Emergency Medicine: Open Access
Open Access

Koen S Simons

Publications

• Short Communication
  Association between the Hanging Chin Sign and Mortality in Critically Ill Patients, a Retrospective Observational Study
  Author(s): Martinus TA Van Beijnen, Maria J Zegers, Maarten H Van Leuken, Cornelis PC De Jager and Koen S SimonsMartinus TA Van Beijnen, Maria J Zegers, Maarten H Van Leuken, Cornelis PC De Jager and Koen S Simons
  
  Purpose: Define a new sign called the ‘Hanging Chin Sign’ (HCS) and discuss its clinical significance by evaluating if it is associated with poor hospital outcome in critically ill patients.Methods: A retrospective observational study was performed. 331 adult patients presenting to the emergency department (ED) between 1 April 2011 and 31 July 2013, for which an Intensive Care Unit (ICU) physician was consulted and a supine chest X-ray was taken, were included. HCS was defined as radiological projection of the jawbone (os mandibula) over one or more ribs on the chest X-ray. In-hospital mortality, ICU admission and hospital length of stay (LOS) was compared between patients with and without a HCS.Results: In patients presenting with a HCS, mortality was significantly higher. After case mix correction for age, ge.. View More»
  DOI: 10.4172/2165-7548.1000369

  Abstract PDF

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