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http://hdl.handle.net/11054/264
Title: | Rib fractures in major trauma. |
Authors: | Cameron, Peter Dziukas, Linas Hadj, Afif Clark, Peter Hooper, Susan |
Issue Date: | 1996 |
Publisher: | Wiley |
Place of publication: | Australia |
Publication Title: | Australian and New Zealand Journal of Surgery ANZ Journal of Surgery |
Volume: | 66 |
Issue: | 8 |
Start Page: | 530 |
End Page: | 534 |
Abstract: | 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. This study was undertaken with data collected from Ballarat Base Hospital. |
URI: | http://hdl.handle.net/11054/264 |
Resource Link: | http://onlinelibrary.wiley.com/doi/10.1111/j.1445-2197.1996.tb00803.x/abstract |
ISSN: | 1445-1433 |
Internal ID Number: | 00252 |
Health Subject: | FRACTURES TRAUMA ICU RIB FRACTURES CHEST INJURY CASE STUDY INTENSIVE CARE UNITS |
Type: | Journal Article Article |
Appears in Collections: | Research Output |
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