Determining the clinical significance of the Chest Wall Injury Society taxonomy for multiple rib fractures

This study aimed to validate the CWIS taxonomy using a single-instituion clinical database. METHODS Computed tomography (CT) scans, of 539 consecutive patients with MRFs admitted to a regional major trauma center over a 33-month period, were reviewed (blinded for clinical outcomes). Every rib fracture in every patient was assessed according to each of the CWIS criteria (the degree of displacement, characterization of the fracture line, location of each fracture, and the relationship to neighboring fractures). The clinical significance of the proposed CWIS definitions were determined from independently coded, routinely collected Hospital Episodes Statistics data. RESULTS The radiologic aspects of 3,944 individual rib fractures were assessed. Indicators of injury severity (severe displacement greater series length, and flail segment) were positively associated with other fractures (p
Source: The Journal of Trauma: Injury, Infection, and Critical Care - Category: Orthopaedics Tags: CWIS 2019 SUMMIT ARTICLES Source Type: research