Clinical outcomes of multiple rib fractures

Does age matter?

H. Abdulrahman, I. Afifi, A. El-Menyar, A. Al-Hassani, A. Almadani, H. Al-Thani, Rifat - Latifi

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: To evaluate the clinical outcomes of multiple rib fracture due to blunt trauma in young patients, a 3-year retrospective study was conducted. Patients with ≥3 rib fractures were divided into two groups (group I: <45 years old and group II: ≥45 years old). Mortality, hospital stay, ventilatory support, chest tubes insertion and associated injuries were studied. Results: Of the 902 patients admitted with blunt chest trauma, 240 (27 %) met the inclusion criteria and 72.5 % patients were <45 years old. The most common causes of injury were motor vehicle crash (59 %) and fall (29 %). The Injury Severity Score (ISS) was higher in group I (16 ± 9 vs. 13 ± 6; p = 0.04). Hospital mortality was higher in group II (6 vs. 2 %; p = 0.18). Pneumothorax, haemothorax and ventilatory support were comparable. Patients in group II were more likely to undergo chest tubes insertion (26 vs. 14 %; p = 0.04), while group I had a significantly higher incidence of associated abdominal injuries (25 vs. 12 %; p = 0.03). Conclusion: Old age presenting with rib fractures is associated with higher mortality in comparison to young age; however, this difference becomes statistically insignificant in the presence of multiple rib fracture.

Original languageEnglish (US)
Pages (from-to)605-611
Number of pages7
JournalEuropean Journal of Trauma and Emergency Surgery
Volume39
Issue number6
DOIs
StatePublished - 2013

Fingerprint

Rib Fractures
Chest Tubes
Wounds and Injuries
Hemothorax
Abdominal Injuries
Injury Severity Score
Mortality
Motor Vehicles
Pneumothorax
Hospital Mortality
Length of Stay
Thorax
Retrospective Studies
Multiple Fractures
Incidence

Keywords

  • Age
  • Blunt chest trauma
  • Multiple rib fracture

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine
  • Emergency Medicine

Cite this

Abdulrahman, H., Afifi, I., El-Menyar, A., Al-Hassani, A., Almadani, A., Al-Thani, H., & Latifi, R. . (2013). Clinical outcomes of multiple rib fractures: Does age matter? European Journal of Trauma and Emergency Surgery, 39(6), 605-611. https://doi.org/10.1007/s00068-013-0291-5

Clinical outcomes of multiple rib fractures : Does age matter? / Abdulrahman, H.; Afifi, I.; El-Menyar, A.; Al-Hassani, A.; Almadani, A.; Al-Thani, H.; Latifi, Rifat -.

In: European Journal of Trauma and Emergency Surgery, Vol. 39, No. 6, 2013, p. 605-611.

Research output: Contribution to journalArticle

Abdulrahman, H, Afifi, I, El-Menyar, A, Al-Hassani, A, Almadani, A, Al-Thani, H & Latifi, R 2013, 'Clinical outcomes of multiple rib fractures: Does age matter?', European Journal of Trauma and Emergency Surgery, vol. 39, no. 6, pp. 605-611. https://doi.org/10.1007/s00068-013-0291-5
Abdulrahman H, Afifi I, El-Menyar A, Al-Hassani A, Almadani A, Al-Thani H et al. Clinical outcomes of multiple rib fractures: Does age matter? European Journal of Trauma and Emergency Surgery. 2013;39(6):605-611. https://doi.org/10.1007/s00068-013-0291-5
Abdulrahman, H. ; Afifi, I. ; El-Menyar, A. ; Al-Hassani, A. ; Almadani, A. ; Al-Thani, H. ; Latifi, Rifat -. / Clinical outcomes of multiple rib fractures : Does age matter?. In: European Journal of Trauma and Emergency Surgery. 2013 ; Vol. 39, No. 6. pp. 605-611.
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