Evidence map›Paper›PMID 36735092›Full record

ReviewEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

Sternal fractures and thoracic injury: an analysis of 288 sternal fractures attending a major trauma centre.

Junaid Aamir, Bolutife Alade, Robyn Caldwell, James Chapman, Sohan Shah, Dileep Karthikappallil, Luke Williams, Lyndon Mason

Abstract readReview
In one paragraph

Review in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Epidemiology and outcomes of traumatic sternal fractures and associated blunt cardiac injury: a nationwide cohort study in the Netherlands.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  3. Diagnosis and Management of Sternal Fracture at a Single Center 2019-2024: A Retrospective Study of 127 Emergency Department Patients.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
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

8 authors.

Junaid AamirAintree University Hospital, Liverpool, UK.ORCID http://orcid.org/0000-0003-3485-5501
Bolutife AladeUniversity of Liverpool, Liverpool, UK.
Robyn CaldwellAintree University Hospital, Liverpool, UK.
James ChapmanAintree University Hospital, Liverpool, UK.
Sohan ShahAintree University Hospital, Liverpool, UK.
Dileep KarthikappallilAintree University Hospital, Liverpool, UK.
Luke WilliamsAintree University Hospital, Liverpool, UK.
Lyndon MasonAintree University Hospital, Liverpool, UK. lwmason@liverpool.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSternal fractures (SF) are uncommon injuries usually associated with a significant mechanism of injury. Concomitant injury is likely, and a risk of mortality is substantial.

aimOur aim in this study was to identify the risk factors for mortality in patients who had sustained sternal fractures.

methodsWe conducted a single centre retrospective review of the trust's Trauma Audit and Research Network Database, from May 2014 to July 2021. Our inclusion criteria were any patients who had sustained a sternal fracture. The regions of injury were defined using the Abbreviated Injury Score. Pearson Chi-Squared, Fisher Exact tests and multivariate regression analyses were performed using IBM SPSS.

resultsA total of 249 patients were identified to have sustained a SF. There were 19 patients (7.63%) who had died. The most common concomitant injuries with SF were Rib fractures (56%), Lung Contusions (31.15%) and Haemothorax (21.88%). There was a significant increase in age (59.93 vs 70.06, p = .037) and admission troponin (36.34 vs. 100.50, p = .003) in those who died. There was a significantly lower GCS in those who died (10.05 vs. 14.01, p < .001). On multi regression analysis, bilateral rib injury (p = 0.037, OR 1.104) was the only nominal variable which showed significance in mortality.

conclusionSternal Fractures are uncommon but serious injuries. Our review has identified that bilateral rib injuries, increase in age, low GCS, and high admission troponin in the context of SF, were associated with mortality.

Indexed as

Rib FracturesThoracic InjuriesHumansInjury Severity ScoreRetrospective StudiesRisk FactorsSternumTrauma CentersMajor traumaSternal fractureThoracic injury

Identifiers

PMID36735092
PMCPMC10368550

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.