Year: 2025
Type: article
Study design: Observational Study
Abstract: Background: In cases of chest trauma, rib fractures are a frequently occurring injury, with a prevalence of 60-80%. As such, our study aimed to investigate the one-year prognosis for patients who have experienced chest trauma accompanied by rib fractures.methods: This study was cross-sectional. 700 patients with chest trauma and rib fracture were examined in terms of inclusion and exclusion criteria. Demographic data of patients including age, gender, trauma mechanism (falling, car accident, motorcycle crash and fight) and traumatic location (division into three anterior and posterior, and lateral positions) were recorded. The number of broken ribs, the presence of a flail chest, and some fractures of ribs were recorded. Complications created for patients including hemothorax, pneumothorax, hemopneumothorax, and pulmonary contusion based on chest CT scan and radiologist interpretation. The duration of hospital stay and addition to the intensive care unit were recorded. SPSS software version 22 was used to analyze the data.Results: One year mortality rate was 6.3%. 202 patients (28.9%) had hemothorax, 115 patients (16.4%) with pneumothorax, 30 patients (4.3%) with hemopneumothorax and 55 patients (7.9%) had a pulmonary contusion. The mean age of patients, duration of hospitalization, number of broken ribs, and AIS criteria for dead patients were significantly more than those survived patients (P <0.05). The frequency of hemopneumothorax, flail chest and hospitalization in the intensive care unit in dead patients was significantly more than survived (P <0.05).Conclusions: According to the findings of this research, mortality rates in patients with chest blunt trauma and rib fracture are elevated in cases where the patient is of advanced age, experiences hemopneumothorax, sustains multiple rib fractures, has a higher injury severity score (AIS), endures a longer hospital stay, requires admission to the intensive care unit, and presents with a flail chest.
Source: The Open Public Health Journal
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4415138289