Flail chest: gender- and age-related clinical and epidemiological characteristics

S.I. Panasenko, S.O. Huryev


Background. Nowadays, injuries are the main cause of mortality among people aged up to 45 years. Clinical epidemiology methods make up a scientific basis in practical prophylaxis problem solving and improvement of trauma patients’ medical care system. The purpose of this research was to study gender- and age-related characteristics of traumas with flail chest and to determine their influence on survival and mortality rates. Materials and methods. A clinical and epidemiological research of 64 clinical cases of a combined blunt thoracic trauma with flail chest (FC) was conducted. In-group allocation aspects and intergroup gender and age relations with survival and mortality data have been studied. Results. As a result, it was found that FC phenomenon was more likely to affect males (79.7 %) of a socially productive age of 40–59 years (51.6 %) as a result of road traffic injuries with pedestrians (28.1 %) and drivers (21.9 %). The dominant factor of trauma in patients with FC was road traffic injuries which made up 62.5 % of all cases. Moreover, FC was 4 times more common in men than in women. Conclusions. Gender and age factors are closely interrelated and they have a resulting influence on the consequences of injuries with FC.


flail chest; clinical and epidemiological research; gender-related trauma characteristics; survival; mortality


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