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Published in: Journal of Orthopaedic Surgery and Research 1/2024

Open Access 01-12-2024 | Rib Fracture | Research article

Incidence and influence factors of venous thromboembolism in traumatic rib fracture patient: a multicenter study

Authors: Dongsheng Zhang, Yi Yang, Yunfeng Yi, Dongbin Wang, Lei Jiang, Hai Huang, Longyu Jin, Hui Meng, Fei Xia, Guangwei Guo

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2024

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Abstract

Background

This study aimed to determine the incidence and influencing factors of venous thromboembolism (VTE) in patients with traumatic rib fractures.

Methods

The retrospective study analyzed medical records of patients with traumatic rib fractures from 33 hospitals.

Results

The overall incidence of VTE in hospitalized patients with traumatic rib fractures was 8.1%. Patients with isolated traumatic rib fractures had a significantly lower incidence of VTE (4.4%) compared to patients with rib fractures combined with other injuries (12.0%). Multivariate analysis identified the number of rib fractures as an independent risk factor for thrombosis. Surgical stabilization of isolated rib fractures involving three or more ribs was associated with a lower VTE incidence compared to conservative treatment.

Conclusions

Patients with rib fractures have a higher incidence of VTE, positively correlated with the number of rib fractures. However, the occurrence of thrombosis is relatively low in isolated rib fractures. Targeted thromboprophylaxis strategies should be implemented for these patients, and surgical stabilization of rib fractures may be beneficial in reducing the risk of VTE.
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Metadata
Title
Incidence and influence factors of venous thromboembolism in traumatic rib fracture patient: a multicenter study
Authors
Dongsheng Zhang
Yi Yang
Yunfeng Yi
Dongbin Wang
Lei Jiang
Hai Huang
Longyu Jin
Hui Meng
Fei Xia
Guangwei Guo
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2024
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-024-04622-1

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