Monday, September 26, 2016

Sternal Fractures

The Skeptics Guide to Emergency Medicine
SGEM#161 - September 21st, 2016 - By Chris Bond
"Clinical Question: What are the complications and outcomes of patients with isolated sternal fracture discharged from the emergency department compared to those with other minor thoracic injury?
Primary Outcome: Delayed hemothorax within 14 days
  • Total: 112/969 (11.6%)
  • Sternal Facture Group: 4/32 (12.5%)
  • Rib Fracture(s) Group: 70/304 (23%)
  • No Fracture Group: 38/633 (6%)
Notably, none of the four patients with delayed hemothorax in isolated sternal fractures required drainage, while three cases in the rib fractures group did require drainage.
No other major complications and no mortality was observed at 90 days...
SGEM Bottom Line: Patients discharged home with isolated sternal fractures have a risk of delayed hemothorax. These are painful injuries and patients should be provided with adequate analgesia and follow-up."