Observational studyPloS one2022
Road traffic accident-related thoracic trauma: Epidemiology, injury pattern, outcome, and impact on mortality-A multicenter observational study.
Observational study in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 59 citations in OpenAlex.
- Complex perioperative and anaesthesia management of a polytrauma patient with intrathoracic haemorrhage undergoing emergency lobectomy.Trauma case reports · 2026Article
- The burden of severe chest injuries in five East Asian countries: a secondary age-period-cohort analysis of GBD 2023.Journal of thoracic disease · 2026Article
- Epidemiology of road traffic accident-related head injuries: a multicenter retrospective cohort study.Scientific reports · 2026Article
- A statistical shape model of the human sternum including cortical bone thickness.Frontiers in bioengineering and biotechnology · 2026Article
- Impact of acute stress on gastric interstitial cells of Cajal disorder.Frontiers in cell and developmental biology · 2026Article
- Age-Related Patterns in Pediatric Road Traffic Injuries in Romania.Journal of clinical medicine · 2025Article
- Epidemiological Characteristics of Road Accident Mortality and Identification of Hot Spots: Years of Life Lost in Fars Province, Iran.Iranian journal of public health · 2025Article
- Impact of Surgical Stabilization of Flail Chest Injuries on Postoperative Computed Tomography Lung Volumes.Journal of clinical medicine · 2025Article
- The Role of Autopsy in Diagnosing Fatal Chest Injuries in Road Traffic Accidents: A Literature Review.Diagnostics (Basel, Switzerland) · 2025Review
- Characteristics, outcomes, and prognostic factors in patients with penetrating and blunt traumatic diaphragmatic injury: a nationwide retrospective cohort study in Japan.International journal of emergency medicine · 2025Article
- Epidemiological pattern of injuries among road traffic crash victims: the first experience of a large tertiary care hospital in the West Bank of Palestine.BMC emergency medicine · 2024Observational
- Comprehensive epidemiological assessment of trauma incidents at a level I trauma center.World journal of clinical cases · 2024Article
- Injuries to the lower limbs and associated injuries in children and adolescents resulting from road traffic incidents.Journal of family medicine and primary care · 2024Article
- Surgical stabilization of rib fractures (SSRF): the WSES and CWIS position paper.World journal of emergency surgery : WJES · 2024Review
- Effective factors of severity of traffic accident traumas based on the Haddon matrix: a systematic review and meta-analysis.Annals of medicine and surgery (2012) · 2024Review
- Analysis of desert traffic accidents: A retrospective study.Qatar medical journal · 2024Article
- The epidemiology of road traffic injuries in the republic of Serbia: a study based on hospital data, 2015-2019.Frontiers in public health · 2024Article
- Public Awareness Levels Regarding Cervical Spine Injury and the Suitable First Aid Response Among Adults in Makkah, Saudi Arabia.International journal of general medicine · 2024Article
- Holistic shape variation of the rib cage in an adult population.Frontiers in bioengineering and biotechnology · 2024Article
- Causes and Pattern of Chest Trauma Among Adults: A Scoping Review of Studies From the Middle East.Cureus · 2023Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThoracic trauma is a major cause of death in trauma patients and road traffic accident (RTA)-related thoracic injuries have different characteristics than those with non-RTA related thoracic traumas, but this have been poorly described. The main objective was to investigate the epidemiology, injury pattern and outcome of patients suffering a significant RTA-related thoracic injury. Secondary objective was to investigate the influence of serious thoracic injuries on mortality, compared to other serious injuries.
methodsWe performed a multicenter observational study including patients of the Rhône RTA registry between 1997 and 2016 sustaining a moderate to lethal (Abbreviated Injury Scale, AIS≥2) injury in any body region. A subgroup (AISThorax≥2 group) included those with one or more AIS≥2 thoracic injury. Descriptive statistics were performed for the main outcome and a multivariate logistic regression was computed for our secondary outcome.
resultsA total of 176,346 patients were included in the registry and 6,382 (3.6%) sustained a thoracic injury. Among those, median age [IQR] was 41 [25-58] years, and 68.9% were male. The highest incidence of thoracic injuries in female patients was in the 70-79 years age group, while this was observed in the 20-29 years age group among males. Most patients were car occupants (52.3%). Chest wall injuries were the most frequent thoracic injuries (62.1%), 52.4% of which were multiple rib fractures. Trauma brain injuries (TBI) were the most frequent concomitant injuries (29.1%). The frequency of MAISThorax = 2 injuries increased with age while that of MAISThorax = 3 injuries decreased. A total of 16.2% patients died. Serious (AIS≥3) thoracic injuries (OR = 12.4, 95%CI [8.6;18.0]) were strongly associated with mortality but less than were TBI (OR = 27.9, 95%CI [21.3;36.7]).
conclusionModerate to lethal RTA-related thoracic injuries were rare. Multiple ribs fractures, pulmonary contusions, and sternal fractures were the most frequent anatomical injuries. The incidence, injury pattern and mechanisms greatly vary across age groups.
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