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Older Adults With Isolated Rib Fractures Do Not Require Routine Intensive Care Unit Admission
- Source :
- J Surg Res
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- BackgroundOlder adults with isolated rib fractures are often admitted to an intensive care unit (ICU) because of presumedly increased morbidity and mortality. However, evidence-based guidelines are limited. We sought to identify characteristics of these patients that predict the need for ICU care.Materials and methodsWe analyzed patients ≥50y old at our center during 2013-2017 whose only indication for ICU admission, if any, was isolated rib fractures. The primary outcome was any critical care intervention (e.g., intubation) or adverse event (e.g., hypoxemia) (CCIE) based on accepted critical care guidelines. We used stepwise logistic regression to identify characteristics that predict CCIEs.ResultsAmong 401 patients, 251 (63%) were admitted to an ICU. Eighty-three patients (33%) admitted to an ICU and 7 (5%) admitted to the ward experienced a CCIE. The most common CCIEs were hypotension (10%), frequent respiratory therapy (9%), and oxygen desaturation (8%). Predictors of CCIEs included incentive spirometry
- Subjects :
- Male
Aging
medicine.medical_treatment
Hypoxemia
law.invention
Patient Admission
0302 clinical medicine
Primary outcome
Trauma Centers
law
80 and over
Intubation
Registries
Prospective Studies
Older adult
Lung
Aged, 80 and over
Age Factors
Middle Aged
Health Services
Intensive care unit
Icu admission
Intensive Care Units
030220 oncology & carcinogenesis
Practice Guidelines as Topic
Respiratory
Female
030211 gastroenterology & hepatology
Hypotension
medicine.symptom
medicine.medical_specialty
Rib Fractures
Critical Care
Clinical Sciences
Risk Assessment
Article
03 medical and health sciences
Clinical Research
medicine
Humans
Clinical decision
Adverse effect
Retrospective Studies
Aged
Rib fracture
Oxygen desaturation
business.industry
Prevention
Good Health and Well Being
Emergency medicine
Surgery
business
Subjects
Details
- ISSN :
- 00224804
- Volume :
- 245
- Database :
- OpenAIRE
- Journal :
- Journal of Surgical Research
- Accession number :
- edsair.doi.dedup.....0da0207b528e71d690e0ca0bcf8f8d45
- Full Text :
- https://doi.org/10.1016/j.jss.2019.07.098