Original articleGeneral thoracicRisk Factors for 24-Hour Mortality After Traumatic Rib Fractures Owing to Motor Vehicle Accidents: A Nationwide Population-Based Study
Section snippets
Database
This study uses pooled data for the years 2002, 2003, and 2004 obtained from the National Health Insurance Research Database published by Taiwan's National Health Research Institute. The National Health Insurance Research Database covers all medical benefit claims for approximately 98% of the entire Taiwan population. The National Health Insurance Research Database also includes a registry of contracted medical facilities, a registry of board-certified surgeons, and details of orders and
Results
Table 1 describes the distribution of the sampled patients by patient demographics and hospital characteristics. Of the total 18,856 patients hospitalized for rib fractures during the 3-year study period, 70.1% were male, and the mean age of the patients was 53.6 years (standard deviation, 15.6 years).
Among the study sample, 459 patients (2.4%) were dead within 24 hours after admission, contributing to 55% of all 30-day mortalities (n = 827). Table 1 also presents the bivariate analyses of
Comment
In the modern era, motor vehicles are widespread and the incidence of traffic continues to rise. Rib fractures have been reported as the most common disorder associated with chest trauma, and almost 70% of these patients were hospitalized [7, 8, 9]. Our study explored the risk factors associated with 24-hour mortality after blunt chest trauma with fractured ribs resulting from motor vehicle accidents. We found that a total of 827 patients (4.4%) with traumatic rib fractures died within 30 days
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