دورية أكاديمية
Decreased Incidence of Rib Fractures in Pregnant Patients After Motor Vehicle Collisions.
| العنوان: | Decreased Incidence of Rib Fractures in Pregnant Patients After Motor Vehicle Collisions. |
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| المؤلفون: | Di Napoli M; Marissa Di Napoli is an intern, Department of Surgery, Division of Trauma and Critical Care, Medical University of South Carolina, Charleston, South Carolina., DeVoe WB; William B. DeVoe is an assistant professor, Department of Surgery, Division of Trauma and Critical Care, Medical University of South Carolina, Charleston, South Carolina., Leon S; Stuart Leon is a professor, Department of Surgery, Division of Trauma and Critical Care, Medical University of South Carolina, Charleston, South Carolina., Crookes B; Bruce Crookes is a professor, Department of Surgery, Division of Trauma and Critical Care, Medical University of South Carolina, Charleston, South Carolina., Privette A; Alicia Privette is an associate professor, Department of Surgery, Division of Trauma and Critical Care, Medical University of South Carolina, Charleston, South Carolina., Graybill W; Whitney Graybill is an associate professor, Department of Obstetrics and Gynecology, Medical University of South Carolina., Eriksson EA; Evert A. Eriksson is a professor, Department of Surgery, Division of Trauma and Critical Care, Medical University of South Carolina. |
| المصدر: | American journal of critical care : an official publication, American Association of Critical-Care Nurses [Am J Crit Care] 2021 Sep 01; Vol. 30 (5), pp. 385-390. |
| نوع المنشور: | Journal Article; Multicenter Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association Of Critical-Care Nurses (AACN) Country of Publication: United States NLM ID: 9211547 Publication Model: Print Cited Medium: Internet ISSN: 1937-710X (Electronic) Linking ISSN: 10623264 NLM ISO Abbreviation: Am J Crit Care Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Aliso Viejo Ca : American Association Of Critical-Care Nurses (AACN) |
| مواضيع طبية MeSH: | Accidents, Traffic* , Rib Fractures*/epidemiology, Female ; Humans ; Incidence ; Motor Vehicles ; Pregnancy ; Retrospective Studies ; Ribs |
| مستخلص: | Background: Rib fractures are common after motor vehicle collisions. The hormonal changes associated with pregnancy decrease the stiffness and increase the laxity of cartilage and tendons. The effect of these changes on injury mechanics is not completely understood. Objectives: To compare the incidences of chest wall injury following blunt thoracic trauma between pregnant and nonpregnant women. Methods: The authors conducted a retrospective review of female patients seen at a level I trauma center from 2009 to 2017 after a motor vehicle collision. Patient characteristics were compared to determine if pregnancy affected the incidence of chest wall injury. Statistics were calculated with SPSS version 24 and are presented as mean (SD) or median (interquartile range). Results: In total, 1618 patients were identified. The incidence of rib/sternal fracture was significantly lower in pregnant patients (7.9% vs 15.2%, P = .047), but the incidence of intrathoracic injury was similar between the groups. Pregnant and nonpregnant patients with rib/sternal fractures had similar Injury Severity Score results (21 [13-27] vs 17 [11-22], P = .36), but pregnant patients without fractures had significantly lower scores (1 [0-5] vs 4 [1-9], P < .001). Conclusions: Pregnant patients have a lower rate of rib fracture after a motor vehicle collision than nonpregnant patients. The difference in injury mechanics may be due to hormonal changes that increase elasticity and resistance to bony injury of the ribs. In pregnant trauma patients, intrathoracic injury without rib fracture should raise concerns about injury severity. A multicenter evaluation of these findings is needed. (©2021 American Association of Critical-Care Nurses.) |
| تواريخ الأحداث: | Date Created: 20210901 Date Completed: 20211018 Latest Revision: 20211018 |
| رمز التحديث: | 20221213 |
| DOI: | 10.4037/ajcc2021505 |
| PMID: | 34467385 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey | تدمد: | 1937-710X |
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| DOI: | 10.4037/ajcc2021505 |