Number of rib fractures thresholds independently predict worse outcomes in older patients with blunt trauma

Early Versus Late Tracheostomy in Trauma Patients With Rib Fractures

“…20 Recently, Shulzhenko et al demonstrated that in older patients with trauma, sustaining at least five RF is a significant predictor of worse outcomes, independent of patients' characteristics, comorbidities, and trauma burden. 19 Our data regarding the need for tracheostomy in BCT patients with multiple RF are in accordance with the findings of the aforementioned studies, as our patients were severely injured and had on average > 5 fractured ribs. In addition, over 85% of our patients had pulmonary coinjuries, which according to recent publications are linked to the need for ventilatory support.…”

“…[15][16][17] The number of RF thresholds for unfavorable outcomes varies depending on patients cohorts, but overall multiple RF are associated with increased morbidity and mortality. 18,19 It was previously reported that the number of fractured ribs that best predicted the appearance of pleuropulmonary complications was three or more. 20 Recently, Shulzhenko et al demonstrated that in older patients with trauma, sustaining at least five RF is a significant predictor of worse outcomes, independent of patients' characteristics, comorbidities, and trauma burden.…”

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.…”

“…Six studies included mortality as a primary outcome of interest. [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][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. 16 None of the studies explored risk factors for ED recidivism or patient quality of life.…”