{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:38:52Z","timestamp":1779323932053,"version":"3.51.4"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2018,9,24]],"date-time":"2018-09-24T00:00:00Z","timestamp":1537747200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Trauma Emerg Surg"],"published-print":{"date-parts":[[2020,4]]},"DOI":"10.1007\/s00068-018-1012-x","type":"journal-article","created":{"date-parts":[[2018,9,24]],"date-time":"2018-09-24T04:48:02Z","timestamp":1537764482000},"page":"435-440","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Is the number of rib fractures a risk factor for delayed complications? A case\u2013control study"],"prefix":"10.1007","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5644-3706","authenticated-orcid":false,"given":"Diego","family":"Flores-Funes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Africa Dakota","family":"Lluna-Llorens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel \u00c1ngel","family":"Jim\u00e9nez-Ballester","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graciela","family":"Valero-Navarro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9s","family":"Carrillo-Alcar\u00e1z","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1lvaro","family":"Campillo-Soto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Luis","family":"Aguayo-Albasini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2018,9,24]]},"reference":[{"issue":"3","key":"1012_CR1","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1007\/s002239900429","volume":"62","author":"M Palvanen","year":"2014","unstructured":"Palvanen M, Kannus P, Niemi S, Parkkari J, Vuori I. Epidemiology of Minimal Trauma Rib Fractures in the Elderly. Calcif Tissue Int. 2014;62(3):274\u20137.","journal-title":"Calcif Tissue Int"},{"issue":"4","key":"1012_CR2","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1016\/S1072-7515(02)01894-X","volume":"196","author":"JB Holcomb","year":"2003","unstructured":"Holcomb JB, McMullin NR, Kozar RA, Lygas MH, Moore FA. Morbidity from rib fractures increases after age 45. J Am Coll Surg. 2003;196(4):549\u201355.","journal-title":"J Am Coll Surg"},{"issue":"4","key":"1012_CR3","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1001\/jama.297.4.387","volume":"297","author":"JR Center","year":"2007","unstructured":"Center JR, Bliuc D, Nguyen TV, Eisman JA. Risk of subsequent fracture after low-trauma fracture in men and women. JAMA. 2007;297(4):387\u201394.","journal-title":"JAMA"},{"issue":"1","key":"1012_CR4","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/S1010-7940(03)00256-2","volume":"24","author":"M S\u0131rmal\u0131","year":"2003","unstructured":"S\u0131rmal\u0131 M. A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. Eur J Cardio-Thoracic Surg. 2003;24(1):133\u20138.","journal-title":"Eur J Cardio-Thoracic Surg"},{"issue":"6","key":"1012_CR5","doi-asserted-by":"publisher","first-page":"1115","DOI":"10.1097\/SLA.0000000000000952","volume":"262","author":"M \u00c9mond","year":"2015","unstructured":"\u00c9mond M, Sirois M-J, Guimont C, Chauny J-M, Daoust R, Bergeron \u00c9, et al. Functional impact of a minor thoracic injury: an investigation of age, delayed hemothorax, and rib fracture effects. Ann Surg. 2015;262(6):1115\u201322.","journal-title":"Ann Surg"},{"issue":"2","key":"1012_CR6","first-page":"55","volume":"4","author":"M Yousefifard","year":"2016","unstructured":"Yousefifard M, Baikpour M, Ghelichkhani P, Asady H, Darafarin A, Reza M, et al. Comparison of ultrasonography and radiography in detection of thoracic bone fractures; a systematic review and meta-analysis. Emergency. 2016;4(2):55\u201364.","journal-title":"Emergency"},{"issue":"4","key":"1012_CR7","doi-asserted-by":"publisher","first-page":"717-23-5","DOI":"10.1016\/j.surg.2005.07.022","volume":"138","author":"BT Flagel","year":"2005","unstructured":"Flagel BT, Luchette FA, Reed RL, Esposito TJ, Davis KA, Santaniello JM, et al. Half-a-dozen ribs: the breakpoint for mortality. Surgery. 2005;138(4):717-23-5.","journal-title":"Surgery"},{"issue":"6","key":"1012_CR8","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1016\/j.amjsurg.2006.08.048","volume":"192","author":"SR Todd","year":"2006","unstructured":"Todd SR, McNally MM, Holcomb JB, Kozar RA, Kao LS, Gonzalez EA, et al. A multidisciplinary clinical pathway decreases rib fracture-associated infectious morbidity and mortality in high-risk trauma patients. Am J Surg. 2006;192(6):806\u201311.","journal-title":"Am J Surg"},{"issue":"5","key":"1012_CR9","doi-asserted-by":"publisher","first-page":"831","DOI":"10.1016\/j.amjsurg.2013.10.033","volume":"208","author":"B Kessel","year":"2014","unstructured":"Kessel B, Dagan J, Swaid F, Ashkenazi I, Olsha O, Peleg K, et al. Rib fractures: comparison of associated injuries between pediatric and adult population. Am J Surg. Elsevier Inc. 2014;208(5):831\u20134.","journal-title":"Am J Surg. Elsevier Inc."