TY  - JOUR
PY  - 2019//
TI  - Traumatic sternal injury in patients with rib fracture: a single-center experience
JO  - International journal of critical illness and injury science
A1  - Al-Thani, Hassan
A1  - Jabbour, Gaby
A1  - El-Menyar, Ayman
A1  - Wahlen, Bianca M.
A1  - Asim, Mohammad
A1  - Abdelrahman, Husham
A1  - Nabir, Syed
A1  - Al-Jogol, Hisham
A1  - Mahmood, Ismail
A1  - El-Faramawy, Ahmed
A1  - Parchani, Ashok
A1  - Afifi, Ibrahim
A1  - Peralta, Ruben
SP  - 75
EP  - 81
VL  - 9
IS  - 2
N2  - PURPOSE: We aimed to assess the pattern and impact of sternal injury with rib fracture in a Level 1 trauma center. <br><br>PATIENTS AND METHODS: We conducted a retrospective review of trauma registry data to identify patients who presented with sternal fracture between 2010 and 2017. Data were analyzed and compared in patients with and without rib fracture. <br><br>RESULTS: We identified 212 patients with traumatic sternal injury, of them 119 (56%) had associated rib fractures. In comparison to those who had no rib fracture, patients with rib fractures were older (40.1 ± 13.6 vs. 37.8 ± 14.5), were frequently involved in traffic accidents (75% vs. 71%), had higher chest abbreviated injury scale (AIS 2.8 ± 0.6 vs. 2.2 ± 0.5) and Injury Severity Score ( ISS 17.5 ± 8.6 vs. 13.3 ± 9.6), were more likely to be intubated (33% vs. 19%), required chest tube insertion (13.4% vs. 4.3%), and received blood transfusion (29% vs. 17%). Rates of spine fracture, head injury, and solid organ injury were comparable in the two groups. Manubrium, clavicular and scapular fractures, lung contusion, hemothorax, and pneumothorax were significantly more evident in those who had rib fractures. Hospital length of stay was prolonged in patients with rib fractures (<i>P</i> = 0.008). The overall mortality was higher but not statistically significant in patients with rib fractures (5.0% vs. 3.2%). <br><br>CONCLUSIONS: Sternal fractures are rare, and detection of associated injuries requires a high index of suspicion. Combined sternal and rib fractures are more evident in relatively older patients after chest trauma. This combination has certain clinical implications that necessitate further prospective studies.<p />  <p>Language: en</p>
LA  - en
SN  - 2229-5151
UR  - http://dx.doi.org/10.4103/IJCIIS.IJCIIS_67_18
ID  - ref1
ER  -