{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T12:09:24Z","timestamp":1785154164624,"version":"3.55.0"},"reference-count":35,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Background\u2003Thorax trauma frequently occurs in which injuries to the bony chest, lung contusions (LCs), and others are diagnosed. The significance of this violation is described very differently and is mostly based on monocentric data.<\/jats:p><jats:p>Methods\u2003A retrospective analysis of the TraumaRegister DGU\u00ae (TR-DGU) dataset (Project 2014\u2013062) was performed between 2009 and 2014 (injury severity score [ISS]\u2009\u2265\u200916, primary admission to a trauma center, no isolated traumatic brain injury). Patients with LC (Abbreviated Injury Scale [AIS] 3\u2009+\u20094) were compared with the control group, and an analysis of different age groups was performed.<\/jats:p><jats:p>Results\u2003A total of 49,567 patients were included, thereunder 14,521 (29.3%) without relevant thoracic trauma (TT); 95.9% blunt traumas. 18,892 patients (38.1%) had LC and 14,008 (28.3%) had severe LC with AIS 3\u2009+\u20094; thereunder 72.7% males. For severe LC, the average age was the lowest (44.7\u2009\u00b1\u200919.7 years) and ISS the highest (30.4\u2009\u00b1\u200912.1 points).<\/jats:p><jats:p>Intubation, intensive care, (multi-) organ failure, sepsis, and extrathoracic injuries were most common in severe LC. Shock, chest tubes, further thoracic injuries, and patient death occurred most frequently in TT without LC.<\/jats:p><jats:p>Younger patients showed a higher incidence of LC than the older ones; however, high patient age was a highly significant risk factor for the development of complications and poor outcome.<\/jats:p><jats:p>Conclusion\u2003Since LC was present in almost 40% of the severely injured and was related to higher morbidity, LC should be detected and managed at the earliest possible time. Proper follow-ups employing chest X-rays and computed tomography (CT) scans are recommended.<\/jats:p>","DOI":"10.1055\/s-0039-1700505","type":"journal-article","created":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T09:00:46Z","timestamp":1576832446000},"page":"735-748","source":"Crossref","is-referenced-by-count":24,"title":["Lung Contusion in Polytrauma: An Analysis of the TraumaRegister DGU"],"prefix":"10.1055","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0945-8523","authenticated-orcid":false,"given":"Stefan","family":"Schulz-Drost","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopedic Surgery, University Hospital Erlangen, Erlangen, Germany"},{"name":"Department of Trauma and Orthopedic Surgery, BG Hospital Unfallkrankenhaus Berlin GmbH, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebekka","family":"Finkbeiner","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopedic Surgery, University Hospital Erlangen, Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rolf","family":"Lefering","sequence":"additional","affiliation":[{"name":"IFOM, Institute for Research in Operative Medicine, Faculty of Health, University Witten\/Herdecke, Ostmerheimer Stra\u00dfe 200, 51109, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Grosso","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopedic Surgery, University Hospital Erlangen, Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Krinner","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopedic Surgery, University Hospital Erlangen, Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Langenbach","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopedic Surgery, University Hospital Erlangen, Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the TraumaRegister DGU","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,12,13]]},"reference":[{"key":"ref3","doi-asserted-by":"crossref","first-page":"S351","DOI":"10.1097\/TA.0b013e31827019fd","article-title":"Management of pulmonary contusion and flail chest: an Eastern Association for the Surgery of Trauma practice management guideline","volume":"73","author":"B Simon","year":"2012","journal-title":"J Trauma Acute Care Surg"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1097\/00005373-199412000-00018","article-title":"The morbidity and mortality of rib fractures","volume":"37","author":"D W Ziegler","year":"1994","journal-title":"J Trauma"},{"issue":"12","key":"ref5","first-page":"1023","article-title":"[Bony injuries of the thoracic cage in multiple trauma: Incidence, concomitant injuries, course and outcome] [in German]","volume":"119","author":"S Schulz-Drost","year":"2016","journal-title":"Unfallchirurg"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"34","DOI":"10.4103\/0974-2700.41789","article-title":"Principles of diagnosis and management of traumatic pneumothorax","volume":"1","author":"A Sharma","year":"2008","journal-title":"J Emerg Trauma Shock"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1007\/s00068-013-0281-7","article-title":"Age and traumatic chest injury: a 3-year observational study","volume":"39","author":"A El-Menyar","year":"2013","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"07","key":"ref8","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1016\/j.ajem.2015.04.005","article-title":"Comparison of surgical fixation and nonsurgical management of flail chest and pulmonary contusion","volume":"33","author":"Y Zhang","year":"2015","journal-title":"Am J Emerg Med"},{"issue":"08","key":"ref9","doi-asserted-by":"crossref","first-page":"1959","DOI":"10.1007\/s00268-010-0599-9","article-title":"Pulmonary contusion: an update on recent advances in clinical management","volume":"34","author":"S M Cohn","year":"2010","journal-title":"World J Surg"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1097\/MCC.0b013e3282f1fe71","article-title":"Chest injuries - what is new?","volume":"13","author":"M Keel","year":"2007","journal-title":"Curr Opin Crit Care"},{"issue":"06","key":"ref11","first-page":"568","article-title":"Pulmonary contusion. 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