Association between Clavicular Fracture and Hospital Outcome of Multiple Trauma Patients

Abstract

Trauma is one of the leading causes of mortality and disability worldwide. Swift recognition of the severity of trauma on a patient could help emergency staff to provide the necessary care. The aim of this study was to evaluate the relationship between clavicular fracture and associated injuries in multi-traumatic patients. Methods and materials: In this prospective cohort study, 185 multi-traumatic patients with clavicular fracture were selected randomly and studied in two groups, based on presence or absence of clavicular fracture. The following patient information were recorded and studied: mechanism of trauma, age, gender, Glasgow Coma Score (GCS), systolic blood pressure, GAP score and presence or absence of clavicular fracture, accompanying injuries, mortality rate, duration of hospitalization, Glasgow Outcome Scale (GOS) in discharge, one month and six month after discharge follow ups. Results: Mean age of the patients was 34.72±12.99. 27.6% of the patients had clavicular fracture. There was not any statistically significant difference between GCS and chest trauma in the two groups (p>0.05). The highest percentage of injuries associated with clavicular traumas was traumatic brain injuries with the rate of 22.4% and 19.6% in the study and control groups, respectively. There was statistically significant difference in-terms of accompanying injuries between the two groups (p<0.001). There was not any statistically significant difference between clavicular fracture and patient’s outcome (p=0.10).