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Multicenter Study
. 2024 Feb 23;19(1):152.
doi: 10.1186/s13018-024-04622-1.

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

Dongsheng Zhang  1 , Yi Yang  2 , Yunfeng Yi  3 , Dongbin Wang  4 , Lei Jiang  5 , Hai Huang  6 , Longyu Jin  7 , Hui Meng  8 , Fei Xia  9 , Guangwei Guo  10
Affiliations
Multicenter Study

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

Dongsheng Zhang et al. J Orthop Surg Res. .

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.

Keywords: Epidemiological study; Influencing factors; Rib fracture; VTE.

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Conflict of interest statement

The authors have no relevant financial or non-financial interests to disclose.

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