},{"issue":"2","key":"1012_CR10","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1177\/000313481307900224","volume":"79","author":"BA Whitson","year":"2013","unstructured":"Whitson BA, McGonigal MD, Anderson CP, Dries DJ. Increasing numbers of rib fractures do not worsen outcome: an analysis of the national trauma data bank. Am Surg. 2013;79(2):140\u201350.","journal-title":"Am Surg"},{"issue":"5","key":"1012_CR11","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","volume":"40","author":"ME Charlson","year":"1987","unstructured":"Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373\u201383.","journal-title":"J Chronic Dis"},{"issue":"12","key":"1012_CR12","doi-asserted-by":"publisher","first-page":"1500","DOI":"10.1016\/j.ijsu.2014.07.014","volume":"12","author":"JP Vandenbroucke","year":"2014","unstructured":"Vandenbroucke JP, von Elm E, Altman DG, G\u00f8tzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and elaboration. Int J Surg. 2014;12(12):1500\u201324.","journal-title":"Int J Surg"},{"issue":"5","key":"1012_CR13","doi-asserted-by":"publisher","first-page":"320-79","DOI":"10.4037\/ajcc2001.10.5.320","volume":"10","author":"A Easter","year":"2001","unstructured":"Easter A. Management of patients with multiple rib fractures. Am J Crit Care. 2001;10(5):320-7\u20139.","journal-title":"Am J Crit Care"},{"issue":"1","key":"1012_CR14","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/S1010-7940(03)00256-2","volume":"24","author":"M Sirmali","year":"2003","unstructured":"Sirmali M, T\u00fcr\u00fct H, Top\u00e7u S, G\u00fclhan E, Yazici U, Kaya S, et al. A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. Eur J Cardiothorac Surg. 2003;24(1):133\u20138.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"6","key":"1012_CR15","doi-asserted-by":"publisher","first-page":"689","DOI":"10.1097\/00005373-199006000-00006","volume":"30","author":"RB Lee","year":"1990","unstructured":"Lee RB, Bass SM, Morris JA, MacKenzie EJ. Three or more rib fractures as an indicator for transfer to a Level I trauma center: a population-based study. J Trauma. 1990;30(6):689\u201394.","journal-title":"J Trauma"},{"issue":"2","key":"1012_CR16","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1177\/1457496914543976","volume":"104","author":"T S\u00f6derlund","year":"2015","unstructured":"S\u00f6derlund T, Ikonen A, Pyh\u00e4lt\u00f6 T, Handolin L. Factors associated with in-hospital outcomes in 594 consecutive patients suffering from severe blunt chest trauma. Scand J Surg. 2015;104(2):115\u201320.","journal-title":"Scand J Surg"},{"issue":"Suppl 1","key":"1012_CR17","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1080\/15389588.2015.1014552","volume":"16","author":"J Antona-Makoshi","year":"2015","unstructured":"Antona-Makoshi J, Yamamoto Y, Kato R, Sato F, Ejima S, Dokko Y, et al. Age-dependent factors affecting thoracic response: a finite element study focused on Japanese elderly occupants. Traffic Inj Prev. 2015;16(Suppl 1):66\u201374.","journal-title":"Traffic Inj Prev"},{"issue":"3","key":"1012_CR18","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1016\/j.aap.2010.10.009","volume":"43","author":"V Bansal","year":"2011","unstructured":"Bansal V, Conroy C, Chang D, Tominaga GT, Coimbra R. Rib and sternum fractures in the elderly and extreme elderly following motor vehicle crashes. Accid Anal Prev. 2011;43(3):661\u20135.","journal-title":"Accid Anal Prev"},{"issue":"6","key":"1012_CR19","doi-asserted-by":"publisher","first-page":"1040-6-7","DOI":"10.1097\/00005373-200006000-00007","volume":"48","author":"EM Bulger","year":"2000","unstructured":"Bulger EM, Arneson MA, Mock CN, Jurkovich GJ. Rib fractures in the elderly. J Trauma. 2000;48(6):1040-6-7.","journal-title":"J Trauma"},{"issue":"1","key":"1012_CR20","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1097\/01.ta.0000223463.88422.6a","volume":"61","author":"C Bakhos","year":"2006","unstructured":"Bakhos C, O\u2019Connor J, Kyriakides T, Abou-Nukta F, Bonadies J. Vital capacity as a predictor of outcome in elderly patients with rib fractures. J Trauma. 2006;61(1):131\u20134.","journal-title":"J Trauma"},{"issue":"5","key":"1012_CR21","doi-asserted-by":"publisher","first-page":"970","DOI":"10.1097\/TA.0000000000000619","volume":"78","author":"KW Gonzalez","year":"2015","unstructured":"Gonzalez KW, Ghneim MH, Kang F, Jupiter DC, Davis ML, Regner JL. A pilot single-institution predictive model to guide rib fracture management in elderly patients. J Trauma Acute Care Surg. 2015;78(5):970\u20135.","journal-title":"J Trauma Acute Care Surg"},{"issue":"3","key":"1012_CR22","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1097\/00005373-197403000-00001","volume":"14","author":"SP Baker","year":"1974","unstructured":"Baker SP, O\u2019Neill B, Haddon W, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14(3):187\u201396.","journal-title":"J Trauma"},{"issue":"4","key":"1012_CR23","doi-asserted-by":"publisher","first-page":"172-57","DOI":"10.1097\/JTN.0000000000000008","volume":"20","author":"SM Sahr","year":"2013","unstructured":"Sahr SM, Webb ML, Renner CH, Sokol RK, Swegle JR. Implementation of a rib fracture triage protocol in elderly trauma patients. J Trauma Nurs. 2013;20(4):172-5\u20137.","journal-title":"J Trauma Nurs"}],"container-title":["European Journal of Trauma and Emergency Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00068-018-1012-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00068-018-1012-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00068-018-1012-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,10]],"date-time":"2020-11-10T20:06:37Z","timestamp":1605038797000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00068-018-1012-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,24]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["1012"],"URL":"https:\/\/doi.org\/10.1007\/s00068-018-1012-x","relation":{},"ISSN":["1863-9933","1863-9941"],"issn-type":[{"value":"1863-9933","type":"print"},{"value":"1863-9941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9,24]]},"assertion":[{"value":"18 June 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 September 2018","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 September 2018","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that there is no conflict of interests regarding the writing of this paper.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}