肋骨还是不肋骨：哪个影响死亡率？
The ribs or not the ribs: which influences mortality?
机构信息
Division of General Surgery, Department of Surgery, Stritch School of Medicine, Loyola University Medical Center, 2160 South First Ave., Maywood, IL 60153, USA.
出版信息
Am J Surg. 2011 Nov;202(5):598-604. doi: 10.1016/j.amjsurg.2010.09.029. Epub 2011 Aug 26.
BACKGROUND
The relative impact of rib fractures on mortality risk is unclear. This study examined the respective relationships between mortality and the number of fractured ribs, patient age, and severity of intrathoracic and extrathoracic injuries.
METHODS
The National Trauma Data Bank was queried, abstracting mortality, age, number of ribs fractured, associated intrathoracic and extrathoracic injury, and Abbreviated Injury Score codes.
RESULTS
Multivariate logistic regression indicated the strongest influence on mortality was severity of intrathoracic injury, followed by severity of extrathoracic injury, age 65 years or older, more than 5 ribs fractured, and age 46 to 65 years. The mortality rate for isolated rib fractures ranged from 1.8% to 3.2%.
CONCLUSIONS
Mortality related to rib fractures is affected independently by severe intrathoracic injury, presence of extrathoracic injury, advanced age, and more than 5 fractured ribs. Patients with these conditions may benefit from a higher level of care.
背景
肋骨骨折对死亡率的相对影响尚不清楚。本研究分别探讨了死亡率与骨折肋骨数量、患者年龄以及胸内和胸外损伤严重程度之间的关系。
方法
查询国家创伤数据库，提取死亡率、年龄、肋骨骨折数量、相关胸内和胸外损伤以及简明损伤评分代码。
结果
多变量逻辑回归表明，对死亡率影响最大的是胸内损伤严重程度，其次是胸外损伤严重程度、65 岁或以上、5 根以上肋骨骨折和 46 至 65 岁。单纯肋骨骨折的死亡率范围为 1.8%至 3.2%。
结论
与肋骨骨折相关的死亡率受严重的胸内损伤、胸外损伤的存在、年龄较大以及 5 根以上肋骨骨折的独立影响。这些情况下的患者可能受益于更高水平的护理。
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