12/20/2023 0 Comments Long term effects of broken ribs![]() ![]() Nonetheless, younger patients required significantly more days of respiratory support than older patients. Also, median ICU-LOS and HLOS were numerically higher in geriatric patients but were not statistically significant. However, the mortality and non-home discharge odds ratios were not statistically significant. Results: Patients aged >65 years with multiple blunt-trauma rib fractures had lower mortality rates despite a higher prevalence of comorbidities but with higher rates of non-home discharges compared to younger patients. Study outcomes were also analyzed by stratifying patients by fracture location. ICU length of stay (ICU-LOS), total hospital length of stay (HLOS), and days on the ventilator were the secondary outcomes. The primary study outcomes included mortality and non-home discharge. The study population comprised 71 patients aged ≤65 and 53 patients aged >65 years. Patients with major vascular/cerebral injuries or emergency surgery from other injuries were excluded. Methods: We performed a retrospective cohort study of patients aged 18-95 admitted to Doctors Hospital at Renaissance Health with multiple rib fractures during 2017-2020. ![]() Therefore, we sought to clarify the clinical outcomes of patients admitted to a level I trauma center with multiple blunt-trauma rib fractures by age and fracture location. Recent studies highlight the inadequacy of age and the number of rib fractures (NRFs) to assess patients' care needs, which may unnecessarily increase the burden of intensive care unit (ICU) admissions. Symptoms typically include on-going pain and breathlessness, swelling if a chest wall hernia and diagnosis requires a chest x-ray or even a chest CT scan.Background:Traumatic rib fracture is a major cause of morbidity and mortality. Internal injuries: Even relatively minor chest injuries can lead to internal injury to the lung (lung bruising (contusions), collapse (pneumothorax), effusions (blood or fluid) and rarely hernias (whether the lung or upper abdominal contents starts providing between broken ribs) or even a diaphragmatic (the muscle between the abdomen and the chest) hernia whereby the bowel contents slip into the chest from a hole or hernia in the diaphragm. Chronically, on-going breathlessness can be due to chronic pain but also occasionally to complications of retained blood or fluid in the chest cavity which can trap the lung. For more information see complex chest wall injuries.īreathlessness: Shortness of breath acutely is usually caused by the chest wall pain not allowing deep breaths to be taken, occasionally it can be associated with the lung collapsing after the injury a build-up of fluid in the chest cavity (effusion) or even a developing chest infection (pneumonia). Rib injury can cause associated complex rib injury involving a junction between sternum and rib leading to dislocation or subluxation at the junction. This allows the number and severity of the rib injuries to be clearly seen as well as identifying any other chest related injuries such as lung bruising or contusions. The most sensitive radiological investigation particularly if more than one or two rib injuries is suspected, is a Chest CT scan. If the injury is subtle occasionally a chest wall ultrasound may demonstrate a ‘hairline’ or partial rib fracture as well as identifying internal problems such a fluid (effusion), bruising of the lung (contusions) or lung collapse (pneumothorax). Radiological assessment (chest x-ray) may be helpful to assess the severity of the rib injury and identify other associated problems such as fluid in the chest or a collapsed lung. There is no specific blood test unless an associated chest infection or other internal complication is suspected. The diagnosis of a rib injury is what doctors call a clinical one that is taking a precise history of the injury coupled with a careful physical examination with a doctor familiar with chest wall injuries is usually all that is required, particularly if it’s a minor rib injury. ![]()
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