Original articleGeneral thoracicRisk Factors for 24-Hour Mortality After Traumatic Rib Fractures Owing to Motor Vehicle Accidents: A Nationwide Population-Based Study
Section snippets
Database
This study uses pooled data for the years 2002, 2003, and 2004 obtained from the National Health Insurance Research Database published by Taiwan's National Health Research Institute. The National Health Insurance Research Database covers all medical benefit claims for approximately 98% of the entire Taiwan population. The National Health Insurance Research Database also includes a registry of contracted medical facilities, a registry of board-certified surgeons, and details of orders and
Results
Table 1 describes the distribution of the sampled patients by patient demographics and hospital characteristics. Of the total 18,856 patients hospitalized for rib fractures during the 3-year study period, 70.1% were male, and the mean age of the patients was 53.6 years (standard deviation, 15.6 years).
Among the study sample, 459 patients (2.4%) were dead within 24 hours after admission, contributing to 55% of all 30-day mortalities (n = 827). Table 1 also presents the bivariate analyses of
Comment
In the modern era, motor vehicles are widespread and the incidence of traffic continues to rise. Rib fractures have been reported as the most common disorder associated with chest trauma, and almost 70% of these patients were hospitalized [7, 8, 9]. Our study explored the risk factors associated with 24-hour mortality after blunt chest trauma with fractured ribs resulting from motor vehicle accidents. We found that a total of 827 patients (4.4%) with traumatic rib fractures died within 30 days
References (24)
- et al.
Epidemiology of chest trauma
Surg Clin North Am
(1989) Nonpenetrating injuries to the chest wall and esophagus
Surg Clin North Am
(1972)- et al.
Lethal injuries and time to death in a level I trauma center
J Am Coll Surg
(1998) - et al.
Chest trauma: approach and management
Clin Chest Med
(1992) - et al.
Operative stabilization for flail chest after blunt trauma
J Thorac Cardiovasc Surg
(1978) Helmet use and motorcycle fatalities in Taiwan
Accid Anal Prev
(2005)- et al.
The morbidity and mortality of ribs fractures
J Trauma
(1994) - et al.
Blunt thoracic trauma: analysis of 515 patients
Ann Surg
(1987) - et al.
Chest trauma in children
Eur J Cardiothorac Surg
(2002) - et al.
Chest injury due to blunt trauma
Eur J Cardiothorac Surg
(2003)
A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management
Eur J Cardiothorac Surg
Elderly trauma patients with rib fractures are at greater risk of death and pneumonia
J Trauma
Cited by (56)
Differential Cortical Volumetric Bone Mineral Density within the Human Rib
2023, Journal of Clinical DensitometryRib fracture management: A review of surgical stabilization, regional analgesia, and intercostal nerve cryoablation
2022, Surgery in Practice and ScienceIs There a Role for Rib Plating in Thoracic Trauma?
2022, Advances in SurgeryValidation of rib structural responses under dynamic loadings using different material properties: A finite element analysis
2022, Medical Engineering and PhysicsA state-of-the-art review of factors that predict mortality among traumatic injury patients following a road traffic crash
2022, Australasian Emergency CareCitation Excerpt :Uncertainty regarding the level of evidence was resolved through discussion with study co-authors. A total of 80 articles [19–98] were included in this review representing 31 different countries and regions around the world. Factors associated with traffic crash fatalities were clustered into five categories; (i) demographic factors; (ii) behavioural factors; (iii) crash characteristics; (iv) environmental and timing factors; (v) injury severity and pre-injury/condition.
Isolated Thoracic Injury Patients With Rib Fractures Undergoing Rib Fixation Have Improved Mortality
2021, Journal of Surgical Research