Rib fracture characteristics increasing the risk of hemothorax: a multicenter study

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dc.authorid0000-0002-7952-5891
dc.authorid0000-0001-6162-4878
dc.authorid0000-0003-0613-2138
dc.authorid0000-0002-9644-8218
dc.authorid0000-0003-2692-3762
dc.contributor.authorAydin, Sercan
dc.contributor.authorAydin, Seda Kahraman
dc.contributor.authorGulmez, Baris
dc.contributor.authorGunes, Suleyman Gokalp
dc.contributor.authorKavurmaci, Onder
dc.contributor.authorDadas, Omer Faruk
dc.date.accessioned2025-03-13T08:01:43Z
dc.date.available2025-03-13T08:01:43Z
dc.date.issued2024
dc.departmentEge Üniversitesi, Tıp Fakültesi, Temel Bilimler Bölümü, Biyoistatistik ve Tıbbi Bilişim Ana Bilim Dalı
dc.description.abstractThe 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.
dc.identifier.citationAydin, S., Aydin, S. K., Guelmez, B., Guenes, S. G., Kavurmaci, O., & Dadas, o. F. (2024). Rib fracture characteristics increasing the risk of hemothorax: A multicenter study. Scientific Reports, 14(1), 29827-7.
dc.identifier.doi10.1038/s41598-024-79548-z
dc.identifier.endpage7
dc.identifier.issn2045-2322
dc.identifier.issue1
dc.identifier.pmid39616182
dc.identifier.scopus2-s2.0-85211080488
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1038/s41598-024-79548-z
dc.identifier.urihttps://hdl.handle.net/11454/116669
dc.identifier.volume14
dc.identifier.wosWOS:001367885500010
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorDadas, Omer Faruk
dc.institutionauthorid0000-0003-2692-3762
dc.language.isoen
dc.publisherNature Portfolio
dc.relation.ispartofScientific Reports
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDisplacement
dc.subjectFracture location
dc.subjectHemothorax
dc.subjectNumber of fractures
dc.subjectRib fracture
dc.titleRib fracture characteristics increasing the risk of hemothorax: a multicenter study
dc.typeArticle

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