Araştırma Makalesi

Factors affecting discharge of patients with sternal fractures

Cilt: 60 Sayı: 1 31 Mart 2021
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Factors affecting discharge of patients with sternal fractures

Abstract

Aim: Sternal fractures, especially those due to motor vehicle accidents, are encountered in emergency department. There are no clear recommendations on discharge of patients with isolated sternal fractures from the emergency department. In this study, we aimed to examine the relationship between fracture type and severity of injury as well as factors affecting the decision of early discharge in case of sternal fractures detected in the emergency department. Materials and Methods: Patients who presented to the emergency department with trauma between 2014 and 2019 were retrospectively analyzed. Demographic characteristics, trauma mechanisms, additional injuries, injury severity scores, location of sternal fracture and displacement status, echocardiography findings, troponin I values, electrocardiography findings, duration of emergency department and hospital stay, and 30- day mortality of trauma patients aged above over 18 years with sternal fractures on thorax computed tomography included in the study were evaluated. Results: The mean age of 184 patients who were diagnosed with sternal fractures during the 5-year period was 49.9 ± 16.6 years, and 75.5% (n=139) of them were males. On examining the mechanisms of trauma, we found that the most common cause (63.5%; n=117) was motor vehicle accidents. The most common concomitant injuries were rib fractures (56.5%; n=104) and spinal fractures (44%; n=81). It was found that 73.9% (n=136) of sternal fractures were localized in the corpus and 63% (n=116) were non-displaced. It was determined that 33% (n = 61) of the patients were discharged from the emergency department, the mean duration of emergency department stay was 28.3 ± 24.3 hours, and the mean total hospitalization time was 9.8 ± 20.1 days. There was a significant relationship between the time to discharge with injury severity scores (ISS) and troponin I values of the patients. Conclusion: It should be noted that additional life-threatening injuries may be encountered more often in patients presenting with a high injury severity score (>15) and with a manubrium sterni fracture. In sternal fractures, early discharge from the emergency department can be considered in patients with a low injury severity scores (≤15) in whom no abnormal findings are detected in a follow-up performed with echocardiography, troponin I, electrocardiography, and constant monitoring.

Keywords

Teşekkür

We thank, Turgay Yılmaz Kılıç (Izmir University of Health Sciences Tepecik Training And Research Hospital Ministry of Health) and Gülden Hakverdi (Faculty of Medicine Department of Biostatistics and Medical Informatics).

Kaynakça

  1. Oyetunji TA, Jackson HT, Obirieze AC, et al. Associated injuries in traumatic sternal fractures: a review of the National Trauma Data bank. Am Surg, 2013; 79: 702-5.
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  7. Uluşan A, and Karakurt Ö. Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study. Turkish Journal of Trauma and Emergency Surgery 2018; 24 (3): 249-54.
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Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Emre Üstsoy
0000-0003-4020-0819
Türkiye

Ali Özdil
0000-0001-8182-1764
Türkiye

Akın Çinkooğlu
0000-0003-3396-3949
Türkiye

Yayımlanma Tarihi

31 Mart 2021

Gönderilme Tarihi

23 Ekim 2020

Kabul Tarihi

23 Ocak 2021

Yayımlandığı Sayı

Yıl 2021 Cilt: 60 Sayı: 1

DOI

https://doi.org/10.19161/etd.888937

IZ

https://izlik.org/JA88XB26XG

Kaynak Göster

RIS / Bibtex
Vancouver
1.İlhan Uz, Emre Üstsoy, Enver Özçete, Ali Özdil, Akın Çinkooğlu, Murat Ersel. Factors affecting discharge of patients with sternal fractures. ETD. 01 Mart 2021;60(1):70-5. doi:10.19161/etd.888937

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