Sternal fractures in a level III trauma intensive care unit.

Autor:	Pereira LDDS; Universidade de São Paulo, Faculdade de Medicina, Departamento de Cirurgia, Divisão de Cirurgia Geral e Trauma, São Paulo, SP, Brasil., Bassi E; Universidade de São Paulo, Faculdade de Medicina, Departamento de Cirurgia, Divisão de Cirurgia Geral e Trauma, São Paulo, SP, Brasil., Tomazini BM; Universidade de São Paulo, Faculdade de Medicina, Departamento de Cirurgia, Divisão de Cirurgia Geral e Trauma, São Paulo, SP, Brasil., Jesus VLM; Universidade de São Paulo, Faculdade de Medicina, Departamento de Cirurgia, Divisão de Cirurgia Geral e Trauma, São Paulo, SP, Brasil., Tierno PFGMM; Universidade de São Paulo, Faculdade de Medicina, Departamento de Cirurgia, Divisão de Cirurgia Geral e Trauma, São Paulo, SP, Brasil., Novo FDCF; Universidade de São Paulo, Faculdade de Medicina, Departamento de Cirurgia, Divisão de Cirurgia Geral e Trauma, São Paulo, SP, Brasil., Malbouisson LM; Universidade de São Paulo, Faculdade de Medicina, Departamento de Anestesiologia, São Paulo, SP, Brasil., Utiyama EM; Universidade de São Paulo, Faculdade de Medicina, Departamento de Cirurgia, Divisão de Cirurgia Geral e Trauma, São Paulo, SP, Brasil.
Jazyk:	Portuguese; English
Zdroj:	Revista do Colegio Brasileiro de Cirurgioes [Rev Col Bras Cir] 2019 Mar 21; Vol. 46 (1), pp. e2059. Date of Electronic Publication: 2019 Mar 21.
DOI:	10.1590/0100-6991e-20192059
Abstrakt:	Objective: to evaluate epidemiology, anatomical characteristics, management, and prognosis of critical patients with sternum fractures. Methods: retrospective analysis of patients admitted to intensive care unit (ICU) of a Level III trauma center in Sao Paulo, Brazil. Results: 1552 trauma patients were admitted from January 2012 to April 2016. A total of 439 patients had thoracic trauma and among these, 13 patients had sternum fracture, making up 0.9% of all trauma admissions and 3% of all thoracic trauma cases. Three of these 13 patients had unstable chest, two underwent surgical management for fracture fixation, and three died (mortality was of 29%). In one of the deaths, sternum fracture was assessed as the main contributor to the outcome. Conclusion: sternum fracture was diagnosed in 0.9% of critical trauma patients in a specialized ICU. Only 15% of patients required specific surgical management in the acute phase. In most cases, mortality was due to other injuries.
Databáze:	MEDLINE
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