TY  - JOUR
PY  - 2019//
TI  - Limited influence of flail chest in patients with blunt thoracic trauma - a matched-pair analysis
JO  - In vivo
A1  - Getz, Peter
A1  - Mommsen, Philipp
A1  - Clausen, Jan-Dierk
A1  - Winkelmann, Marcel
SP  - 133
EP  - 139
VL  - 33
IS  - 1
N2  - BACKGROUND: Flail chest is considered as one of the most severe forms of blunt thoracic trauma. However, its actual influence on post-traumatic morbidity and mortality is debatable. <br><br>MATERIALS AND METHODS: A retrospective cohort analysis was performed of multiply injured patients (injury severity score ≥16) at a level I trauma center. Flail chest was defined as segment fracture of at least three consecutive ribs on at least one side. Propensity score matching was performed. <br><br>RESULTS: A total of 600 patients were included, with a mean age of 44.1±19.1 years and a mean injury severity score of 31.6±10.4. Overall, 367 patients (61.2%) had a serial rib fracture. Forty-five patients (7.5%) presented with flail chest. Patients with flail chest more often had lung contusions (70 vs. 50%, p=0.04) and pneumo-/hematothorax (93 vs. 71%, p=0.005). There were no differences in post-traumatic morbidity and mortality. <br><br>CONCLUSION: Flail chest had no independent influence in addition to injury severity on post-traumatic morbidity and mortality in multiply injured patients with blunt thoracic trauma.<br><br>Copyright© 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0258-851X
UR  - http://dx.doi.org/10.21873/invivo.11449
ID  - ref1
ER  -