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Article

Factors Associated with Traumatic Diaphragmatic Rupture among Patients with Chest or Abdominal Injury: A Nationwide Study from Japan

1
Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita 565-0871, Japan
2
Division of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Osaka University Graduate School of Medicine, Suita 565-0871, Japan
3
Department of Acute Medicine and Critical Care Center, Osaka National Hospital, National Hospital Organization, Osaka 540-0006, Japan
4
Department of Emergency and Critical Care, Osaka General Medical Center, Osaka 558-8558, Japan
5
Department of Food Science, Faculty of Home Economics, Otsuma Women’s University, Tokyo 102-8357, Japan
*
Author to whom correspondence should be addressed.
Academic Editor: Andreas Hecker
J. Clin. Med. 2022, 11(15), 4462; https://doi.org/10.3390/jcm11154462
Received: 2 July 2022 / Revised: 21 July 2022 / Accepted: 26 July 2022 / Published: 30 July 2022
(This article belongs to the Special Issue Multiple Trauma: Clinical Updates and Perspectives)
Background: Blunt traumatic diaphragmatic rupture (TDR) is a rare condition that is seen in patients with blunt thoracoabdominal trauma. However, factors that are associated with blunt TDR have not been fully revealed. The purpose of this study was to evaluate the factors that are associated with blunt TDR in trauma patients with a chest or abdominal injury using nationwide trauma registry data in Japan. Method: This study was a retrospective observational study with a 15-year study period from 2004 to 2018. We included trauma patients with a chest or abdominal Abbreviated Injury Score of two or more. We evaluated the relationship between confounding factors such as mechanism of injury and blunt TDR with multivariable logistic regression analysis. Results: This study included 65,110 patients, of whom 496 patients (0.8%) suffered blunt TDR. Factors that were associated with blunt TDR were disturbance of consciousness (adjusted OR [AOR]: 1.639, 95% CI: 1.326–2.026), FAST positive (AOR: 2.120, 95% CI: 1.751–2.567), front seat passenger (AOR: 1.748, 95% CI: 1.129–2.706), and compression injury by heavy object (AOR: 1.677, 95% CI: 1.017–2.765). Conclusion: This study revealed several factors that are associated with blunt TDR. The results of this study may be useful for clinicians when estimating blunt TDR. View Full-Text
Keywords: traumatic diaphragmatic rupture; blunt trauma; abdominal injury; chest injury; epidemiology traumatic diaphragmatic rupture; blunt trauma; abdominal injury; chest injury; epidemiology
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MDPI and ACS Style

Katayama, Y.; Tanaka, K.; Ishida, K.; Hirose, T.; Tachino, J.; Nakao, S.; Umemura, Y.; Kiyohara, K.; Ojima, M.; Kiguchi, T.; Kitamura, T.; Oda, J. Factors Associated with Traumatic Diaphragmatic Rupture among Patients with Chest or Abdominal Injury: A Nationwide Study from Japan. J. Clin. Med. 2022, 11, 4462. https://doi.org/10.3390/jcm11154462

AMA Style

Katayama Y, Tanaka K, Ishida K, Hirose T, Tachino J, Nakao S, Umemura Y, Kiyohara K, Ojima M, Kiguchi T, Kitamura T, Oda J. Factors Associated with Traumatic Diaphragmatic Rupture among Patients with Chest or Abdominal Injury: A Nationwide Study from Japan. Journal of Clinical Medicine. 2022; 11(15):4462. https://doi.org/10.3390/jcm11154462

Chicago/Turabian Style

Katayama, Yusuke, Kenta Tanaka, Kenichiro Ishida, Tomoya Hirose, Jotaro Tachino, Shunichiro Nakao, Yutaka Umemura, Kosuke Kiyohara, Masahiro Ojima, Takeyuki Kiguchi, Tetsuhisa Kitamura, and Jun Oda. 2022. "Factors Associated with Traumatic Diaphragmatic Rupture among Patients with Chest or Abdominal Injury: A Nationwide Study from Japan" Journal of Clinical Medicine 11, no. 15: 4462. https://doi.org/10.3390/jcm11154462

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