A pilot single-institution predictive model to guide rib fracture management in elderly patients

Abstract

Prognostic and epidemiologic study, level III.

Risk factors for adverse outcomes in older adults with blunt chest trauma: A systematic review

“…Table 1 summarizes the characteristics of the 13 included studies representing a total of 79,313 patients. [14][15][16][17][18][19][20][21][22][23][24][25][26] Studies were published between 1985 and 2016; 11 studies were performed in the United States, [14][15][16][17][20][21][22][23][24][25][26] 1 was performed in Egypt, 19 and 1 was performed in Israel. 18 All 13 were retrospective cohort studies, with the majority using data from trauma registries.…”

“…[17][18][19]21,25,26 Eight studies included morbidity as a primary outcome of interest. [14][15][16][18][19][20]22,23 Six studies examined prognostic factors related to LOS. [14][15][16]22,[24][25][26] One study examined prognostic factors related to discharge to an extended care facility.…”

“…Seven studies were of moderate to high ROB in relation to outcome measurement. [14][15][16]19,20,24,25 Prognostic factors associated with post-injury mortality…”

“…Six patient factors were investigated across studies. Univariate associations were reported for the presence of cardiopulmonary disease 14 and diabetes mellitus, 18,19 whereas multivariate associations were reported for age, 26 chronic obstructive pulmonary disease (COPD), 20 protein calorie malnutrition, 20 and ambulatory assist devices. 20 There were six disease factors associated with postinjury morbidity examined across included studies.…”

“…Univariate associations were reported for the presence of cardiopulmonary disease 14 and diabetes mellitus, 18,19 whereas multivariate associations were reported for age, 26 chronic obstructive pulmonary disease (COPD), 20 protein calorie malnutrition, 20 and ambulatory assist devices. 20 There were six disease factors associated with postinjury morbidity examined across included studies. Univariate associations were reported for the need for early mechanical ventilation, 15 oxygen saturation, 18 and number of rib fractures, 18,19 whereas multivariate associations were reported for the need of tube thoracostomy, 20 increasing ISS, 20 per one increase in number of ribs fractured, 20 or having eight or more ribs fractured.…”