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Table 1 Pre-operative characteristics

From: Surgical and perioperative management of flail chest with titanium plates: a French cohort series from a thoracic referral center

Variable

Value

Age (years), median [IQR 25–75]

58.3 [46.5–77.0]

Men, n (%)

28 (67)

SAPS II, median [IQR 25–75]

26 [18–34]

ISS, median [IQR 25–75]

21 [16–28]

TTSS, median [IQR 25–75]

11 [9–12]

Comorbidity

 

 Charlson score, median [IQR 25–75]

0 [0–1]

 Smoking, n (%)

17 (40)

Cause of thoracic trauma, n (%)

 

 Road traffic accident

20 (48)

 Domestic fall

17 (40)

Time from trauma to ICU admission (days), median [IQR 25–75]

3.0 [2–5.8]

Number of broken ribs, median [IQR 25–75]

7 [5–8.8]

Flail chest, n (%)

39 (93)

Pulmonary contusion, n (%)(1)

27 (67)

 1 lobe

16 (40)

 2 lobes

7 (17)

 > 2 lobes

4 (10)

Pleural involvement, n (%)(1)

34 (85)

 Isolated pleural effusion

3 (7)

 Pneumothorax/Hemopneumothorax unilateral

29 (72)

 Pneumothorax/Hemopneumothorax bilateral

1 (2)

 Tension pneumothorax

1 (2)

Associated intra-thoracic fractures, n (%)(2)

20 (51)

 Sternum

3 (8)

 Clavicle

5 (13)

 Scapula

9 (23)

 Vertebrae

3 (8)

Extra-thoracic injury, n (%)

17 (40)

 Head and neck injury, n

2

  (Specific intervention needed), n

(0)

 Face, n

4

  (Surgery needed), n

(2)

 Extremities, n

5

  (Surgery needed), n

(3)

 Abdomen, n

3

  (Specific intervention needed), n

(1)

 Spine, n

3

  (Surgical or radiological procedures needed), n

(2)

Preoperative respiratory status, n (%)

 

 Respiratory failure *

12 (29)

 Invasive ventilation

6 (14)

 Non-invasive ventilation

6 (14)

 High flow nasal oxygen therapy

1 (2)

  1. SAPS II, Simplified Acute Physiologic Score; ISS, Injury Severity Score; ICU, intensive care unit; TTSS, Thoracic Trauma Severity Score
  2. *NIV was used for hypoxemic and hypercapnic patients, while HFNO was administered to hypoxemic patients without hypercapnia. Without rapid clinical or biological improvement, patients received invasive mechanical ventilation
  3. Date available for 40 patients (1) and 39 patients (2)