What question did this study set out to answer?

To assess multiple rib fractures as a clinical marker of severe injury and predictor of survival in pediatric trauma patients.

June 1, 1990Journal of Trauma and Acute Care Surgery

Rib Fractures in Children

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Authors

VGVictor F. GarciaCincinnati Children's Hospital Medical Center CGCatherine S. GotschallNational Highway Traffic Safety Administration MEMartin R. EichelbergerChildren's National

Discussion

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Overview

Cohort study reveals high mortality from rib fractures in pediatric trauma, indicating multiple fractures serve as critical markers of fatal multi-system injury.

Key Points

To assess multiple rib fractures as a clinical marker of severe injury and predictor of survival in pediatric trauma patients.
Analyzed physiologic, etiologic, and trauma data from 2,080 children aged 0–14 years consecutively admitted to a Level I pediatric trauma center with blunt or penetrating trauma.
Compared outcomes between children with and without rib fractures using ANOVA, Student's t-test, and Chi-square test, modeling survival probability through stepwise logistic regression.
Rib fractures occurred in 33 children and resulted in a 42% mortality rate (14/33), with child abuse accounting for 63% of injuries in children under 3 years old and pedestrian accidents predominating in older children.
Children suffering concomitant rib fractures and head trauma experienced a mortality rate of 71% (13/18).
A stepwise logistic regression model based on head injury severity and total fractured ribs accurately predicted survival in more than 85% of pediatric thoracic trauma cases.

Cite This Study

Garcia et al. (1990) studied this question.

synapsesocial.com/papers/6a18f7a7fd5345ff76be1e4b https://doi.org/10.1097/00005373-199006000-00007

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June 1, 1990Journal of Trauma and Acute Care Surgery

Rib Fractures in Children

View Full Paper

Ask AI

Bookmark

Authors

VGVictor F. GarciaCincinnati Children's Hospital Medical Center CGCatherine S. GotschallNational Highway Traffic Safety Administration MEMartin R. EichelbergerChildren's National

Discussion

Member takes

Overview

Cohort study reveals high mortality from rib fractures in pediatric trauma, indicating multiple fractures serve as critical markers of fatal multi-system injury.

Key Points

To assess multiple rib fractures as a clinical marker of severe injury and predictor of survival in pediatric trauma patients.
Analyzed physiologic, etiologic, and trauma data from 2,080 children aged 0–14 years consecutively admitted to a Level I pediatric trauma center with blunt or penetrating trauma.
Compared outcomes between children with and without rib fractures using ANOVA, Student's t-test, and Chi-square test, modeling survival probability through stepwise logistic regression.
Rib fractures occurred in 33 children and resulted in a 42% mortality rate (14/33), with child abuse accounting for 63% of injuries in children under 3 years old and pedestrian accidents predominating in older children.
Children suffering concomitant rib fractures and head trauma experienced a mortality rate of 71% (13/18).
A stepwise logistic regression model based on head injury severity and total fractured ribs accurately predicted survival in more than 85% of pediatric thoracic trauma cases.

Cite This Study

Garcia et al. (1990) studied this question.

synapsesocial.com/papers/6a18f7a7fd5345ff76be1e4b https://doi.org/10.1097/00005373-199006000-00007

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