Author / Sample size | Age Mean (±SD) | Sex (% male) | Injury Characteristics/Sub-groups | No. of thoracic fractures (mean (±SD) | ISS (mean (±SD)) | Mortality: |
---|---|---|---|---|---|---|
Claydon et al. (2017) (n = 15) | Range: 41–63 | 73.3% | Not reported | Not reported | Not reported | Not reported |
Marasco et al. (2015) (n = 397) | 53.9 (±18.8) | 75.1% (n = 298) | Group 1: Isolated Chest Injury: 54.4% (n = 216) Group 2: Associated ETI: 45.6% (n = 181) Presence of Flail Segment (in total sample): 53.1% (n = 211) | Not Reported | Group 1: 16.0 (±7.3) Group 2: 30.1 (±11.6) p < 0.001 | Group 1: 6.8% (n = 15) Group 2: 14% (n = 26) p = 0.02 |
Gordy et al. (2014) (n = 203) | Not reported | 71.4% (n = 145) | 22% (n = 44) = bilateral rib fractures 7% (n = 15) had flail chest 45% (n = 92) had ETI | 5.4 (range: 1–29) | 20 (range: 1–59) | 2% (n = 4) died due to complications of the injuries |
Daoust et al. (2013) (n = 734) | 54 (±17) | 63.5% (n = 466) | ≥ 1 rib # = 32.3% (n = 237) ≥ 2 rib # = 16.9% (n = 124) | Not Reported | Not Reported | Not Measured or Reported |
Marasco et al. (2013) (n = 46) | Group 1: 57.8 (±17.1) Group 2: 59.3 (±16.4) p = 0.72 | Group 1: 43.4% (n = 20) Group 2: 43.4% (n = 20) p = 1.0 | Group 1: Operative Fixation of rib # Group 2: Conservative management of rib # | Group 1: 11.0 (±3.1) Group2: 11.3 (±4.7) p = 0.79 | Group 1: 35.0 (±11.4) Group2: 30.0 (±6.3) p = 0.13 | One death prior to discharge from hospital. |
Bille et al. (2013) (n = 10) | Median age: 58 years (range: 21–80) | 50% (n = 5) | 2–3 rib fractures: n = 4 4–6 rib fractures: n = 3 single fracture mal-union: n = 3 100% received rib fixation | Median (range) Synthes Prosthesis: 3 (1–4) Stratos Prosthesis: 6 (1–6) | Not reported | No patients died during follow-up period |
Sheelat et al. (2012) (n = 102) | Median age: 56 (range: 19–84) | 71.6% (n = 73) | 45.1% (n = 46) had haemothorax or pneumothorax 66.7% (n = 68) required chest tube n = 16 required ventilatory support on intensive care | 50.9% (n = 52) = ≤3# 42.2% (n = 43) = > 3# 6.9% (n = 7) = Flail Chest | 20.1 61.8% (n = 63) had ISS > 15 | Not reported |
Fabricant et al. (2013) (n = 203) | Not reported | 71.4% (n = 145) | 50% = posterior Fractures 26% = Lateral Fractures 24% = anterior Fractures | 5.4 (range: 1–29) | 20 (range: 1–59) | 2% (n = 4) died due to complications of the injuries |
Mayberry et al. (2009) (n = 15) | Mean age: 60.6 (range: 30–91) | Not reported | Group 1: Isolated BTI: 17.5% (n = 7) Group 2: ETI: 82.5% (n = 33) | Not measured or reported | 30 (±12) | Not reported |
Amital et al. (2009) (n = 13) | 44.6 (±13 years) | 69.2% (n = 9) | 100% = lung contusions 23% (n = 3) = sternal # 76.9 (n = 10) = Haemo/pneumothorax | 84.6% (n = 11) had > 3 rib # | Not Reported | Not Reported |
Leone et al. (2008) (n = 55) | Mean age: 35 (range 22–45) | 78% (n = 43) | 100% required admission to ICU after BTI | Not Reported | Not Reported | n = 14 died on ICU n = 5 died after ICU d/c |
Kerr-Valentic et al. (2003) (n = 40) | 52 (±18) (range: 18–100) | 67.5% (n = 27) | Isolated BTI: 57.5% (n = 23) ETI: 42.5% (n = 17) Divided into four groups: Group 1 = ≤2 rib fractures with no ETI (n = 8) Group 2 = ≤2 rib fractures with ETI (n = 6) Group 3 = ≥3 rib fractures with no ETI (n = 9) Group 4 = ≥3 rib fractures with ETI (n = 9) | 2.7 (±1.7) ≤ 2 rib fractures: 45% (n = 18) ≥ 3 rib fractures: 55% (n = 22) | Not reported | 30-day mortality: 2.5% (n = 1) |
Mouton et al. (1997) (n = 23) | 50 (range: 38–53) | Not reported | Flail Chest: (n = 23) 100% received fib fixation | Not reported | Not reported | 30-day survival: 91.3% (n = 21) |
Beal and Oreskovich (1985) (n = 20) | Isolated BTI: 46.6 (range: 32–67) ETI: 38 (range: 25–55) | Not reported | Group 1: Isolated flail chest (n = 11) Group 2: Flail chest + ETI (n = 9) | Isolated BTI: 9.3 (range: 4–15) ETI: 7.5 (range: 1–16) | Isolated BTI: 20.75 ETI: 33 | Not reported |
Landercasper et al. (1984) (n = 62) | 52 (range: 7–87) | 64.2% (n = 46) | Flail Chest: (n = 62) 87% (n = 54) + ETI 92% (n = 57) had one or more concomitant thoracic injuries | Not reported | Not reported | Patients ≤65 years = 7% Patients ≥66 years = 29% |