Analysis of traumatic rib fracture cases at our hospital

Abstract

In the present study, we examined 189 patients with chest injury who had been admitted and treated at our hospital over the past 13 years to identify risk factors associated with traumatic hemopneumothorax. The primary endpoint was the presence of thoracic drainage, and the secondary endpoint was the development of traumatic hemopneumothorax. Logistic regression analysis was performed by determining explanatory variables of multivariate analysis by univariate analysis using Pearson's X² test. Predictive risk factors for thoracic drainage only showed a significant difference in fracture dislocation. Predictive risk factors for the onset of traumatic pneumothorax were two or more rib fractures and fracture dislocations. Even chest trauma with a low AIS score is more likely to lead to complications requiring surgical intervention, and caution is needed in hospital care for thoracic trauma.