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Factors Associated with Traumatic Diaphragmatic Rupture among Patients with Chest or Abdominal Injury: A Nationwide Study from Japan

Background: Blunt traumatic diaphragmatic rupture (TDR) is a rare condition that is seen in patients with blunt thoracoabdominal trauma. However, factors that are associated with blunt TDR have not been fully revealed. The purpose of this study was to evaluate the factors that are associated with bl...

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Autores principales: Katayama, Yusuke, Tanaka, Kenta, Ishida, Kenichiro, Hirose, Tomoya, Tachino, Jotaro, Nakao, Shunichiro, Umemura, Yutaka, Kiyohara, Kosuke, Ojima, Masahiro, Kiguchi, Takeyuki, Kitamura, Tetsuhisa, Oda, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9369230/
https://www.ncbi.nlm.nih.gov/pubmed/35956077
http://dx.doi.org/10.3390/jcm11154462
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author Katayama, Yusuke
Tanaka, Kenta
Ishida, Kenichiro
Hirose, Tomoya
Tachino, Jotaro
Nakao, Shunichiro
Umemura, Yutaka
Kiyohara, Kosuke
Ojima, Masahiro
Kiguchi, Takeyuki
Kitamura, Tetsuhisa
Oda, Jun
author_facet Katayama, Yusuke
Tanaka, Kenta
Ishida, Kenichiro
Hirose, Tomoya
Tachino, Jotaro
Nakao, Shunichiro
Umemura, Yutaka
Kiyohara, Kosuke
Ojima, Masahiro
Kiguchi, Takeyuki
Kitamura, Tetsuhisa
Oda, Jun
author_sort Katayama, Yusuke
collection PubMed
description Background: Blunt traumatic diaphragmatic rupture (TDR) is a rare condition that is seen in patients with blunt thoracoabdominal trauma. However, factors that are associated with blunt TDR have not been fully revealed. The purpose of this study was to evaluate the factors that are associated with blunt TDR in trauma patients with a chest or abdominal injury using nationwide trauma registry data in Japan. Method: This study was a retrospective observational study with a 15-year study period from 2004 to 2018. We included trauma patients with a chest or abdominal Abbreviated Injury Score of two or more. We evaluated the relationship between confounding factors such as mechanism of injury and blunt TDR with multivariable logistic regression analysis. Results: This study included 65,110 patients, of whom 496 patients (0.8%) suffered blunt TDR. Factors that were associated with blunt TDR were disturbance of consciousness (adjusted OR [AOR]: 1.639, 95% CI: 1.326–2.026), FAST positive (AOR: 2.120, 95% CI: 1.751–2.567), front seat passenger (AOR: 1.748, 95% CI: 1.129–2.706), and compression injury by heavy object (AOR: 1.677, 95% CI: 1.017–2.765). Conclusion: This study revealed several factors that are associated with blunt TDR. The results of this study may be useful for clinicians when estimating blunt TDR.
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spelling pubmed-93692302022-08-12 Factors Associated with Traumatic Diaphragmatic Rupture among Patients with Chest or Abdominal Injury: A Nationwide Study from Japan Katayama, Yusuke Tanaka, Kenta Ishida, Kenichiro Hirose, Tomoya Tachino, Jotaro Nakao, Shunichiro Umemura, Yutaka Kiyohara, Kosuke Ojima, Masahiro Kiguchi, Takeyuki Kitamura, Tetsuhisa Oda, Jun J Clin Med Article Background: Blunt traumatic diaphragmatic rupture (TDR) is a rare condition that is seen in patients with blunt thoracoabdominal trauma. However, factors that are associated with blunt TDR have not been fully revealed. The purpose of this study was to evaluate the factors that are associated with blunt TDR in trauma patients with a chest or abdominal injury using nationwide trauma registry data in Japan. Method: This study was a retrospective observational study with a 15-year study period from 2004 to 2018. We included trauma patients with a chest or abdominal Abbreviated Injury Score of two or more. We evaluated the relationship between confounding factors such as mechanism of injury and blunt TDR with multivariable logistic regression analysis. Results: This study included 65,110 patients, of whom 496 patients (0.8%) suffered blunt TDR. Factors that were associated with blunt TDR were disturbance of consciousness (adjusted OR [AOR]: 1.639, 95% CI: 1.326–2.026), FAST positive (AOR: 2.120, 95% CI: 1.751–2.567), front seat passenger (AOR: 1.748, 95% CI: 1.129–2.706), and compression injury by heavy object (AOR: 1.677, 95% CI: 1.017–2.765). Conclusion: This study revealed several factors that are associated with blunt TDR. The results of this study may be useful for clinicians when estimating blunt TDR. MDPI 2022-07-30 /pmc/articles/PMC9369230/ /pubmed/35956077 http://dx.doi.org/10.3390/jcm11154462 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Katayama, Yusuke
Tanaka, Kenta
Ishida, Kenichiro
Hirose, Tomoya
Tachino, Jotaro
Nakao, Shunichiro
Umemura, Yutaka
Kiyohara, Kosuke
Ojima, Masahiro
Kiguchi, Takeyuki
Kitamura, Tetsuhisa
Oda, Jun
Factors Associated with Traumatic Diaphragmatic Rupture among Patients with Chest or Abdominal Injury: A Nationwide Study from Japan
title Factors Associated with Traumatic Diaphragmatic Rupture among Patients with Chest or Abdominal Injury: A Nationwide Study from Japan
title_full Factors Associated with Traumatic Diaphragmatic Rupture among Patients with Chest or Abdominal Injury: A Nationwide Study from Japan
title_fullStr Factors Associated with Traumatic Diaphragmatic Rupture among Patients with Chest or Abdominal Injury: A Nationwide Study from Japan
title_full_unstemmed Factors Associated with Traumatic Diaphragmatic Rupture among Patients with Chest or Abdominal Injury: A Nationwide Study from Japan
title_short Factors Associated with Traumatic Diaphragmatic Rupture among Patients with Chest or Abdominal Injury: A Nationwide Study from Japan
title_sort factors associated with traumatic diaphragmatic rupture among patients with chest or abdominal injury: a nationwide study from japan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9369230/
https://www.ncbi.nlm.nih.gov/pubmed/35956077
http://dx.doi.org/10.3390/jcm11154462
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