Is hospitalization necessary in isolated traumatic sternal fractures?

Authors : Atif YOLGÖSTEREN, Ahmet YÜKSEL, İris İrem KAN, Vahide Aslıhan DURAK

Pages : 661-664

Doi:10.18621/eurj.722667

View : 20 | Download : 8

Publication Date : 2020-11-04

Article Type : Research Paper

Abstract :Objectives: Clinical characteristics, follow-up and treatment outcomes of patients with isolated traumatic sternal fracture were presented and our clinical experiences on these patients were shared. Methods: Between January 2010 and December 2017, a total of 87 patients with isolated traumatic sternal fracture who were admitted to the emergency department and were hospitalized, were included in this observational cohort study. Medical data of these patients were collected from hospital records and then were retrospectively reviewed. Results: There were 65 insert ignore into journalissuearticles values(74.7%); male and 22 insert ignore into journalissuearticles values(25.3%); female patients. Mean age was 42.4 ± 13.7 years insert ignore into journalissuearticles values(range: 17-83);. The most common etiological reason was traffic accident in vehicle. Sternal fractures were localized at corpus in 64 insert ignore into journalissuearticles values(73.6%); patients and at manubrium in 23 insert ignore into journalissuearticles values(26.4%); patients. The most common concomitant pathology was rib fracture with a ratio of 23% insert ignore into journalissuearticles values(20 patients);. Mean length of hospital stay of patients was 3.1 ± 0.8 days. During the hospitalization period, no evidence of cardiac injury was observed in any patient. Conclusions: In view of rising healthcare costs and increasing demand for acute hospital and intensive care beds, it is crucial to determine hospitalization criteria for cases with traumatic sternal fracture. We believe that the hospitalization is not necessary in isolated traumatic sternal fractures where there is no other major injury.
Keywords : Sternal fracture, trauma, treatment, hospitalization