ArticleBMJ open2017
Risk of pneumonia in patients with isolated minor rib fractures: a nationwide cohort study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 35 citations in OpenAlex.
- Computed Tomography-Verified Deep Learning Model for Rib Fracture Prediction and Complication Association from Chest Radiographs.International journal of medical sciences · 2026Article
- Post-discharge complications and follow-up timing after hospitalization for traumatic rib fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Clinical application of a novel rib fracture score system in patients with multiple rib fractures.Frontiers in surgery · 2025Article
- Incidence and impact of involuntary rib fracture after intercostal spreading for thoracotomy.Updates in surgery · 2024Article
- Research on Three-Dimensional Reconstruction of Ribs Based on Point Cloud Adaptive Smoothing Denoising.Sensors (Basel, Switzerland) · 2024Article
- Development and evaluation of a deep learning-based model for simultaneous detection and localization of rib and clavicle fractures in trauma patients' chest radiographs.Trauma surgery & acute care open · 2024Article
- Association of multiple rib fractures with the frequency of pneumonia in the post-resuscitation period.Resuscitation plus · 2022Article
- Empyema associated with a cough-induced rib fracture.BMJ case reports · 2021Article
- Risk of Pneumonia in Pediatric Patients Following Minor Chest Trauma: A Population-Based Retrospective Cohort Study.International journal of environmental research and public health · 2021Article
- Association of Hospital-Level Intensive Care Unit Use and Outcomes in Older Patients With Isolated Rib Fractures.JAMA network open · 2020Article
- Assessment of a Deep Learning Algorithm for the Detection of Rib Fractures on Whole-Body Trauma Computed Tomography.Korean journal of radiology · 2020Article
- Older Adults With Isolated Rib Fractures Do Not Require Routine Intensive Care Unit Admission.The Journal of surgical research · 2020Article
- Clinical prediction rule for delayed hemothorax after minor thoracic injury: a multicentre derivation and validation study.CMAJ open · 2017Article
- Pneumonia in Trauma Patients.Current trauma reports · 2017Review
- Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIsolated minor rib fractures (IMRFs) after blunt chest traumas are commonly observed in emergency departments. However, the relationship between IMRFs and subsequent pneumonia remains controversial. This nationwide cohort study investigated the association between IMRFs and the risk of pneumonia in patients with blunt chest traumas.
designNationwide population-based cohort study.
settingPatients with IMRFs were identified between 2010 and 2011 from the Taiwan National Health Insurance Research Database.
participantsNon-traumatic patients were matched through 1:8 propensity-score matching according to age, sex, and comorbidities (namely diabetes, hypertension, cardiovascular disease, asthma and chronic obstructive pulmonary disease (COPD)) with the comparison cohort. We estimated the adjusted HRs (aHRs) by using the Cox proportional hazard model. A total of 709 patients with IMRFs and 5672 non-traumatic patients were included.
main outcome measureThe primary end point was the occurrence of pneumonia within 30 days.
resultsThe incidence of pneumonia following IMRFs was 1.6% (11/709). The aHR for the risk of pneumonia after IMRFs was 8.94 (95% CI=3.79 to 21.09, p<0.001). Furthermore, old age (≥65 years; aHR=5.60, 95% CI 1.97 to 15.89, p<0.001) and COPD (aHR=5.41, 95% CI 1.02 to 3.59, p<0.001) were risk factors for pneumonia following IMRFs. In the IMRF group, presence of single or two isolated rib fractures was associated with an increased risk of pneumonia with aHRs of 3.97 (95% CI 1.09 to 14.44, p<0.001) and 17.13 (95% CI 6.66 to 44.04, p<0.001), respectively.
conclusionsAlthough the incidence of pneumonia following IMRFs is low, patients with two isolated rib fractures were particularly susceptible to pneumonia. Physicians should focus on this complication, particularly in elderly patients and those with COPD.
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