedic and Trauma Surgery, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.
Department of Orthopaedic Surgery, University Hospital Odense, Odense C, Denmark.

Jörg Bayer (J)

Department of Orthopaedic and Trauma Surgery, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.

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Classifications MeSH

questionsmedicales.fr › Environnement et santé publique › Santé publique › Accidents › Accidents de la route › Influence of surgical stabilization of...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Influence of surgical stabilization of...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Influence of surgical stabilization of...
questionsmedicales.fr › Appareil locomoteur › Squelette › Os du membre supérieur › Clavicule › Influence of surgical stabilization of...
questionsmedicales.fr › Plaies et blessures › Fractures osseuses › Influence of surgical stabilization of...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Influence of surgical stabilization of...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Score de gravité des lésions traumatiques › Influence of surgical stabilization of...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Unités hospitalières › Unités de soins intensifs › Influence of surgical stabilization of...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Hospitalisation › Durée du séjour › Influence of surgical stabilization of...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Influence of surgical stabilization of...
questionsmedicales.fr › Plaies et blessures › Polytraumatisme › Influence of surgical stabilization of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enregistrements › Influence of surgical stabilization of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Influence of surgical stabilization of...
questionsmedicales.fr › Plaies et blessures › Blessures du thorax › Influence of surgical stabilization of...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Influence of surgical stabilization of...