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Rib fractures and their association With solid organ injury: higher rib fractures have greater significance for solid organ injury screening.

Abstract：

BACKGROUND:The purpose of this study was to identify patients with rib injuries who were at risk for solid organ injury. METHODS: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. RESULTS: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). CONCLUSIONS: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.

journal_name

Am J Surg

journal_title

American journal of surgery

authors

Rostas JW,Lively TB,Brevard SB,Simmons JD,Frotan MA,Gonzalez RP

doi

10.1016/j.amjsurg.2016.08.002

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

791-797

issue

4

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(16)30468-8

journal_volume

213

pub_type

杂志文章

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