No significant injuries (N = 219) | Significant intra-thoracic and intra-abdominal injuries (N = 182) | p-value | |
---|---|---|---|
Sex | 0.017 | ||
Female | 70 (32.0%) | 38 (20.9%) | |
Male | 149 (68.0%) | 144 (79.1%) | |
Age | 58.0 [48.0–67.0] | 58.0 [50.0–66.0] | 0.661 |
Trauma mechanism | < 0.001 | ||
High-energy trauma | 115 (52.5%) | 131 (72.0%) | |
Low-energy trauma | 104 (47.5%) | 51 (28.0%) | |
Comorbidities | |||
Hypertension | 77 (35.2%) | 55 (30.2%) | 0.347 |
Diabetes | 45 (20.5%) | 36 (19.8%) | 0.948 |
Stroke | 16 (7.3%) | 6 (3.3%) | 0.125 |
Heart disease | 11 (5.0%) | 4 (2.2%) | 0.222 |
Chronic lung disease | 1 (0.5%) | 0 (0.0%) | 1.000 |
Liver disease | 3 (1.4%) | 2 (1.1%) | 1.000 |
Chronic kidney disease | 7 (3.2%) | 6 (3.3%) | 1.000 |
Medication | |||
Antiplatelet | 20 (9.1%) | 12 (6.6%) | 0.454 |
Anticoagulant | 4 (1.8%) | 4 (2.2%) | 1.000 |
Initial vital signs | |||
Systolic blood pressure (mmHg) | 138.0 [124.0–155.5] | 135.0 [118.0–152.0] | 0.073 |
Diastolic blood pressure (mmHg) | 82.0 [73.0–90.0] | 80.5 [68.0–89.0] | 0.161 |
Respiratory rate (/min) | 18.0 [18.0–18.0] | 18.0 [16.0–20.0] | 0.338 |
Heart rate (/min) | 84.0 [73.0–92.0] | 86.0 [74.0–98.0] | 0.044 |
Body temperature (°C) | 36.7 [36.3–37.0] | 36.6 [36.2–37.0] | 0.196 |
In-ED management | |||
O2 supplementation | 52 (23.7%) | 118 (64.8%) | < 0.001 |
Mechanical ventilator use | 6 (2.7%) | 17 (9.3%) | 0.009 |
Transfusion | 3 (1.4%) | 38 (20.9%) | < 0.001 |
Rib fracture characteristics | |||
Number of rib fractures | 3.0 [1.0–4.0] | 5.0 [3.0–8.0] | < 0.001 |
Bilateral rib fracture | 24 (11.0%) | 44 (24.2%) | 0.001 |
Lower rib fracture | 101 (46.1%) | 119 (65.4%) | < 0.001 |
Location of the rib fracture | |||
Anterior | 49 (22.4%) | 61 (33.5%) | 0.017 |
Lateral | 86 (39.3%) | 99 (54.4%) | 0.003 |
Posterior | 50 (22.8%) | 100 (54.9%) | < 0.001 |
Displacement | 30 (13.7%) | 77 (42.3%) | < 0.001 |
Location of intra-thoracic and intra-abdominal injuries | |||
Mediastinum | 0 (0%) | 35 (19.2%) | |
Aorta | 0 (0%) | 6 (3.3%) | |
Lung contusion | 41 (18.7%) | 79 (43.4%) | |
Heart | 0 (0%) | 8 (4.4%) | |
Pneumothorax | 25 (11.4%) | 93 (51.1%) | |
Hemothorax | 68 (31.1%) | 124 (68.1%) | |
Diaphragm | 0 (0%) | 5 (2.7%) | |
Liver | 0 (0%) | 23 (12.6%) | |
Spleen | 0 (0%) | 10 (5.5%) | |
Kidney | 0 (0%) | 9 (4.9%) | |
Adrenal gland | 0 (0%) | 7 (3.8%) | |
Gut | 0 (0%) | 6 (3.3%) | |
Pancreas | 0 (0%) | 6 (3.3%) | |
Abdominal vessel | 0 (0%) | 8 (4.4%) | |
Vertebra | 0 (0%) | 49 (26.9%) | |
Other injuries | |||
Traumatic brain injury | 12 (5.5%) | 24 (13.2%) | 0.012 |
Facial bone fracture | 10 (4.6%) | 11 (6.0%) | 0.663 |
Pelvic bone fracture | 11 (5.0%) | 15 (8.2%) | 0.272 |
Extremity fracture | 17 (7.8%) | 36 (19.8%) | 0.001 |
Injury severity score | 9.0 [4.0–9.0] | 10.0 [9.0–17.0] | < 0.001 |