ArticleJournal of thoracic disease2026
Monitoring multiple rib fractures using pulmonary electrical impedance tomography technology: correlation analysis of pulmonary ventilation changes.
Article in Journal of thoracic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Multiple rib fractures are a common and severe form of chest trauma, which can lead to pulmonary ventilation disorders. Assessment primarily relies on imaging examinations and conventional pulmonary function tests. Electrical impedance tomography (EIT) technology can detect ventilation dysfunctions that are difficult to identify through conventional means. This study utilizes EIT technology to quantify global and regional pulmonary ventilation inhomogeneity and to analyze the correlation between these ventilation characteristics and various factors associated with multiple rib fractures, thereby providing preliminary support for subsequent of intervention and prognosis assessment of rib fractures in EIT. Methods: A cross-sectional exploratory study was conducted. A total of 115 patients with multiple rib fractures admitted to the Department of Cardiothoracic Surgery at Tianjin Hospital in Tianjin City from October 2020 to May 2023 were selected. EIT examinations were performed 24-72 hours after injury, and trauma and EIT data were collected and organized. Whole chest/lung indicators included: pain score [numerical rating scale (NRS)], total number of rib fractures, total number of displaced rib fractures, number of lung contusion lobes, global inhomogeneity index (GI), ventral-to-dorsal ventilation center (CoV Results: The number of lung contusion lobes and EIT global-lung parameters (CoV Conclusions: EIT can provide dynamic ventilation images for patients with rib fractures, quantifying regional ventilation disorders and overall pulmonary ventilation heterogeneity. Current studies have not yet verified the predictive value of EIT for long-term respiratory outcomes. Still, it can provide a basis for future large-sample, interventional, and outcome-oriented research.
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