Rib Plating Outcomes in Elderly Trauma Patients with Multiple Rib Fractures: A Community Hospital Experience
Tarik Wasfie1, Matthew Sowa1, Hutton White1
1Department of Surgery/Trauma, Ascension Genesys Hospital, Grand Blanc, MI, USA.
The American Surgeon
|March 6, 2023
Summary
Rib plating is effective for elderly trauma patients with rib fractures, improving outcomes and reducing hospital resource use. This surgical intervention offers benefits for this specific patient demographic.
Area of Science:
- Trauma Surgery
- Thoracic Surgery
- Geriatric Trauma
Background:
- Rib plating benefits flail chest and ventilator weaning failure patients.
- Surgical intervention reduces ventilatory needs, pain, and costs.
Purpose of the Study:
- To evaluate the efficacy of rib plating in elderly trauma patients with rib fractures.
Main Methods:
- Retrospective data analysis of 244 elderly trauma patients with rib fractures.
- Analysis included patient demographics, comorbidities, anticoagulant use, and Glasgow Coma Scale (GCS) scores.
Main Results:
- The study included 244 patients (63% male, 37% female), mean age 64 ± 18.5 years.
- 76% had comorbidities (DM, COPD, CAD, CKD), 46% used anticoagulants.
- 95% presented with mild GCS (13-15); overall mortality was 4.5%.
Conclusions:
- Rib plating shows potential efficacy in elderly trauma patients with rib fractures.
- Further research is warranted to confirm benefits in this population.
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