Effects of mechanism of injury and patient age on outcomes in geriatric rib fracture patients

Trauma Surgery & Acute Care Open
Helen H ShiDavid A Spain

Abstract

Patients older than 65 years have 2-5 times higher mortality if they sustain ≥2 rib fractures compared to younger adults. As a result, our level I trauma center guidelines suggest that older adults with rib fractures be admitted to the intensive care unit for the first 24 hours. In this study, we evaluated the outcomes associated with these guidelines. We retrospectively reviewed all patients aged ≥65 years in our Trauma Registry who sustained rib fractures from January 2008 to March 2015. Data included demographics, comorbidities, injuries, length of intensive care and hospital stay (LOS), ventilator days, analgesic used, morbidity, mortality, and disposition. 97 patients aged ≥65 years with at least one rib fracture and an Abbreviated Injury Score of ≤2 for other regions were admitted. Falls caused 58% of the injuries, while motor vehicle collisions (MVC) accounted for 33%. Overall mortality was 4%. Patients who fell had a median hospital LOS that was 0.5 to 1 day longer than in those who suffered other mechanisms of injury or were involved in an MVC respectively. Patients aged ≥70 years had a median LOS of 4 days, twice that of those aged 65 to 69 years. Of the 87 patients with more than one rib fracture, 59 (68%) were not a...Continue Reading

References

Jun 24, 2000·The Journal of Trauma·E M BulgerG J Jurkovich
Mar 14, 2003·The Journal of Trauma·Eric BergeronMarcel Martin
Apr 15, 2003·Journal of the American College of Surgeons·John B HolcombFrederick A Moore
Jul 11, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mehmet SirmaliIrfan Taştepe
Apr 17, 2004·Journal of the American Geriatrics Society·Stanislaw P StawickiJames F Reed
May 26, 2010·Clinics in Geriatric Medicine·Gabor Abellan van KanBruno Vellas
Feb 12, 2013·Lancet·Andrew CleggKenneth Rockwood
Dec 7, 2013·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Sheryl M SahrJames R Swegle

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Citations

Nov 25, 2018·Emergency Medicine Journal : EMJ·Ceri BattlePhillip Adrian Evans
Oct 8, 2018·Journal of Medical Case Reports·Koshi OtaAkira Takasu
Oct 6, 2020·The Journal of Trauma and Acute Care Surgery·Ashton B ChristianSebastian D Schubl
Dec 21, 2019·Age and Ageing·Roisin CoaryDavid Shipway
Aug 26, 2019·The Journal of Surgical Research·Jessica A BowmanGarth H Utter

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