ArticlePloS one2017
Thoracic trauma now and then: A 10 year experience from 16,773 severely injured patients.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Epidemiology of combined clavicle and rib fractures: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Pooled it
- [The NIPPLE trial-On the secure placement of chest drains or why men and women may sometimes be really equal : German Congress for Orthopedics and Trauma Surgery (DKOU) Science Slam 2024].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- NIpple Position to Pinpoint Localization of Chest Drain Insertion in FEmale Trauma Patients: The NIPPLE-Trial-A Landmark Study.Journal of clinical medicine · 2024Article
- Article
- Thoracic injuries in trauma patients: epidemiology and its influence on mortality.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
- Management of blunt thoracic trauma.BJA education · 2022Review
- Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU.Journal of clinical medicine · 2022Article
- Observational
- Trauma Team Activation: Which Surgical Capability Is Immediately Required in Polytrauma? A Retrospective, Monocentric Analysis of Emergency Procedures Performed on 751 Severely Injured Patients.Journal of clinical medicine · 2021Article
- Review
- Incidence of Fat Embolism Syndrome in Femur Fractures and Its Associated Risk Factors over Time-A Systematic Review.Journal of clinical medicine · 2021Review
- Epidemiological profile of chest trauma and predictive factors for length of hospital stay in a hospital in Southern Brazil.International journal of burns and trauma · 2021Article
- Epidural analgesia in ICU chest trauma patients with fractured ribs: retrospective study of pain control and intubation requirements.Annals of intensive care · 2020Article
- Impact of Chest Trauma and Overweight on Mortality and Outcome in Severely Injured Patients.Journal of clinical medicine · 2020Article
- Blunt trauma related chest wall and pulmonary injuries: An overview.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2020Review
- Development of a Visual Analytics Tool for Polytrauma Patients: Proof of Concept for a New Assessment Tool Using a Multiple Layer Sankey Diagram in a Single-Center Database.World journal of surgery · 2020Article
- Demographic, Clinical Features and Outcome Determinants of Thoracic Trauma in Sri Lanka: A Multicentre Prospective Cohort Study.Canadian respiratory journal · 2020Article
- Hemothorax: A Review of the Literature.Clinical pulmonary medicine · 2020Article
- Survival rate and Outcome of extracorporeal life support (ECLS) for treatment of acute cardiorespiratory failure in trauma patients.Scientific reports · 2019Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThoracic trauma remains to be a relevant injury to the polytraumatised patient. However, literature regarding how far changes in clinical guidelines for pre- and in-hospital trauma management and diagnostic procedures affect the outcome of multiple injured patients with severe chest injury during a long-term observation period is sparse.
methodsMultiple traumatised patients (age≥16y) documented in the TraumaRegister DGU® (TR-DGU) from January 1st 2005 to December 31st 2014 with severe chest trauma (AIS≥3) were included in this study. Demographic data, the pattern of injury, injury severity, radiographic emergency procedures, indication for intubation, duration of mechanical ventilation, emergency surgery, occurrence of complications and mortality were evaluated per year and over time.
resultsA total of 16,773 patients were analysed. The use of whole body computer tomography increased (p<0.001), while the incidence of plain x-rays decreased (p<0.001). Furthermore, incidence of AISThorax = 3 graded injuries increased (p<0.001) while AISThorax = 4 decreased (p<0.001). Both, rate of patients being intubated at the time of ICU admission decreased (p<0.001) and the time of mechanical ventilation decreased (p<0.001). Additionally, need for emergency surgery, lung failure, sepsis, and multi organ failure all decreased (p<0.001). However, mortality remained unchanged.
interpretationSeverity of severe chest trauma and associated complications decreased while diagnostics and treatment improved over time. However, mortality remained unchanged. Our results are in line with those expected in the context of the incidence of CT diagnostics, which has increased parallel to the clinical outcome Thus, our data demonstrate a positive trend in the treatment of patients with severe chest trauma.
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