TY  - CONF
A1  - Knobloch, Karsten
A1  - Wagner, S.
A1  - Haasper, Carl
A1  - Probst, Christian
A1  - Kretek, Christian
A1  - Richer, M.
A1  - Otte, Dietmar
T1  - Sternal fractures occur most often in old cars to seat-belted drivers without any airbag often with concomitant spinal injuries : clinical findings and technical collision parameters among 42.055 crash victims
N2  - The incidence and treatment of sternal fractures among traffic accidents are of increasing importance to ensure best possible outcomes. Analysis of technical indicators of the collision, preclinical and clinical data of patients with sterna fractures from 1985-2004 among 42,055 injured patients were assessed by an Accident Research Unit. Two time groups were categorized: 1985-1994 (A) vs. 1995-2004 (B). 267/42,055 patients (0.64%) suffered a sterna fracture. Regarding the vehicle type, the majority occurred after car accidents in 0.81% (251/31,183 pts), followed by 0.19% (5/2,633pts) driving motorbike, and 0.11% (4/3,258pts) driving a truck. 91% wore a safety belt. Only 13% of all passengers suffering a sternal fracture had an airbag on board (33/255 car/trucks), with an airbag malfunction in 18%. The steering column was deformed in 39%, the steering wheel in 36%. Cars in the recent years were significantly older (7.67-±5 years (B) vs. 5.88-±5 years (A), p=0.003). Cervical spine injuries are frequent (23% vs. 22%), followed by multiple rib fractures (14% vs. 12%) and lung injuries (12% vs. 11%). We found 9/146 (6%) and 3/121 patients (3%) with heart contusion among the 267 sternal fractures. MAIS was 2.56-±1.3 vs. 2.62-±1.3 (A vs. B, p=0.349). 18% of patients were polytraumatized, with 11.2% dying at the scene, 2.3% in the hospital. Sternal fractures occur most often in old cars to seat-belted drivers often without any airbag. Severe multiple rib fractures and lung contusion are concomitant injuries in more than 10% each indicating the severity of the crash. Over a twentyyear period, the injury severity encountered was not different with 18% polytrauma patients suffering sternal fractures.
KW  - Airbag
KW  - Alter
KW  - Analyse (math)
KW  - Brustkorb
KW  - Konferenz
KW  - PKW
KW  - Schweregrad (Unfall, Verletzung)
KW  - Sicherheitsgurt
KW  - Statistik
KW  - Verletzung
KW  - Wirbelsäule
KW  - Age
KW  - Air bag (restraint system)
KW  - Analysis (math)
KW  - Car
KW  - Conference
KW  - Injury
KW  - Safety belt
KW  - Severity (accid, injury)
KW  - Spinal calum
KW  - Statistics
Y1  - 2007
UR  - https://bast.opus.hbz-nrw.de/frontdoor/index/index/docId/411
UR  - https://nbn-resolving.org/urn:nbn:de:hbz:opus-bast-4117
ER  -