Scapular fractures: A regional and rural perspective

IF 1.9 4区 医学 Q2 NURSING Australian Journal of Rural Health Pub Date : 2024-03-13 DOI:10.1111/ajr.13100
Nordan Flaaten MD, Huissan Moslim MD, Eric Tang MBBS, Ruth Varrall MBBS
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Abstract

Introduction

Scapular fractures (SFs) have historically been associated with severe trauma and multiple injuries. Recent studies have demonstrated improved outcomes. However, SFs have never been studied from a strictly rural or Australian perspective.

Objective

The study's objective was to assess whether associations still exist between a fractured scapula and trauma scores, mortality rates, and other commonly associated injuries in a regional Australian trauma centre.

Design

The study design examined prospectively collected data from a regional hospital between the years 2012 to 2021 presenting to the emergency department with traumatic SFs. Primary outcomes of interest were mortality rate, method of injury, ISS scores, and associated injuries.

Findings

One hundred and five patients had a SF. The median age was 49 with 93 (89%) being male. Most fractures were located in the body of the scapula (80%). The primary mechanism of injury was motorbike accidents (36%), falls (24%), and motor vehicle accidents (22%). Two patients died from their injuries (1.9%). Thirty-four percent demonstrated mild trauma scores, with 36% moderate, 28% severe, and 1.9% critical. Commonly observed associated injuries included chest wall fractures, vertebral fractures, thoracic injuries, brain injury, and abdominal trauma.

Discussion

A minority of SFs were associated with severe or critical trauma, and overall, patients who sustained a SF had a low mortality rate. These findings suggest that patients from regional areas have similar outcomes to those from more urban centres in other parts of the world.

Conclusion

Given these results, a re-examination of whether SFs are a reliable marker of severe trauma should be considered.

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肩胛骨骨折:地区和农村视角。
介绍:肩胛骨骨折(SFs)历来与严重创伤和多发性损伤有关。最近的研究表明,肩胛骨骨折的治疗效果有所改善。然而,人们从未从严格意义上的农村或澳大利亚角度对肩胛骨骨折进行过研究:该研究的目的是评估在澳大利亚一个地区性创伤中心,肩胛骨骨折与创伤评分、死亡率和其他常见相关损伤之间是否仍然存在关联:研究设计对一家地区医院在2012年至2021年期间收集到的急诊科创伤性肩胛骨骨折患者的前瞻性数据进行了检查。主要研究结果包括死亡率、受伤方式、ISS评分和相关损伤:105 名患者患有 SF。中位年龄为 49 岁,其中 93 人(89%)为男性。大多数骨折位于肩胛骨体(80%)。受伤的主要原因是摩托车事故(36%)、跌倒(24%)和机动车事故(22%)。两名患者因伤死亡(1.9%)。34%的患者为轻度创伤,36%为中度创伤,28%为重度创伤,1.9%为危重创伤。常见的相关损伤包括胸壁骨折、脊椎骨折、胸部损伤、脑损伤和腹部创伤:讨论:少数 SF 与严重或危重创伤相关,总体而言,SF 患者的死亡率较低。这些研究结果表明,来自地区的患者与来自世界其他地区城市中心的患者结果相似:鉴于这些结果,应考虑重新审查 SF 是否是严重创伤的可靠标志。
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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