Evidence map›Paper›PMID 41382262›Full record

ArticleWorld journal of emergency surgery : WJES2025

Severely displaced rib fractures are independently associated with reduced pulmonary function at 3 months.

Yu-Hao Wang, Szu-An Chen, Yu-San Tee, Ling-Wei Kuo, Chi-Tung Cheng, Sheng-Yu Chan, Shih-Ching Kang, Chi-Hsun Hsieh, Fausto Catena, Chien-An Liao

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of emergency surgery : WJES, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. 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

10 authors.

Yu-Hao WangDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 33305, Taiwan.
Szu-An ChenDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 33305, Taiwan.
Yu-San TeeDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 33305, Taiwan.
Ling-Wei KuoDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 33305, Taiwan.
Chi-Tung ChengDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 33305, Taiwan.
Sheng-Yu ChanDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 33305, Taiwan.
Shih-Ching KangDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 33305, Taiwan.
Chi-Hsun HsiehDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 33305, Taiwan.
Fausto CatenaDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Chien-An LiaoDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 33305, Taiwan. victorgoer@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMultiple rib fractures are common injuries resulting from blunt chest trauma. However, the effect of rib fracture displacement on pulmonary ventilation remains unclear. This study aimed to investigate the effect of severely displaced ribs on pulmonary ventilation function (PVF) 3 months post-trauma. MATERIALS AND

methodsThis retrospective case-control study was conducted at Chang Gung Memorial Hospital. Patients with multiple rib fractures (≥ 3) who underwent chest computed tomography (CT) from January 2019 to September 2023 were included. Patient demographics, injury severity, and rib fracture morphology were assessed. Displaced rib fractures were defined as bicortical displacements observed on CT. PVF was measured using forced vital capacity (FVC) and forced expiratory volume in 1 s. Univariate and multivariate logistic and linear regression analyses were performed to determine whether displaced rib fractures significantly affected PVF 3 months post-trauma.

resultsOverall, 111 patients with multiple rib fractures were included. Displaced rib fractures were identified as an independent risk factor for having FVC < 80% at 3 months post-trauma, with each additional severely displaced rib increasing the odds by 31% (odds ratio: 1.31, 95% CI 1.09-1.57, p = 0.004). Subgroup analysis revealed that this effect was particularly significant in patients with non-flail chests. The receiver operating characteristic curve and Youden index identified that the optimal cutoff value for significantly displaced rib fractures affecting PVF was three or more fractures.

conclusionSeverely displaced rib fractures significantly impact PVF 3 months post-trauma.

Indexed as

Rib FracturesAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedRespiratory Function TestsRetrospective StudiesRisk FactorsTomography, X-Ray ComputedVital CapacityWounds, NonpenetratingBlunt chest traumaDisplaced rib fracturesPulmonary ventilation functionRib fractures

Identifiers

PMID41382262
PMCPMC12801546

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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.