About: Rib fracture displacement worsens over time

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Rib fracture displacement worsens over time
Creator	Bauman, Zachary Grams, Benjamin Shostrom, Valerie Brett Waibel, · Cemaj, · Charity, · Evans, Hassie Lisa, · Schlitzkus, Lynn Yanala, ·
Source	PMC
abstract	PURPOSE: Rib fractures (RF) occur in 10% of trauma patients; associated with significant morbidity and mortality. Despite advancing technology of surgical stabilization of rib fractures (SSRF), treatment and indications remain controversial. Lack of displacement is often cited as a reason for non-operative management. The purpose was to examine RF patterns hypothesizing RF become more displaced over time. METHODS: Retrospective review of all RF patients from 2016–2017 at our institution. Patients with initial chest CT (CT1) followed by repeat CT (CT2) within 84 days were included. Basic demographics were obtained. Primary outcomes included RF displacement in millimeters (mm) between CT1 and CT2 in three planes (AP = anterior/posterior, O = overlap/gap, and SI = superior/inferior). Displacement was calculated by subtracting CT1 fracture displacement from CT2 displacement for each rib. Given anatomic and clinical characteristics, ribs were grouped (1–2, 3–6, 7–10, 11–12), averaged, and analyzed for displacement. Secondary outcome included number of missed RF on CT1. Non-parametric sign test and paired t test were used for analysis. Significance was set at p < 0.002. RESULTS: 78 of 477 patients with RF on CT1 had CT2 during the study period: primarily male (76%) and age 55.8 ± 20.1 with blunt mechanism of injury (99%). Median Injury Severity Score was 21 (IQR, 13–27) with Chest Abbreviated Injury Score of 3 (IQR, 3–4). Median time between CT1 and CT2 was 6 days (IQR, 3–12). Missed RF rate for CT1 was 10.1% (p = 0.11). Average fracture displacement was significantly increased for all rib groupings except 11–12 in all planes (p < 0.002). CONCLUSION: RF become more displaced over time. Pain regimens and SSRF considerations should be adjusted accordingly.
has issue date	2020-03-27(xsd:dateTime)
bibo:doi	10.1007/s00068-020-01353-w
bibo:pmid	32219487
has license	no-cc
sha1sum (hex)	6dfd251593ed4cecbb1f864a5ada3a36518cd556
schema:url	https://doi.org/10.1007/s00068-020-01353-w
resource representing a document's title	Rib fracture displacement worsens over time
has PubMed Central identifier	PMC7223740
has PubMed identifier	32219487
schema:publication	Eur J Trauma Emerg Surg
resource representing a document's body	covid:6dfd251593ed4cecbb1f864a5ada3a36518cd556#body_text
is schema:about of	named entity 'reason' named entity 'trauma' named entity 'The' named entity 'REASON FOR' named entity 'time' named entity 'displaced' named entity 'chest wall' named entity 'care facility' named entity 'Radiology' named entity 'pulmonary complications' named entity 'CT2' named entity 'rib fractures' named entity 'rib fractures' named entity 'major trauma' named entity 'thoracic cavity' named entity 'inhalation' named entity 'rib fractures' named entity 'acute respiratory distress syndrome' named entity 'Brasiliense' named entity 'rib fractures' named entity 'CT1' named entity 'rib cage' named entity 'statistically significant' named entity 'opioids' named entity 'pneumonia' named entity 'hemothorax' named entity 'pain medications' named entity 'computed tomography' named entity 'pain control' named entity 'rib injury' named entity 'rib fractures' named entity 'chest CT' named entity 'ICU' named entity 'rib fractures' named entity 'CT1' named entity 'Injury Severity Score' named entity 'sample size' named entity 'Rib fractures' named entity 'rib fractures' named entity 'pain control' named entity 'helical scan' named entity 'chest trauma' named entity 'clinical characteristics' named entity 'chest CT scan' named entity 'chest pain' named entity 'chest wall' named entity 'rib fractures' named entity 'rib fractures' named entity 'CT scan' named entity 'rib fracture' named entity 'helical scan' named entity 'CT1' named entity 'rib fracture' named entity 'CT1' named entity 'CT2' named entity 'CT2' named entity 'lung' named entity 'Institutional Review Board' named entity 'rib cage' named entity 'rib fracture' named entity 'pulmonary embolism' named entity 'CT1' named entity 'rib cage' named entity 'rib fracture' named entity 'rib fracture' named entity 'kidneys' named entity 'CT2' named entity 'ISS' named entity 'inter-quartile range' named entity 'CT1' named entity 'CT1' named entity 'rib fracture'

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