Rib Fractures in Geriatric Patients: An Observational Study of Surgical Management

2019 ◽  
Vol 4 (1) ◽  
pp. 23
Author(s):  
JoyDowden Hughes ◽  
MichelleJ Berning ◽  
AlexanderS Hunt ◽  
BrianD Kim ◽  
Mariela Rivera ◽  
...  
Keyword(s):  
Observational Study ◽  
Surgical Management ◽  
Geriatric Patients ◽  
Rib Fractures

scholarly journals Assessing the impact of COVID-19 on the health of geriatric patients: The European GeroCovid Observational Study

2021 ◽  
Author(s):  
Caterina Trevisan ◽  
Susanna Del Signore ◽  
Stefano Fumagalli ◽  
Pietro Gareri ◽  
Alba Malara ◽  
...  
Keyword(s):  
Observational Study ◽  
Geriatric Patients ◽  
The Impact

scholarly journals Environmental factors and risk of delirium in geriatric patients: an observational study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Sigurd Evensen ◽  
Ingvild Saltvedt ◽  
Stian Lydersen ◽  
Torgeir Bruun Wyller ◽  
Kristin Taraldsen ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Observational Study ◽  
Geriatric Patients

Surgical Management of Facial Fractures in Geriatric Patients

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Tsanko Yovev ◽  
Aida Burnic ◽  
Kristian Kniha ◽  
Matthias Knobe ◽  
Frank Hölzle ◽  
...  
Keyword(s):  
Surgical Management ◽  
Geriatric Patients ◽  
Facial Fractures

Surgical Stabilization of Rib Fractures Improves Outcomes in the Geriatric Patient Population

2022 ◽  
pp. 000313482110604
Author(s):  
Dudley B. Christie ◽  
Timothy E. Nowack ◽  
Cory J. Nonnemacher ◽  
Anne Montgomery ◽  
Dennis W. Ashley
Keyword(s):  
Patient Population ◽  
Geriatric Patients ◽  
Trauma Registry ◽  
Pleural Space ◽  
Rib Fractures ◽  
Respiratory Complications ◽  
Independent Variables ◽  
Kolmogorov Smirnov ◽  
Hospital Days

Introduction Rib fractures in the ≥65-year-old population have been shown to strongly influence mortality and pneumonia rates. There is a growing body of evidence demonstrating improvements in the geriatric patient’s survival statistics and respiratory performances after surgical stabilization of rib fractures (SSRF). We have observed a strong survival and complication avoidance trend in geriatric patients who undergo SSRF. The purpose of our study was to evaluate the outcomes of geriatric patients with rib fractures treated with SSRF compared to those who only receive conservative therapies. Methods We performed a retrospective review of our trauma registry analyzing outcomes of patients ≥65 years with rib fractures. Patients admitted from 2015 to 2019 receiving SSRF (RP group) were compared to a nonoperative controls (NO group) admitted during the same time. Bilateral fractures were excluded. Independent variables analyzed = ISS, mortalities, hospital days, ICU days, pleural space complications, and readmissions. Follow-up was 60 days after discharge. Group comparison was performed using Kolmogorov-Smirnov, Shapiro-Wilk, and Mann-Whitney U tests. Results 257 patients were analyzed: 172 in the NO group with mean age of 75 (65-10) and 85 in the RP group with mean age of 74 (65-96). Mean ISS = 13 (1-38) for the NO group and 20 (9-59) for the RP group ( P < .001). Mean hospital days = 8 (1-39) and 15 (3-49) in NO and RP groups, respectively. Mean ICU days = 10 (1-32) and 8 (1-11) in NO and RP groups, respectively. Deaths, pneumonia, readmissions, and pleural effusions in the NO group were statistically significant ( P < .01). Analysis of complications revealed 4 RP patients (4.7%) with respiratory complications out to 60 days and 65 NO patients (37.8%) ( P < .001). Conclusions Surgical stabilization of rib fractures appears to be associated with a survival advantage and an avoidance of respiratory-related complications in the ≥65-year-old patient population.

Spirometry Not Pain Level Predicts Outcomes in Geriatric Patients with Isolated Rib Fractures

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kevin M. Schuster ◽  
Mansi Sanghvi ◽  
Rick O’Connor ◽  
Robert Becher ◽  
Adrain A. Maung ◽  
...  
Keyword(s):  
Geriatric Patients ◽  
Rib Fractures ◽  
Pain Level

scholarly journals Both Autopsy and Computed Tomography Are Necessary for Accurately Detecting Rib Fractures Due to Cardiopulmonary Resuscitation

Diagnostics ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 697
Author(s):  
Kunio Hamanaka ◽  
Kei Nishiyama ◽  
Mami Nakamura ◽  
Marin Takaso ◽  
Masahito Hitosugi
Keyword(s):  
Computed Tomography ◽  
Logistic Regression ◽  
Cardiopulmonary Resuscitation ◽  
Observational Study ◽  
Logistic Regression Model ◽  
Kappa Coefficient ◽  
Rib Fractures ◽  
Post Mortem ◽  
Single Centre ◽  
Cpr Quality

Few studies have compared the sensitivities of autopsy and post mortem computed tomography (PMCT) in detecting rib fractures caused by cardiopulmonary resuscitation (CPR). We aimed to compare the characteristics between both modalities for accurately detecting CPR-related rib fractures. This single-centre observational study included adult patients with autopsy records and PMCT scans at our institution from January 2013 to March 2019. CPR-related rib fractures were evaluated using autopsy and PMCT findings. In 62 patients enrolled, 339 rib fractures were detected on autopsy and/or PMCT (222 fractures on both PMCT and autopsy, 69 on PMCT alone, and 50 on autopsy alone). The agreement of detection for both modalities was substantial (kappa coefficient, 0.78). In the logistic regression model, incomplete fractures detected by PMCT and age <75 years were significantly associated with findings that were negative on autopsy but positive on PMCT, while rib number (ribs 1–3 and 7–12) and fracture location (posterolateral and paravertebral) were significantly associated with negative PMCT findings but positive autopsy findings. Autopsy and PMCT showed complementary roles, and are thus necessary in accurately detecting CPR-related rib fractures. Combining both modalities may contribute to improved CPR quality and better understanding of discrepancy in characteristics between the two modalities.

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