BACKGROUND: To determine the mortality, hospital and intensive care unit (ICU) stay of rib fractures in patients admitted to Victorian hospitals for more than 1 day. METHODS: All patients fitting the entry criteria for the Victorian Major Trauma Study with fractured ribs were identified between 1 March 1992 and 28 February 1993. Aetiology, age, sex, associated injury and outcome were analysed. RESULTS: Patients with rib fractures had a higher mortality and length of hospital stay, but this was not significantly different from other trauma. A significantly higher percentage of patients required ICU care for rib fractures (44%) compared with the total group with blunt injury (24%). The majority of rib fractures resulted from motor vehicle accidents 361/541 (67%). Injuries occurring on the street/highway resulting in rib fractures were more likely to be major; 62% had Injury Severity Score (ISS) > 15. Fractured ribs occurred more commonly with increased age. Mortality for patients with fractured ribs versus total trauma group was higher in elderly patients. Univariate analysis showed rib fractures were a positive predictor of death but when adjusted for ISS and age, rib fractures became a negative predictor. Rib fractures were not predictors for length of ICU or hospital stay. CONCLUSION: The sample of rib fractures collected in this study underestimates the overall incidence. For those patients admitted to hospital with identified rib fractures, there is a trend towards higher mortality and morbidity. However, this association is better predicted by ISS and age.
BACKGROUND: To determine the mortality, hospital and intensive care unit (ICU) stay of rib fractures in patients admitted to Victorian hospitals for more than 1 day. METHODS: All patients fitting the entry criteria for the Victorian Major Trauma Study with fractured ribs were identified between 1 March 1992 and 28 February 1993. Aetiology, age, sex, associated injury and outcome were analysed. RESULTS:Patients with rib fractures had a higher mortality and length of hospital stay, but this was not significantly different from other trauma. A significantly higher percentage of patients required ICU care for rib fractures (44%) compared with the total group with blunt injury (24%). The majority of rib fractures resulted from motor vehicle accidents 361/541 (67%). Injuries occurring on the street/highway resulting in rib fractures were more likely to be major; 62% had Injury Severity Score (ISS) > 15. Fractured ribs occurred more commonly with increased age. Mortality for patients with fractured ribs versus total trauma group was higher in elderly patients. Univariate analysis showed rib fractures were a positive predictor of death but when adjusted for ISS and age, rib fractures became a negative predictor. Rib fractures were not predictors for length of ICU or hospital stay. CONCLUSION: The sample of rib fractures collected in this study underestimates the overall incidence. For those patients admitted to hospital with identified rib fractures, there is a trend towards higher mortality and morbidity. However, this association is better predicted by ISS and age.
Authors: Narayan Yoganandan; Frank A Pintar; Brian D Stemper; Thomas A Gennarelli; John A Weigelt Journal: J Biomech Date: 2006-03-09 Impact factor: 2.712
Authors: Mathieu M E Wijffels; Tjebbe Hagenaars; Diba Latifi; Esther M M Van Lieshout; Michael H J Verhofstad Journal: Eur J Trauma Emerg Surg Date: 2018-05-21 Impact factor: 3.693
Authors: Mathieu M E Wijffels; Jonne T H Prins; Suzanne Polinder; Taco J Blokhuis; Erik R De Loos; Roeland H Den Boer; Elvira R Flikweert; Albert F Pull Ter Gunne; Akkie N Ringburg; W Richard Spanjersberg; Pieter J Van Huijstee; Gust Van Montfort; Jefrey Vermeulen; Dagmar I Vos; Michael H J Verhofstad; Esther M M Van Lieshout Journal: World J Emerg Surg Date: 2019-07-30 Impact factor: 5.469
Authors: J T H Prins; E M M Van Lieshout; M R L Reijnders; M H J Verhofstad; M M E Wijffels Journal: Osteoporos Int Date: 2019-12-11 Impact factor: 4.507