Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma

Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma

Abstract Thoracic trauma has decisive influence on the outcome of multiply-injured patients and is often associated with clavicle fractures. The affected patients are prone to lung dysfunction and multiple organ failure. A multi-center, retrospective analysis of patient records documented in the Tra...

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Autores principales: Helge Eberbach, Rolf Lefering, Sven Hager, Klaus Schumm, Lisa Bode, Martin Jaeger, Dirk Maier, Johannes Kalbhenn, Thorsten Hammer, Hagen Schmal, Jörg Bayer
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/69bf7e71ec1c4d37b92920fa3b6f6d14
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spelling oai:doaj.org-article:69bf7e71ec1c4d37b92920fa3b6f6d142021-12-05T12:15:55ZInfluence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma10.1038/s41598-021-02771-52045-2322https://doaj.org/article/69bf7e71ec1c4d37b92920fa3b6f6d142021-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02771-5https://doaj.org/toc/2045-2322Abstract Thoracic trauma has decisive influence on the outcome of multiply-injured patients and is often associated with clavicle fractures. The affected patients are prone to lung dysfunction and multiple organ failure. A multi-center, retrospective analysis of patient records documented in the TraumaRegister DGU was performed to assess the influence of surgical stabilization of clavicle fractures in patients with thoracic trauma. A total of 3,209 patients were included in the analysis. In 1362 patients (42%) the clavicle fracture was treated operatively after 7.1 ± 5.3 days. Surgically treated patients had a significant reduction in lung failure (p = 0.013, OR = 0.74), multiple organ failure (p = 0.001, OR = 0.64), intubation time (p = 0.004; −1.81 days) and length of hospital stay (p = 0.014; −1.51 days) compared to non-operative treatment. Moreover, surgical fixation of the clavicle within five days following hospital admission significantly reduced the rates of lung failure (p = 0.01, OR = 0.62), multiple organ failure (p = 0.01, OR = 0.59) and length of hospital stay (p = 0.01; −2.1 days). Based on our results, multiply-injured patients with thoracic trauma and concomitant clavicle fracture may benefit significantly from surgical stabilization of a clavicle fracture, especially when surgery is performed within the first five days after hospital admission.Helge EberbachRolf LeferingSven HagerKlaus SchummLisa BodeMartin JaegerDirk MaierJohannes KalbhennThorsten HammerHagen SchmalJörg BayerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Helge Eberbach
Rolf Lefering
Sven Hager
Klaus Schumm
Lisa Bode
Martin Jaeger
Dirk Maier
Johannes Kalbhenn
Thorsten Hammer
Hagen Schmal
Jörg Bayer
Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma
description Abstract Thoracic trauma has decisive influence on the outcome of multiply-injured patients and is often associated with clavicle fractures. The affected patients are prone to lung dysfunction and multiple organ failure. A multi-center, retrospective analysis of patient records documented in the TraumaRegister DGU was performed to assess the influence of surgical stabilization of clavicle fractures in patients with thoracic trauma. A total of 3,209 patients were included in the analysis. In 1362 patients (42%) the clavicle fracture was treated operatively after 7.1 ± 5.3 days. Surgically treated patients had a significant reduction in lung failure (p = 0.013, OR = 0.74), multiple organ failure (p = 0.001, OR = 0.64), intubation time (p = 0.004; −1.81 days) and length of hospital stay (p = 0.014; −1.51 days) compared to non-operative treatment. Moreover, surgical fixation of the clavicle within five days following hospital admission significantly reduced the rates of lung failure (p = 0.01, OR = 0.62), multiple organ failure (p = 0.01, OR = 0.59) and length of hospital stay (p = 0.01; −2.1 days). Based on our results, multiply-injured patients with thoracic trauma and concomitant clavicle fracture may benefit significantly from surgical stabilization of a clavicle fracture, especially when surgery is performed within the first five days after hospital admission.
format article
author Helge Eberbach
Rolf Lefering
Sven Hager
Klaus Schumm
Lisa Bode
Martin Jaeger
Dirk Maier
Johannes Kalbhenn
Thorsten Hammer
Hagen Schmal
Jörg Bayer
author_facet Helge Eberbach
Rolf Lefering
Sven Hager
Klaus Schumm
Lisa Bode
Martin Jaeger
Dirk Maier
Johannes Kalbhenn
Thorsten Hammer
Hagen Schmal
Jörg Bayer
author_sort Helge Eberbach
title Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma
title_short Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma
title_full Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma
title_fullStr Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma
title_full_unstemmed Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma
title_sort influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/69bf7e71ec1c4d37b92920fa3b6f6d14
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