{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:39:18Z","timestamp":1790739558937,"version":"4.1.0"},"reference-count":21,"publisher":"Galenos Yayinevi","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk Gogus Kalp Dama"],"accepted":{"date-parts":[[2023,12,25]]},"published-print":{"date-parts":[[2024,1,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    This study aims to evaluate clinical and radiological characteristics of the patients with cough-induced rib fractures.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    Between January 2008 and December 2022, a total of 90 patients (35 males, 55 females; mean age: 58\u00b120 years; range, 20 to 92 years) who had cough-induced rib fractures were retrospectively analyzed. Patients' characteristics, findings of physical and radiological examination, and patients\u2019 outcomes were recorded.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Of the patients, 64% were postmenopausal, 37% had metabolic disease of the bone, and 21% had chronic cough. Cough etiology was acute upper respiratory tract infection (32%), followed by chronic obstructive pulmonary disease. Thoracic computed tomography documented 154 fractures. Cough-induced rib fractures were mostly on the right side (58%). Multiple fractures were more commonly seen in older patients (p=0.007), in the presence of novel coronavirus disease-2019 (COVID-19) pneumonia (p=0.03), and metabolic disease of the bone (p=0.01). Mostly the sixth rib was affected (23%). Most fractures (81.3%) affected the fourth to ninth ribs. Most fractures developed on the anterolateral aspect of the rib (51%). The mean duration of hospital stay was 5.0\u00b11.6 days. Morbidity developed in one patient (1.1%) (hemothorax). Mortality occurred in two patients (2.2%) due to COVID-19 pneumonia and acute myocardial infarction.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Localized pain after cough should be investigated in terms of cough-induced rib fractures. Cough-induced rib fractures are mostly seen in the presence of acute upper respiratory tract infection, chronic obstructive pulmonary disease, and pneumonia. Postmenopausal women are more risky to develop cough-induced rib fractures. Multiple cough-induced rib fractures are common in the presence of metabolic disease of the bone, older age, COVID-19 pneumonia.\n                  <\/jats:p>","DOI":"10.5606\/tgkdc.dergisi.2024.25655","type":"journal-article","created":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T09:44:06Z","timestamp":1707731046000},"page":"69-74","source":"Crossref","is-referenced-by-count":11,"title":["Cough-induced rib fractures: A comprehensive analysis of 90 patients in a single center"],"prefix":"10.4274","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2754-2080","authenticated-orcid":false,"given":"Mehmet","family":"O\u011fuzhan \u00d6zyurtkan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1022-3406","authenticated-orcid":false,"given":"Zeliha","family":"Arslan Ulukan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8856-338X","authenticated-orcid":false,"given":"U\u011fur","family":"Temel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2024,1,29]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Daccache A, Haddad J, Ghanem A, Feghali EJ, El Osta B. 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