Rib fractures and their association With solid organ injury: higher rib fractures have greater significance for solid organ injury screening
| Autor: | Mohammad Amin Frotan, Jack W. Rostas, Richard P. Gonzalez, Timothy B. Lively, Sidney B. Brevard, Jon D. Simmons |
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| Rok vydání: | 2017 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Rib Fractures Kidney Sensitivity and Specificity 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Renal injury Predictive Value of Tests Chart review medicine Humans Retrospective Studies Liver injury Rib cage business.industry General Medicine musculoskeletal system medicine.disease Surgery Liver Spleen injury Injury screening Blunt trauma 030220 oncology & carcinogenesis Alabama Female Radiology Solid organ business Spleen |
| Zdroj: | The American Journal of Surgery. 213:791-797 |
| ISSN: | 0002-9610 |
| Popis: | The purpose of this study was to identify patients with rib injuries who were at risk for solid organ injury.A retrospective chart review was performed of all blunt trauma patients with rib fractures during the period from July 2007 to July 2012. Data were analyzed for association of rib fractures and solid organ injury.In all, 1,103 rib fracture patients were identified; 142 patients had liver injuries with 109 (77%) associated right rib fractures. Right-sided rib fractures with highest sensitivity for liver injury were middle rib segment (5 to 8) and lower segment (9 to 12) with liver injury sensitivities of 68% and 43%, respectively (P.001); 151 patients had spleen injuries with 119 (79%) associated left rib fractures. Left middle segment rib fractures and lower segment rib fractures had sensitivities of 80% and 63% for splenic injury, respectively (P.003).Rib fractures higher in the thoracic cage have significant association with solid organ injury. Using rib fractures from middle plus lower segments as indication for abdominal screening will significantly improve rib fracture sensitivity for identification of solid organ injury. |
| Databáze: | OpenAIRE |
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