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Non-parametric sign test and paired t test were used for analysis. Significance was set at p less then 0.002. RESULTS 78 of 477 patients with RF on CT1 had CT2 during the study period primarily male (76%) and age 55.8 ± 20.1 with blunt mechanism of injury (99%). Median Injury Severity Score was 21 (IQR, 13-27) with Chest Abbreviated Injury Score of 3 (IQR, 3-4). Median time between CT1 and CT2 was 6 days (IQR, 3-12). Missed RF rate for CT1 was 10.1% (p = 0.11). Average fracture displacement was significantly increased for all rib group
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