ArticleScandinavian journal of trauma, resuscitation and emergency medicine2022
Thoracic injuries in trauma patients: epidemiology and its influence on mortality.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06930222 (The Investigation of Predicting Mortality and Morbidity in Patients Admitted to Intensive Care Unit With Thoracic Trauma Using Selected Biomarkers and Parameters), which is not on this map. Cited by 27 papers.
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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.
The Investigation of Predicting Mortality and Morbidity in Patients Admitted to Intensive Care Unit With Thoracic Trauma Using Selected Biomarkers and Parameters
Who cites it
27 citing papers in PubMed, 46 citations in OpenAlex.
- A New Breathing Technique for Pain Management in Patients With Thoracic Trauma: A Randomised Trial.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Trial
- Epidemiology and outcomes of trauma patients transported by helicopter emergency medical services: a descriptive-analytical study.International journal of emergency medicine · 2026Article
- Thoracic injuries in elderly trauma patients epidemiology, injury characteristics, in-hospital care and outcome.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Early surgical stabilization of rib fractures in patients with mechanical ventilation-dependent respiratory failure secondary to severe chest wall injury: a retrospective cohort study.Journal of thoracic disease · 2026Article
- Revised cardiac risk index and adverse outcomes in patients undergoing surgical stabilization of rib fractures.BMC surgery · 2026Article
- Mortality prediction in older adults with earthquake-related trauma: a model combining MEWS and laboratory biomarkers.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Article
- Clinical characteristics and mortality risk factors in polytrauma patients with pelvic fractures: a retrospective study based on an integrated multidisciplinary treatment approach.International journal of emergency medicine · 2025Article
- Thoracic blunt trauma causing fatal cardiac rupture and aortic dissection: A narrative review.The Journal of international medical research · 2025Review
- Performance of ChatGPT-4o in thoracic trauma: A comparative evaluation with guidelines.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Lung parenchymal trauma biomechanics, mechanisms, and classification: a narrative review of the current knowledge.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2025Review
- 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
- Bilateral Serratus Plane Block in a Critically Ill, Mechanically Ventilated Patient with Multiple Rib Fractures Due to Severe Thoracic Trauma: Case Report and Literature Review.Journal of clinical medicine · 2025Article
- Surgical stabilization of posterior rib fractures involving the costotransverse joint.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Article
- The severely injured older patient: identifying patients at high risk for mortality using the Dutch National Trauma Registry.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- The differences in injury patterns and outcomes of thoracic trauma between rural and urban level two trauma centers in a single country.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Clinical presentation, acute care management and discharge information of patients with thoracic trauma in South Africa and Sweden: a prospective multicenter observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Predicting mortality in penetrating thoracic trauma in the emergency department: The prognostic value of the glucose-to-potassium ratio.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThoracic injuries are common among trauma patients. Studies on trauma patients with thoracic injuries have reported considerable differences in morbidity and mortality, and there is limited research on comparison between trauma patients with and without thoracic injuries, particularly in the Scandinavian population. Thoracic injuries in trauma patients should be identified early and need special attention since the differences in injury patterns among patient population are important as they entail different treatment regimens and influence patient outcomes. The aim of the study was to describe the epidemiology of trauma patients with and without thoracic injuries and its influence on 30-day mortality.
methodsPatients were identified through the Karolinska Trauma Register. The Abbreviated Injury Scale (AIS) system was used to find patients with thoracic injuries. Logistic regression analysis was performed to evaluate factors [age, gender, ASA class, GCS (Glasgow Coma Scale), NISS (New Injury Severity Score) and thoracic injury] associated with 30-day mortality.
resultsA total of 2397 patients were included. Of those, 768 patients (32%) had a thoracic injury. The mean (± SD, range) age of all patients (n = 2397) was 46 (20, 18-98) years, and the majority (n = 1709, 71%) of the patients were males. There was a greater proportion of patients with rib fractures among older (≥ 60 years) patients, whereas younger patients had a higher proportion of injuries to the internal thoracic organs. The 30-day mortality was 11% (n = 87) in patients with thoracic injury and 4.3% (n = 71) in patients without. After multivariable adjustment, a thoracic injury was found to be associated with an increased risk of 30-day mortality (OR 1.9, 95% CI 1.3-3.0); as was age ≥ 60 years (OR 3.7, 95% CI 2.3-6.0), ASA class 3-4 (OR 2.3, 95% CI 1.4-3.6), GCS 1-8 (OR 21, 95% CI 13-33) and NISS > 15 (OR 4.2, 2.4-7.3).
conclusionThoracic injury was an independent predictor of 30-day mortality after adjustment for relevant key variables. We also found a difference in injury patterns with older patients having a higher proportion of rib fractures, whilst younger patients suffered more internal thoracic organ injuries.
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