From: The number of displaced rib fractures is more predictive for complications in chest trauma patients
Parameter | Total (N = 174) | Patients with pulmonary complication (N = 108) | OR 95% CI | p-value |
---|---|---|---|---|
[n (%)] | [n (%)] | |||
Gender | ||||
Male | 121 (69.5) | 75 (62) | 0.99 (0.51–1.92) | 0.97 |
Elderly | ||||
≧65 | 43 (24.7) | 26 (60.5) | 0.91 (0.45–1.85) | 0.80 |
ICED | ||||
0 | 69 (39.7) | 46 (66.7) | Reference | - |
1 | 88 (50.6) | 53 (60.2) | 0.76 (0.39–1.46) | 0.41 |
2 | 17 (9.8) | 9 (52.9) | 0.56 (0.19–1.65) | 0.30 |
3 | 0 | NA | NA | |
Mechanism | ||||
Motorbike | 70 (40.2) | 39 (55.7) | Reference | - |
Car | 13 (7.5) | 10 (76.9) | 2.65 (0.67–10.47) | 0.16 |
Bicycle | 8 (4.6) | 5 (62.5) | 1.33 (0.29–5.98) | 0.72 |
Pedestrian | 11 (6.3) | 7 (63.6) | 1.39 (0.37–5.19) | 0.62 |
Fall ≧3 m | 29 (16.7) | 21 (72.4) | 2.09 (0.81–5.35) | 0.13 |
Fall <3 m | 40 (23) | 23 (57.5) | 1.08 (0.49–2.36) | 0.86 |
Assault | 1 (0.6) | 1 (100) | NA | NA |
Heavy stuff compression | 2 (1.1) | 2 (100) | NA | NA |
Laterality | ||||
Left | 91 (52.3) | 57 (62.6) | Reference | - |
Right | 71 (40.8) | 39 (54.9) | 0.73 (0.39–1.37) | 0.32 |
Both | 12 (6.9) | 12 (100) | NA | NA |
Location | ||||
1st–3rd | 12 (6.9) | 7 (58.3) | Reference | - |
4th–9th | 117 (67.2) | 66 (56.4) | 0.89 (0.27–2.98) | 0.85 |
10th–12th | 10 (5.7) | 6 (60) | 1.07 (0.19–5.91) | 0.94 |
≧2area | 35 (20.1) | 29 (82.9) | 4.29 (0.97–18.97) | 0.06 |
Rib fracture numbers | ||||
1–2 | 57 (32.8) | 18 (31.6) | Reference | - |
≧3 | 117 (67.2) | 90 (76.9) | 7.22 (3.57–14.62) | <0.0001 |
Displaced rib fracture numbers | ||||
0 | 40 (23) | 13 (32.5) | Reference | - |
≧1 | 134 (77) | 95 (70.9) | 5.06 (2.37–10.81) | <0.0001 |
Nondisplaced rib fracture numbers | ||||
0 | 33 (19) | 21 (63.6) | Reference | - |
≧1 | 141 (81) | 87 (61.7) | 0.92 (0.42–2.02) | 0.837 |
Alcohol drinking | 13 (7.5) | 8 (61.5) | 0.98 (0.31–3.12) | 0.97 |
ISS | ||||
≧16 | 88 (50.6) | 81 (92) | 25.29 (10.32–61.97) | <0.0001 |
< 16 | 86 (49.4) | 27 (31.4) | Reference | - |
AIS (thoracic area) | ||||
≧4 | 71 (40.8) | 70 (98.6) | NA | NA |
< 4 | 103 (59.2) | 38 (36.9) | ||
Ribscore | ||||
0–1 | 138 (79.3) | 73 (52.9) | Reference | - |
2–3 | 28 (16.1) | 27 (96.4) | 24.04 (3.18–181.91) | 0.002 |
4–6 | 8 (4.6) | 8 (100) | NA | NA |
TTSS | ||||
0–4 | 66 (37.9) | 22 (33.3) | Reference | - |
5–7 | 67 (38.5) | 45 (67.2) | 4.09 (1.99–8.43) | 0.0001 |
8–12 | 30 (17.2) | 30 (100) | NA | NA |
13–25 | 11 (6.3) | 11 (100) | NA | NA |