The Association between Blunt Cardiac Injury and Isolated Sternal Fracture
The treatment of isolated sternal fractures (ISF) throughout the world is heterogeneous. This study aimed to identify the incidence, morbidity, and mortality associated with isolated fractures of the sternum and describe current practice for diagnosis and management of ISF and cardiac injury at a le...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/629687 |
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| author | Anahita Dua Jason McMaster Pathik J. Desai Sapan S. Desai SreyRam Kuy Maggy Mata Jamie Cooper |
| author_facet | Anahita Dua Jason McMaster Pathik J. Desai Sapan S. Desai SreyRam Kuy Maggy Mata Jamie Cooper |
| author_sort | Anahita Dua |
| collection | DOAJ |
| description | The treatment of isolated sternal fractures (ISF) throughout the world is heterogeneous. This study aimed to identify the incidence, morbidity, and mortality associated with isolated fractures of the sternum and describe current practice for diagnosis and management of ISF and cardiac injury at a level I trauma center in the UK. A retrospective cohort study of adult patients (>16 years) with ISF presenting from 2006 to 2010 was conducted. Eighty-eight patients with ISF were identified. Most patients (88%, 77) were admitted to hospital with 66% (58) of them discharged within 48 hours. Two (2%) patients had an ER EKG with abnormality but both resolved to normal sinus rhythm within 6 hours of follow-up. Serum CEs were drawn from 55 (63%) patients with only 2 (2%) having a rise in serum troponin >0.04; however, in both of these patients troponin quickly normalized. Six (7%) patients underwent echocardiograms without significant findings. In all 88 patients with ISF, no cases of clinically significant cardiac injury were identified. Patients presenting with an isolated sternal fracture with no changes on EKG or chest X-ray do not warrant an admission to hospital and may be discharged from the ER. |
| format | Article |
| id | doaj-art-27e1e58ba6064657888ed8d075b357ca |
| institution | Kabale University |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-27e1e58ba6064657888ed8d075b357ca2025-02-03T05:52:40ZengWileyCardiology Research and Practice2090-80162090-05972014-01-01201410.1155/2014/629687629687The Association between Blunt Cardiac Injury and Isolated Sternal FractureAnahita Dua0Jason McMaster1Pathik J. Desai2Sapan S. Desai3SreyRam Kuy4Maggy Mata5Jamie Cooper6Center for Translational Injury Research (CeTIR), Department of Surgery, University of Texas-Houston, 6431 Fannin Street, Houston, TX 77030, USADepartment of Emergency Medicine, Aberdeen Royal Infirmary, University of Aberdeen School of Medicine, Aberdeen AB25 2ZN, UKDepartment of Medicine, Medical University of Lublin, 20 080 Lublin, PolandDepartment of Surgery, Duke University Medical Center, Durham, NC 27710, USADepartment of Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USADepartment of Emergency Medicine, Aberdeen Royal Infirmary, University of Aberdeen School of Medicine, Aberdeen AB25 2ZN, UKDepartment of Emergency Medicine, Aberdeen Royal Infirmary, University of Aberdeen School of Medicine, Aberdeen AB25 2ZN, UKThe treatment of isolated sternal fractures (ISF) throughout the world is heterogeneous. This study aimed to identify the incidence, morbidity, and mortality associated with isolated fractures of the sternum and describe current practice for diagnosis and management of ISF and cardiac injury at a level I trauma center in the UK. A retrospective cohort study of adult patients (>16 years) with ISF presenting from 2006 to 2010 was conducted. Eighty-eight patients with ISF were identified. Most patients (88%, 77) were admitted to hospital with 66% (58) of them discharged within 48 hours. Two (2%) patients had an ER EKG with abnormality but both resolved to normal sinus rhythm within 6 hours of follow-up. Serum CEs were drawn from 55 (63%) patients with only 2 (2%) having a rise in serum troponin >0.04; however, in both of these patients troponin quickly normalized. Six (7%) patients underwent echocardiograms without significant findings. In all 88 patients with ISF, no cases of clinically significant cardiac injury were identified. Patients presenting with an isolated sternal fracture with no changes on EKG or chest X-ray do not warrant an admission to hospital and may be discharged from the ER.http://dx.doi.org/10.1155/2014/629687 |
| spellingShingle | Anahita Dua Jason McMaster Pathik J. Desai Sapan S. Desai SreyRam Kuy Maggy Mata Jamie Cooper The Association between Blunt Cardiac Injury and Isolated Sternal Fracture Cardiology Research and Practice |
| title | The Association between Blunt Cardiac Injury and Isolated Sternal Fracture |
| title_full | The Association between Blunt Cardiac Injury and Isolated Sternal Fracture |
| title_fullStr | The Association between Blunt Cardiac Injury and Isolated Sternal Fracture |
| title_full_unstemmed | The Association between Blunt Cardiac Injury and Isolated Sternal Fracture |
| title_short | The Association between Blunt Cardiac Injury and Isolated Sternal Fracture |
| title_sort | association between blunt cardiac injury and isolated sternal fracture |
| url | http://dx.doi.org/10.1155/2014/629687 |
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