Universität zu Köln

Schulz-Drost, Stefan, Krinner, Sebastian, Langenbach, Andreas, Oppel, Pascal, Lefering, Rolf, Taylor, Dominic, Hennig, Friedrich F. and Mauerer, Andreas (2017). Concomitant Sternal Fracture in Flail Chest: An Analysis of 21,741 Polytrauma Patients from the TraumaRegister DGU (R). Thorac. Cardiovasc. Surg., 65 (7). S. 551 - 560. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-1902

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Abstract

Background Isolated sternal fractures (SFs) rarely show complications, but their influence in a thorax trauma of the seriously injured still remains unclear. Methods A retrospective analysis of the TraumaRegister DGU (R) was performed involving the years 2009 to 2013 (Injury Severity Score [ISS] >= 16, primary admission to a trauma center). Cohort formation: Unilateral and bilateral flail chest (FC) injuries with and without a concomitant SF, respectively. Results In total, 21,741 patients (25% female) met the inclusion criteria, with 3,492 (16.1%) showing SF. Unilateral FC patients were on average 53.6 +/- 18.4 years old, and bilateral FC patients were on average 55.2 +/- 17.7 years old. The ISS in unilateral FC and bilateral FC amounted to 31.2 +/- 13.0 and 43.4 +/- 13.1 points, respectively. FC with an SF occurredmore frequently as an injury to car occupants and less frequently as an injury to motorcyclists or in injuries due to falls. Conclusion Patients with an SF additional to an FC had longer hospital and intensive care unit stays and were longer artificially respirated than those patients without an SF. SF indicates possible cardiac and thoracic spine injuries.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schulz-Drost, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Krinner, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Langenbach, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Oppel, Pascal UNSPECIFIED UNSPECIFIED UNSPECIFIED Lefering, Rolf UNSPECIFIED UNSPECIFIED UNSPECIFIED Taylor, Dominic UNSPECIFIED UNSPECIFIED UNSPECIFIED Hennig, Friedrich F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mauerer, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-216997
DOI:	10.1055/s-0037-1598194
Journal or Publication Title:	Thorac. Cardiovasc. Surg.
Volume:	65
Number:	7
Page Range:	S. 551 - 560
Date:	2017
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-1902
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRAUMA DATA-BANK; RETROSPECTIVE ANALYSIS; INJURED PATIENTS; MANAGEMENT; OUTCOMES; OPTIONS Multiple languages Cardiac & Cardiovascular Systems; Respiratory System; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/21699