Evidence map›Paper›PMID 30587613›Full record

ArticleIn vivo (Athens, Greece)

Limited Influence of Flail Chest in Patients With Blunt Thoracic Trauma - A Matched-pair Analysis.

Peter Getz, Philipp Mommsen, Jan-Dierk Clausen, Marcel Winkelmann

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Thoracic injuries in trauma patients: epidemiology and its influence on mortality.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022
    Article
  5. Article
  6. Blunt trauma related chest wall and pulmonary injuries: An overview.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Peter GetzTrauma Department, Hannover Medical School, Hannover, Germany.
Philipp MommsenTrauma Department, Hannover Medical School, Hannover, Germany.
Jan-Dierk ClausenTrauma Department, Hannover Medical School, Hannover, Germany.
Marcel WinkelmannTrauma Department, Hannover Medical School, Hannover, Germany winkelmann.marcel@mh-hannover.de.
Medizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFlail chest is considered as one of the most severe forms of blunt thoracic trauma. However, its actual influence on post-traumatic morbidity and mortality is debatable. MATERIALS AND

methodsA retrospective cohort analysis was performed of multiply injured patients (injury severity score ≥16) at a level I trauma center. Flail chest was defined as segment fracture of at least three consecutive ribs on at least one side. Propensity score matching was performed.

resultsA total of 600 patients were included, with a mean age of 44.1±19.1 years and a mean injury severity score of 31.6±10.4. Overall, 367 patients (61.2%) had a serial rib fracture. Forty-five patients (7.5%) presented with flail chest. Patients with flail chest more often had lung contusions (70 vs. 50%, p=0.04) and pneumo-/hematothorax (93 vs. 71%, p=0.005). There were no differences in post-traumatic morbidity and mortality.

conclusionFlail chest had no independent influence in addition to injury severity on post-traumatic morbidity and mortality in multiply injured patients with blunt thoracic trauma.

Indexed as

AdultFemaleFlail ChestHumansInjury Severity ScoreLength of StayMaleMatched-Pair AnalysisMiddle AgedRespiration, ArtificialRetrospective StudiesRib FracturesThoracic Injuriesacute respiratory distress syndromeflail chestMultiple injuriesserial rib fracturethoracic trauma

Identifiers

PMID30587613
PMCPMC6364070
OpenAlexW2905841400

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.