Assessing the True Risk of Abdominal Solid Organ Injury in Hospitalized Rib Fracture Patients
| Autor: | James W. Klena, G C Wood, Matthew C. Indeck, Ehyal Shweiki |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male musculoskeletal diseases Thorax medicine.medical_specialty Adolescent Rib Fractures Long bone Abdominal Injuries Age Distribution Injury Severity Score Predictive Value of Tests Risk Factors Odds Ratio medicine Humans Sex Distribution Risk factor Child Pelvis Aged Probability Retrospective Studies Aged 80 and over Multiple Trauma business.industry Incidence Infant Retrospective cohort study Middle Aged Pennsylvania musculoskeletal system Surgery Hospitalization Viscera Logistic Models medicine.anatomical_structure Child Preschool Predictive value of tests Abdomen Female Radiology business Spleen |
| Zdroj: | The Journal of Trauma: Injury, Infection, and Critical Care. 50:684-688 |
| ISSN: | 1079-6061 |
| Popis: | Background Despite the lack of evidence, traditional trauma teaching has suggested that low rib fractures increase the risk of abdominal solid organ injury (ASOI). This study was designed to assess if in fact this is true, and to try and define other factors that increased the risk of ASOI in rib fracture patients. Methods The charts of 476 hospitalized rib fracture trauma patients were reviewed. Data were collected for age; sex; Injury Severity Score (ISS); rib fracture location; and the presence or absence of injuries to the abdominal organs, head, neck, face, thorax, great vessel, heart, thoracolumbar spine, pelvis, and extremities. Results The probability of liver injury increased with the presence of any right-sided rib fracture, any low rib fracture, female gender, young age, and an elevated ISS. The probability of splenic injury increased with the presence of left-sided rib fractures only, any low rib fracture, young age, and an elevated ISS. Conclusion In hospitalized trauma patients, low rib fractures, right-sided rib fractures, female gender, young age, and an elevated ISS increased the probability of liver injury; and low rib fractures, left-sided only rib fractures, young age, and an elevated ISS increased the probability of splenic injury. Associated pelvic fractures and long bone fractures did not increase the likelihood of ASOI in this cohort. |
| Databáze: | OpenAIRE |
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