Elderly Trauma Patients with Rib Fractures Are at Greater Risk of Death and Pneumonia

Abstract

Despite lower indices of injury severity, even after taking account of comorbidities, mortality was significantly increased in elderly patients admitted to a trauma center with rib fractures.

Costal Abnormalities

“…Travmatik yaralanmalar %10-66 sıklıkta kosta fraktürleri ile sonuçlanır. 12 Çocuklarda travma sonrası kosta kırığı, kostaların esnekliği ve yumuşaklığı nedeniyle nadirdir; özel-likle üçüncü dekat sonrası travmaya bağlı kosta kırığı insidansı artar.…”

Prevalence of chest trauma, associated injuries and mortality: a level I trauma centre experience

“…These numbers justify the presence of extensive literature related to chest injuries where the difference in epidemiology and clinical outcomes between adults and children has been well documented [23] as well as the effects between patients with flail chest vs. pulmonary contusion [9]. Authors have also effectively analysed the impact of age, rib fractures [4], pulmonary contusion [13], pelvic fractures [11], intramedullary nailing [5] and the role of analgesia [7].…”

Clinical prediction rule for delayed hemothorax after minor thoracic injury: a multicentre derivation and validation study

“…16,18 One retrospective study reported a prodrome of pain and acute dyspnea in 82% of emergency patients with delayed hemothorax after discharge, 17 whereas other prospective prediction studies reported that the presence of thoracic contusions alone could represent a predictive factor for delayed complications. 3,18 Age over 45 years 35 or age over 65 years 36 was also considered as a possible stand-alone predictive factor. The incidence of delayed hemothorax in the current study was slightly higher than in previous studies, which could be attributed to our prospective design, the important follow-up rate and the slightly older age of our cohort relative to previous studies.…”