Isolated chest trauma in elderly patients
In elderly patients, a blunt trauma of the chest is associated with a significant risk of complications and mortality. The number of ribs fractures (≥ 4), the presence of bilateral rib fractures, of a pulmonary contusion, of existent comorbidities or acute extra-thoracic traumatic lesions, and lastl...
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| Veröffentlicht in: | Revue médicale suisse 2015-08, Vol.11 (482), p.1498-1502 |
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| creator | Yersin, Bertrand Carron, Pierre-Nicolas Pasquier, Mathieu Zingg, Tobias |
| description | In elderly patients, a blunt trauma of the chest is associated with a significant risk of complications and mortality. The number of ribs fractures (≥ 4), the presence of bilateral rib fractures, of a pulmonary contusion, of existent comorbidities or acute extra-thoracic traumatic lesions, and lastly the severity of thoracic pain, are indeed important risk factors of complications and mortality. Their presence may require hospitalization of the patient. When complications do occur, they are represented by alveolar hypoventilation, pulmonary atelectasia and broncho-pulmonary infections. When hospitalization is required, it may allow for the specific treatment of thoracic pain, including locoregional anesthesia techniques. |
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The number of ribs fractures (≥ 4), the presence of bilateral rib fractures, of a pulmonary contusion, of existent comorbidities or acute extra-thoracic traumatic lesions, and lastly the severity of thoracic pain, are indeed important risk factors of complications and mortality. Their presence may require hospitalization of the patient. When complications do occur, they are represented by alveolar hypoventilation, pulmonary atelectasia and broncho-pulmonary infections. When hospitalization is required, it may allow for the specific treatment of thoracic pain, including locoregional anesthesia techniques.</description><identifier>ISSN: 1660-9379</identifier><identifier>PMID: 26449103</identifier><language>fre</language><publisher>Switzerland</publisher><subject>Aged ; Geriatric Assessment ; Humans ; Physical Examination ; Thoracic Injuries - etiology ; Thoracic Injuries - therapy ; Wounds, Nonpenetrating - complications ; Wounds, Nonpenetrating - therapy</subject><ispartof>Revue médicale suisse, 2015-08, Vol.11 (482), p.1498-1502</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26449103$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yersin, Bertrand</creatorcontrib><creatorcontrib>Carron, Pierre-Nicolas</creatorcontrib><creatorcontrib>Pasquier, Mathieu</creatorcontrib><creatorcontrib>Zingg, Tobias</creatorcontrib><title>Isolated chest trauma in elderly patients</title><title>Revue médicale suisse</title><addtitle>Rev Med Suisse</addtitle><description>In elderly patients, a blunt trauma of the chest is associated with a significant risk of complications and mortality. The number of ribs fractures (≥ 4), the presence of bilateral rib fractures, of a pulmonary contusion, of existent comorbidities or acute extra-thoracic traumatic lesions, and lastly the severity of thoracic pain, are indeed important risk factors of complications and mortality. Their presence may require hospitalization of the patient. When complications do occur, they are represented by alveolar hypoventilation, pulmonary atelectasia and broncho-pulmonary infections. When hospitalization is required, it may allow for the specific treatment of thoracic pain, including locoregional anesthesia techniques.</description><subject>Aged</subject><subject>Geriatric Assessment</subject><subject>Humans</subject><subject>Physical Examination</subject><subject>Thoracic Injuries - etiology</subject><subject>Thoracic Injuries - therapy</subject><subject>Wounds, Nonpenetrating - complications</subject><subject>Wounds, Nonpenetrating - therapy</subject><issn>1660-9379</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1jztrwzAUhTW0NCHNXyge28GgqyvJ0lhCH4FAluzmWrqhLvKjlj3k3zfQ9Cxn-fg4506swVpZeqz8Smxz_pbXWECl8EGslNXag8S1eNnnIdHMsQhfnOdinmjpqGj7glPkKV2KkeaW-zk_ivszpczbW2_E6f3ttPssD8eP_e71UI7GYum000DkEJQ2xNGBdRAqlgjOeB8YI0gPwRtQyjTujMFFpbxuIpgQCDfi-U87TsPPcp1Ud20OnBL1PCy5hkoBGl8ZeUWfbujSdBzrcWo7mi71_zv8Bah_SM0</recordid><startdate>20150812</startdate><enddate>20150812</enddate><creator>Yersin, Bertrand</creator><creator>Carron, Pierre-Nicolas</creator><creator>Pasquier, Mathieu</creator><creator>Zingg, Tobias</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20150812</creationdate><title>Isolated chest trauma in elderly patients</title><author>Yersin, Bertrand ; Carron, Pierre-Nicolas ; Pasquier, Mathieu ; Zingg, Tobias</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p563-84841aa831245aed81681c7e0318599ce3d1091c951225b8f3c8d2294bd15cca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Geriatric Assessment</topic><topic>Humans</topic><topic>Physical Examination</topic><topic>Thoracic Injuries - etiology</topic><topic>Thoracic Injuries - therapy</topic><topic>Wounds, Nonpenetrating - complications</topic><topic>Wounds, Nonpenetrating - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yersin, Bertrand</creatorcontrib><creatorcontrib>Carron, Pierre-Nicolas</creatorcontrib><creatorcontrib>Pasquier, Mathieu</creatorcontrib><creatorcontrib>Zingg, Tobias</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revue médicale suisse</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yersin, Bertrand</au><au>Carron, Pierre-Nicolas</au><au>Pasquier, Mathieu</au><au>Zingg, Tobias</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Isolated chest trauma in elderly patients</atitle><jtitle>Revue médicale suisse</jtitle><addtitle>Rev Med Suisse</addtitle><date>2015-08-12</date><risdate>2015</risdate><volume>11</volume><issue>482</issue><spage>1498</spage><epage>1502</epage><pages>1498-1502</pages><issn>1660-9379</issn><abstract>In elderly patients, a blunt trauma of the chest is associated with a significant risk of complications and mortality. The number of ribs fractures (≥ 4), the presence of bilateral rib fractures, of a pulmonary contusion, of existent comorbidities or acute extra-thoracic traumatic lesions, and lastly the severity of thoracic pain, are indeed important risk factors of complications and mortality. Their presence may require hospitalization of the patient. When complications do occur, they are represented by alveolar hypoventilation, pulmonary atelectasia and broncho-pulmonary infections. When hospitalization is required, it may allow for the specific treatment of thoracic pain, including locoregional anesthesia techniques.</abstract><cop>Switzerland</cop><pmid>26449103</pmid><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 1660-9379 |
| ispartof | Revue médicale suisse, 2015-08, Vol.11 (482), p.1498-1502 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Aged Geriatric Assessment Humans Physical Examination Thoracic Injuries - etiology Thoracic Injuries - therapy Wounds, Nonpenetrating - complications Wounds, Nonpenetrating - therapy |
| title | Isolated chest trauma in elderly patients |
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