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Fatal blunt chest trauma: an evaluation of rib fracture patterns and age
The following study was undertaken to determine if any specific occupant characteristics, crash factors, or associated injuries identified at autopsy could predict the occurrence or number of fractured ribs in adults. Data were accrued from the Traffic Accident Reporting System (TARS) and coronial a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9375745/ https://www.ncbi.nlm.nih.gov/pubmed/35831760 http://dx.doi.org/10.1007/s00414-022-02866-2 |
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author | O’Donovan, Siobhan van den Heuvel, Corinna Baldock, Matthew Humphries, Melissa A. Byard, Roger W. |
author_facet | O’Donovan, Siobhan van den Heuvel, Corinna Baldock, Matthew Humphries, Melissa A. Byard, Roger W. |
author_sort | O’Donovan, Siobhan |
collection | PubMed |
description | The following study was undertaken to determine if any specific occupant characteristics, crash factors, or associated injuries identified at autopsy could predict the occurrence or number of fractured ribs in adults. Data were accrued from the Traffic Accident Reporting System (TARS) and coronial autopsy reports from Forensic Science SA, Adelaide, South Australia, from January 2000 to December 2020. A total of 1475 motor vehicle fatalities were recorded in TARS between January 2000 and December 2020, and 1082 coronial autopsy reports were identified that corresponded to TARS fatal crash data. After applying exclusion criteria involving missing data, 874 cases were included in the analysis. Of the 874 cases, 685 cases had one or more rib fractures. The leading cause of death for those with rib fractures was multiple trauma (54%), followed by head injury (17%) and chest injuries (10%). The strongest predictor of one or more rib fractures was increasing age (p < 0.001). Other factors found in the regression to be predictive of the number of rib fractures were the presence of a variety of other injuries including thoracic spinal fracture, lower right extremity fracture, splenic injury, liver injury, pelvic fracture, aortic injury, lung laceration, and hemothorax. Age is most likely associated with increasing rib fractures due to reduced tolerance to chest deflection with greater injuries occurring at lower magnitudes of impact. The association of other injuries with rib fractures may be a marker of higher impact severity crashes. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00414-022-02866-2. |
format | Online Article Text |
id | pubmed-9375745 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-93757452022-08-15 Fatal blunt chest trauma: an evaluation of rib fracture patterns and age O’Donovan, Siobhan van den Heuvel, Corinna Baldock, Matthew Humphries, Melissa A. Byard, Roger W. Int J Legal Med Original Article The following study was undertaken to determine if any specific occupant characteristics, crash factors, or associated injuries identified at autopsy could predict the occurrence or number of fractured ribs in adults. Data were accrued from the Traffic Accident Reporting System (TARS) and coronial autopsy reports from Forensic Science SA, Adelaide, South Australia, from January 2000 to December 2020. A total of 1475 motor vehicle fatalities were recorded in TARS between January 2000 and December 2020, and 1082 coronial autopsy reports were identified that corresponded to TARS fatal crash data. After applying exclusion criteria involving missing data, 874 cases were included in the analysis. Of the 874 cases, 685 cases had one or more rib fractures. The leading cause of death for those with rib fractures was multiple trauma (54%), followed by head injury (17%) and chest injuries (10%). The strongest predictor of one or more rib fractures was increasing age (p < 0.001). Other factors found in the regression to be predictive of the number of rib fractures were the presence of a variety of other injuries including thoracic spinal fracture, lower right extremity fracture, splenic injury, liver injury, pelvic fracture, aortic injury, lung laceration, and hemothorax. Age is most likely associated with increasing rib fractures due to reduced tolerance to chest deflection with greater injuries occurring at lower magnitudes of impact. The association of other injuries with rib fractures may be a marker of higher impact severity crashes. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00414-022-02866-2. Springer Berlin Heidelberg 2022-07-14 2022 /pmc/articles/PMC9375745/ /pubmed/35831760 http://dx.doi.org/10.1007/s00414-022-02866-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article O’Donovan, Siobhan van den Heuvel, Corinna Baldock, Matthew Humphries, Melissa A. Byard, Roger W. Fatal blunt chest trauma: an evaluation of rib fracture patterns and age |
title | Fatal blunt chest trauma: an evaluation of rib fracture patterns and age |
title_full | Fatal blunt chest trauma: an evaluation of rib fracture patterns and age |
title_fullStr | Fatal blunt chest trauma: an evaluation of rib fracture patterns and age |
title_full_unstemmed | Fatal blunt chest trauma: an evaluation of rib fracture patterns and age |
title_short | Fatal blunt chest trauma: an evaluation of rib fracture patterns and age |
title_sort | fatal blunt chest trauma: an evaluation of rib fracture patterns and age |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9375745/ https://www.ncbi.nlm.nih.gov/pubmed/35831760 http://dx.doi.org/10.1007/s00414-022-02866-2 |
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