ArticleScientific reports2024
Rib fracture characteristics increasing the risk of hemothorax: a multicenter study.
Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Pneumothorax and Hemothorax: Practical Approaches for Radiologists.Journal of the Korean Society of Radiology · 2026Review
- Surgical Stabilization of Rib Fractures: Current Evidence and Considerations for Posterior Rib Fractures.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2026Review
- Risk of delayed displacement and biomechanical analysis of unstable rib fractures postsurgical.World journal of emergency surgery : WJES · 2025Article
- Point-of-care ultrasound (POCUS) diagnosis of rib fractures.World journal of emergency surgery : WJES · 2025Review
- New insights on Ötzi's injuries from a clinical perspective.Scientific reports · 2025Article
- Research on the correlation between rib fracture characteristics and the risk of intrathoracic and intra-abdominal injuries.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Observational
- Thoracic CT findings and patient demographics associated with traumatic pneumothorax: recommendations for the emergency department.European journal of medical research · 2025Article
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6 authors.
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Abstract
The precise assessment of hemothorax risk resulting from a rib fracture is not feasible. CT images, patient characteristics, and clinical experience are utilized in daily practice to assess risk intuitively. This study aimed to identify specific markers on CT images that can predict the risk of hemothorax. The study was retrospectively conducted between May 2021 and December 2023 at three different centers. Patients diagnosed with hemothorax at the initial assessment or during follow-up were identified among those being followed for rib fractures. An investigation was carried out to examine the relationship between the number of rib fractures, displacement status, and the location of the fracture on the rib arch with the risk of hemothorax. Of the 273 patients included in the study, 201 (73.6%) were male. The mean age was 53.9 ± 17.27 (19-93) years. Lateral (p = 0.029) and posterior (p < 0.001) location of the fracture and displacement of at least one fracture (p = 0.003) were associated with an increased risk. There was a significant correlation between the number of rib fractures and the risk of hemothorax (p < 0.001). The optimal cut-off for the number of rib fractures associated with a high risk of hemothorax was determined to be 4. Anatomical characteristics of a rib fracture can be useful to assess the risk of hemothorax practically in patients with thoracic trauma especially in emergency rooms. Patients with four or more rib fractures, at least one displaced rib fracture, and lateral and posterior rib fractures should be followed more carefully for hemothorax.
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