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Scoring Systems of Blunt Thoracic Trauma and Rib Fractures

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Rib Fracture Management
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Abstract

Chest wall injuries represent a diverse group of pathologies. A standardized, organized approach to their description is imperative to facilitating communication, education, and selection of therapies. This chapter reviews the theoretical considerations of a scoring system, currently available chest wall injury scoring systems, and important considerations for the development of the next generation of such systems. Regardless of which system is used, clinicians are encouraged to routinely calculate and report chest wall injury scores in order to foster a culture of both standardization and rigorous outcome assessment.

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References

  1. Pieracci FM, Coleman J, Ali-Osman F, et al. A multicenter evaluation of the optimal timing of surgical stabilization of rib fractures. J Trauma Acute Care Surg. 2018 Jan;84(1):1–10.

    Article  PubMed  Google Scholar 

  2. Tyburski JG, et al. Pulmonary contusions: quantifying the lesions on chest X-ray films and the factors affecting prognosis. J Trauma. 1999;46(5):833–8.

    Article  CAS  PubMed  Google Scholar 

  3. Bulger EM, et al. Rib fractures in the elderly. J Trauma. 2000;48(6):1040–6. discussion 1046-7

    Article  CAS  PubMed  Google Scholar 

  4. Flagel BT, et al. Half-a-dozen ribs: the breakpoint for mortality. Surgery. 2005;138(4):717–23. discussion 723-5

    Article  PubMed  Google Scholar 

  5. Chien CY, et al. The number of displaced rib fractures is more predictive for complications in chest trauma patients. Scand J Trauma Resusc Emerg Med. 2017;25(1):19.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Butts CA, et al. Do simple beside lung function tests predict morbidity after rib fractures? Am J Surg. 2017;213(3):473–7.

    Article  PubMed  Google Scholar 

  7. Carver TW, et al. Vital capacity helps predict pulmonary complications after rib fractures. J Trauma Acute Care Surg. 2015;79(3):413–6.

    Article  PubMed  Google Scholar 

  8. Holcomb JB, et al. Morbidity from rib fractures increases after age 45. J Am Coll Surg. 2003;196(4):549–55.

    Article  PubMed  Google Scholar 

  9. Moore EE, et al. Organ injury scaling. III: chest wall, abdominal vascular, ureter, bladder, and urethra. J Trauma. 1992;33(3):337–9.

    Article  CAS  PubMed  Google Scholar 

  10. Chapman BC, et al. RibScore: a novel radiographic score based on fracture pattern that predicts pneumonia, respiratory failure, and tracheostomy. J Trauma Acute Care Surg. 2016;80(1):95–101.

    Article  PubMed  Google Scholar 

  11. Easter A. Management of patients with multiple rib fractures. Am J Crit Care. 2001;10(5):320–7. quiz 328-9

    PubMed  CAS  Google Scholar 

  12. Maxwell CA, Mion LC, Dietrich MS. Hospitalized injured older adults: clinical utility of a rib fracture scoring system. J Trauma Nurs. 2012;19(3):168–74. quiz 175-6

    Article  PubMed  Google Scholar 

  13. Pressley CM, et al. Predicting outcome of patients with chest wall injury. Am J Surg. 2012;204(6):910–3. discussion 913-4

    Article  PubMed  Google Scholar 

  14. Chen J, et al. A chest trauma scoring system to predict outcomes. Surgery. 2014;156(4):988–93.

    Article  PubMed  Google Scholar 

  15. Manay P, et al. Studying morbidity and predicting mortality in patients with blunt chest trauma using a novel clinical score. J Emerg Trauma Shock. 2017;10(3):128–33.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Dalkey NC, Helmer O. An experimental application of the Delphi method to the use of experts. Manag Sci. 1963;9:458–67.

    Article  Google Scholar 

  17. Slobogean GP, et al. Surgical fixation vs nonoperative management of flail chest: a meta-analysis. J Am Coll Surg. 2013;216(2):302–11 e1.

    Article  PubMed  Google Scholar 

  18. Pieracci FM, et al. Consensus statement: surgical stabilization of rib fractures rib fracture colloquium clinical practice guidelines. Injury. 2017;48(2):307–21.

    Article  PubMed  Google Scholar 

  19. Kasotakis G, et al. Operative fixation of rib fractures after blunt trauma: a practice management guideline from the eastern Association for the Surgery of trauma. J Trauma Acute Care Surg. 2017;82(3):618–26.

    Article  PubMed  Google Scholar 

  20. Kane E, et al. Quantifying and exploring the recent national increase in surgical stabilization of rib fractures. J Trauma Acute Care Surg. 2017 Dec;83(6):1047–52.

    Article  PubMed  Google Scholar 

  21. Bugaev N, et al. Magnitude of rib fracture displacement predicts opioid requirements. J Trauma Acute Care Surg. 2016;81(4):699–704.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Fredric M. Pieracci .

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Pieracci, F.M. (2018). Scoring Systems of Blunt Thoracic Trauma and Rib Fractures. In: de Moya, M., Mayberry, J. (eds) Rib Fracture Management . Springer, Cham. https://doi.org/10.1007/978-3-319-91644-6_4

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  • DOI: https://doi.org/10.1007/978-3-319-91644-6_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-91643-9

  • Online ISBN: 978-3-319-91644-6

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