Diaphragmatic rupture epidemiology and demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Epidemiology and Demographics

Diaphragmatic injuries are present in 1–7% of people with significant blunt trauma[1] and an average of 3% of abdominal injuries.[2] A high body mass index may be associated with a higher risk of diaphragmatic rupture in people involved in vehicle accidents.[1] It is rare for the diaphragm alone to be injured, especially in blunt trauma; other injuries are associated in as many as 80–100% of cases.[3][4] In fact, if the diaphragm is injured, it is an indication that more severe injuries to organs may have occurred.[4] Thus, the mortality after a diagnosis of diaphragmatic rupture is 17%, with most deaths due to lung complications.[4] Common associated injuries include head injury, injuries to the aorta, fractures of the pelvis and long bones, and lacerations of the liver and spleen.[3] Associated injuries occur in over three quarters of cases.[5]

References

  1. 1.0 1.1
  2. 3.0 3.1
  3. 4.0 4.1 4.2 Weyant MJ, Fullerton DA (2008). "Blunt thoracic trauma". Seminars in Thoracic and Cardiovascular Surgery. 20 (1): 26–30. doi:10.1053/j.semtcvs.2008.01.002. PMID 18420123.

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