Patients With Rib Fractures Do Not Develop Delayed Pneumonia: A Prospective, Multicenter Cohort Study of Minor Thoracic Injury
Annals of Emergency Medicine,

Chauny JM et al. – This prospective cohort study of nonhospitalized patients with minor thoracic injuries revealed a low incidence of delayed pneumonia. Nonetheless, the results support tailored follow–up for asthmatic or chronic obstructive pulmonary disease patients with rib fracture.

Methods
  • A prospective, multicenter cohort study was conducted in 4 Canadian EDs, from November 2006 to November 2010.
  • All consecutive patients aged 16 years and older with minor thoracic injury who were discharged from the ED were screened for eligibility.
  • Uniform clinical and radiologic evaluations were performed on the initial ED visit and were repeated at weeks 1 and 2.
  • Relative risk analyses quantified incidence with comparison by age, sex, smoking status, alcohol intoxication, pulmonary comorbidity, ability to cough atelectasis, pain level, and number of rib fractures.

Results
  • Of the 1,057 participants recruited, 347 (32.8%) had at least 1 rib fracture, 87 (8.2%) had asthma, and 36 (3.4%) had chronic obstructive pulmonary disease.
  • Only 6 patients (0.6%; 95% confidence interval 0.24% to 1.17%) developed pneumonia during the follow-up period.
  • The relative risk for patients with preexistent pulmonary disease and radiologically proven rib fractures was 8.6 (P=.045; 95% confidence interval 1.05 to 70.9).
  • Sex, smoking habit, initial atelectasis, ability to cough, and alcohol intoxication were not significantly associated with delayed pneumonia.

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Pulmonology

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Pulmonology Articles

1 Breathing in diesel exhaust leads to changes “deep under the hood” The University of British Columbia Health News, January 12, 2015

2 Tiotropium and olodaterol fixed-dose combination versus mono-components in COPD (GOLD 2–4) European Respiratory Journal , January 15, 2015    Clinical Article

3 Severe vitamin D deficiency is associated with frequent exacerbations and hospitalization in COPD patients Full Text Respiratory Research, December 19, 2014    Free full text    Clinical Article

4 The effects of vitamin D supplementation on airway functions in mild to moderate persistent asthma Annals of Allergy, Asthma, and Immunology, August 7, 2014    Clinical Article

5 Azithromycin maintenance treatment in patients with frequent exacerbations of chronic obstructive pulmonary disease (COLUMBUS): A randomised, double-blind, placebo-controlled trial The Lancet Respiratory Medicine, May 15, 2014    Clinical Article

6 Cytotoxic agents in sarcoidosis: Which one should we choose? Current Opinion in Pulmonary Medicine, August 15, 2014    Review Article

7 Urinary albumin-creatinine ratio, estimated glomerular filtration rate, and all-cause mortality among US adults with obstructive lung function Chest, January 9, 2015    Clinical Article

8 Multicentric study on the beta-blocker use and relation with exacerbations in COPD Respiratory Medicine, June 19, 2014    Clinical Article

9 Elevated plasma interleukin-35 levels predict poor prognosis in patients with non-small cell lung cancer Tumor Biology, December 24, 2014    Clinical Article

10 Does the 6-minute walk test predict nocturnal oxygen desaturation in patients with moderate to severe COPD? Chronic Respiratory Disease, January 27, 2015    Clinical Article

11 Hookah smoke exposure doubles dangerous benzene uptake American Association for Cancer Research News, December 1, 2014

12 Initial use of one or two antibiotics for critically ill patients with community-acquired pneumonia: Impact on survival and bacterial resistance Critical Care, November 8, 2013    Clinical Article

13 Assessment of montelukast, doxofylline, and tiotropium with budesonide for the treatment of asthma: which is the best among the second-line treatment? a randomized trial Clinical Therapeutics, January 13, 2015    Clinical Article

14 Bronchodilator efficacy of tiotropium-formoterol via single pressurized meter dose inhaler (pMDI) versus tiotropium alone in COPD Pulmonary Pharmacology and Therapeutics, February 14, 2014    Clinical Article

15 A new quantitative index of lobar air trapping in chronic obstructive pulmonary disease (COPD): comparison with conventional methods European Journal of Radiology, January 23, 2015    Clinical Article

16 Phosphodiesterase inhibitors for the treatment of asthma and chronic obstructive pulmonary disease International Archives of Allergy and Immunology, January 16, 2015    Review Article

17 Adjunctive aerosolized colistin for multi-drug resistant gram-negative pneumonia in the critically ill: A retrospective study Full Text BMC Anesthesiology, November 26, 2013    Free full text    Clinical Article

18 Efficacy and safety of a fixed-dose combination of indacaterol and glycopyrronium for the treatment of COPD: A systematic review Chest, August 21, 2014    Evidence Based Medicine

19 Is parent–child bed-sharing a risk for wheezing and asthma in early childhood? European Respiratory Journal , January 2, 2015    Clinical Article

20 Benefits of adding fluticasone propionate/salmeterol to tiotropium in COPD: A meta-analysis European Journal of Internal Medicine , June 17, 2014    Evidence Based Medicine    Review Article

Indexed Journals in Pulmonology: Chest, Thorax, American Journal of Respiratory and Critical Care Medicinemore

Looking for a physician job? Let us help!

Register now for our free job placement service.
A career consultant will contact you soon.
Click Here for more information.

Get Started Now!

Free-of-charge, no obligation.

Terms and Conditions For M3 Career Consult

By registering with the M3 Career Consult service you authorize M3 USA Corporation to represent you in your job search. The following is a summary of the terms of our service and our mutual obligations to help you find a job:

  • You designate M3 to act as your agent and represent you in your job search;
  • You will not pay us for this service
  • You will advise us of any companies or positions to which you apply or have applied;
  • You will advise us if you believe you are not capable of performing a position for which we submit you, or for which you interview;
  • You will keep all information we provide you about companies or positions strictly confidential;
  • You will promptly provide us with information we request of you;
  • You will make yourself reasonably available for phone, video and in-person conversations and interviews;
  • You will be truthful in all of your communications with us; and
  • You will advise us if anything above changes.
 

The Top Read Articles of 2014 are Now Available

Scouring thousands of peer-reviewed journals and popular press, Our Editors just released the Top Read Articles of the Year. See the Top Read List