Vital Capacity as a Predictor of Outcome in Elderly Patients with Rib Fractures

Abstract

Bedside VC is a simple measurement which could predict LOS in elderly patients with rib fractures and may identify those patients requiring ECF upon discharge. Further prospective study may highlight the utility of emergency room VC in determining the disposition of these patients.

Factors Associated With Survival Following Blunt Chest Trauma in Older Patients

“…Evidence suggests that treatment algorithms can be stratified based on patient age, number of RFs, and admission vital capacity. 32 In conclusion, a large regional trauma cooperative confirmed that older age and increased ISS are independent predictors of survival in older patients incurring traumatic RFs. Contributing to mortality were CHF, intubation, and admission to high-volume trauma centers.…”

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.…”

Long-term Outcome in Chest Trauma

“…33 The severity is directly related to a defect of the ventilatory system, because FVC could predict the duration of stay in elderly patients with rib fractures. 34 In our cohort, we included only multiple trauma patients who survived after discharge from the ICU. Because of these inclusion criteria, only three patients were older than 60 yr.…”