Adverse outcomes in younger rib fracture patients

Southern Medical Journal
George M Testerman

Abstract

Recent studies on the impact of rib fractures after blunt trauma have shown a linear relationship between age, increasing number of rib fractures, and complications, including mortality. Others have documented that age-related morbidity increases before age 65 in trauma patients. We hypothesize that patients as young as age 45 demonstrate increased morbidity with injuries similar to older patients. We performed a retrospective cohort study involving all blunt trauma patients with rib fractures, excluding those with severe head and abdominal injuries and those dying within 24 hours, admitted between January 2001 and December 2004. Outcome parameters included pulmonary complications, ICU length of stay, hospital and ICU length of stay, Injury Severity Score (ISS), number of vent days, number of rib fractures, mechanism of injury, and discharge disposition. Of the 3,094 patients admitted, 307 met the inclusion criteria (9.9%). Based on statistical analysis of age, number of rib fractures, and adverse outcome variables, patients were separated into 4 groups: Group 1: younger than 44 years old with 1 to 4 rib fractures, Group 2: younger than 44 years with greater than 4 rib fractures, Group 3: 45 years or older with 1 to 4 rib fract...Continue Reading

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Citations

Apr 26, 2006·Southern Medical Journal·Kimball I Maull
Apr 18, 2009·Southern Medical Journal·George M Testerman
Aug 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·V G ShelatM T Chiu
Dec 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·H AbdulrahmanR Latifi
Apr 18, 2013·American Journal of Surgery·Loic FabricantJohn Mayberry
Feb 19, 2013·Archivos de bronconeumología·Régulo José Ávila MartínezA Pablo Gámez García
Apr 11, 2012·Emergency Medicine Clinics of North America·Bruno Bernardin, Jean-Marc Troquet
Mar 16, 2011·Revue des maladies respiratoires·J-P Avaro, P-M Bonnet
May 2, 2008·Archivos de bronconeumología·Jordi FreixinetJorge Herrero
Apr 13, 2010·International Emergency Nursing·Caesar Ursic, Kate Curtis
Jun 13, 2015·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Claudia T SadroMartin L Gunn
Jul 28, 2016·Australasian Emergency Nursing Journal : AENJ·Kate CurtisDonovan Dwyer
Oct 4, 2016·Emergency Medicine Australasia : EMA·Lesley Maher, Sisira Jayathissa
Oct 21, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Reinier B BeksJan Paul M Frölke
Sep 8, 2012·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Cathy A MaxwellMary S Dietrich
May 27, 2021·BMJ Case Reports·Satoshi Hayano, Masayuki Kashima

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