Receiving Date: 31 March 2022
Accept Date: 11 May 2022
Available Online: 19.06.2022
Medicine Science 2022;11(3):1025-9
Traumatic sternal fractures are rare injuries. The most common etiologic cause is a blunt injury to the anterior chest wall. When an individual is exposed to serious trauma, the first goal of treatment is to preserve the patient’s life and avoid multiple organ failures and other complications through rapid and effective intervention. The aim of this study was to statistically analyze the trauma scores and sternal fracture localizations that were calculated following the analysis of the data of the patients who were admitted to the emergency department after blunting thoracic trauma. It is planned to compare the obtained data with the literature. The trauma scores of the patients were determined through the implementation of the anatomical scoring systems, the Abbreviated Injury Scale (AIS), and the Injury Severity Score (ISS), which are calculated by squaring the AIS scores of the three most severely injured body systems. Out of our 96 patients, 65 were male and 31 were female. In the statistical analysis performed between the sternal fracture localization that occurred after trauma and the ISS, the highest scores were found in mixed type fractures, with a mean value of 36.77±9.62 (p=0.001). Statistical analyses of the relationship between ISS interval values, sternal fracture localization and the number of rib fractures accompanying the sternal fracture were found to be significant (p=0.035, p<0.001). It is thought that determining the probability of mortality by calculating the trauma score (especially ISS) in patients with sternal fractures as a result of high-energy traumas will contribute significantly to the literature.
Keywords: Injury severity score, sternal fracture, mortality
Conflict of interests: The authors declare that there is no conflict of interest in the study.
Financial Disclosure: The authors declare that they have received no financial support for the study.
Ethical approval: Ethics committee approval for this study was obtained from the local ethics committee (Ankara City Hospital ethics comitee). No: E1-21-2218
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Akboga S A, Gokce A.Evaluation of injury severity scores of patients with sternal fracture after blunt thoracic trauma. Med Science. 2022;11(3): 1025-9.
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Corresponding Author: Suleyman Anil Akboga, Ankara City Hospital, University of Health Sciences, Department of Thoracic Surgery, Ankara, Turkey.