Predictive Factors for Onset of Moderate-to-Severe Disability Following Hospital Discharge Due to Rib Fractures

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2024 Oct 16

PMID 39408163

Authors

Maria Granados Santiago

Laura Lopez Lopez

Florencio Quero Valenzuela

Andres Calvache Mateo

Javier Martin Nunez

Araceli Ortiz Rubio

Marie Carmen Valenza

Affiliations

Soon will be listed here.

Abstract

Background: According to previous studies, a prolonged hospital stay, along with the patient's clinical features, can lead to the onset of disability.

Objectives: This study aimed to identify predictive factors of moderate-to-severe disability following hospital discharge in rib fracture patients.

Methods: We conducted a retrospective study with hospitalized adult patients with rib fractures who received conservative treatment. Patients' clinical profiles and characteristics were collected from their clinical histories and healthcare professional records.

Results: Overall, patients exhibited a 44% rate of moderate-to-severe disability after a six-day hospital stay. The incidence of patients with a prolonged hospital stay who showed disabilities was associated with male sex (HR 0.73, < 0.001), presence of first rib fracture (HR 1.78, = 0.047), presence of flail chest (HR 1.29, = 0.046), severity of lung injury (HR 1.65, < 0.001), and functional status (HR 1.37, < 0.001).

Conclusions: Moderate-to-severe disability in patients with rib fractures may depend on factors such as sex, functionality, severity of lung injury, and presence of first rib fracture and flail chest during a prolonged hospital stay.

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