2020
Spirometry not pain level predicts outcomes in geriatric patients with isolated rib fractures.
Schuster KM, Sanghvi M, O'Connor R, Becher R, Maung AA, Davis KA. Spirometry not pain level predicts outcomes in geriatric patients with isolated rib fractures. Journal Of Trauma And Acute Care Surgery 2020, 89: 947-954. PMID: 32467465, DOI: 10.1097/ta.0000000000002795.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overEmergency Service, HospitalFemaleHand StrengthHospitals, RehabilitationHumansIntensive Care UnitsLength of StayMalePainPain ManagementPain MeasurementPatient DischargePatient TransferPredictive Value of TestsProspective StudiesRib FracturesSpirometryTrauma CentersTreatment OutcomeConceptsLength of stayIsolated rib fracturesNegative inspiratory forceUnplanned ICU admissionRib fracturesPain levelsDay 1ICU admissionInspiratory forceGrip strengthMedian LOSHospital day 1Expiratory volume 1Complete spirometryPain controlDischarge dispositionPulmonary functionEarly dischargeGeriatric patientsVital capacityMean ageSpirometry measuresPulmonary capacityLevel IVFEV1
2015
"Occult" rib fractures diagnosed on computed tomography scan only are still a risk factor for solid organ injury
Bhattacharya B, Fieber J, Schuster K, Davis K, Maung A. "Occult" rib fractures diagnosed on computed tomography scan only are still a risk factor for solid organ injury. Journal Of Emergencies Trauma And Shock 2015, 8: 140-143. PMID: 26229296, PMCID: PMC4520026, DOI: 10.4103/0974-2700.160706.Peer-Reviewed Original ResearchAbdominal solid organ injuriesChest X-rayLower rib fracturesSolid organ injuryRib fracturesOrgan injuryRisk factorsAdult blunt trauma patientsNegative chest X-rayBlunt trauma patientsInjury Severity ScoreComputed tomography scan imagingComputed tomography scanTrauma center databaseRoutine whole-body CTWhole-body CTTomography scan imagingClinical suspicionRetrospective reviewSpine fracturesTrauma patientsPelvic fracturesSeverity scoreTomography scanCT scan
2010
Factors Associated With Survival Following Blunt Chest Trauma in Older Patients: Results From a Large Regional Trauma Cooperative
Harrington DT, Phillips B, Machan J, Zacharias N, Velmahos GC, Rosenblatt MS, Winston E, Patterson L, Desjardins S, Winchell R, Brotman S, Churyla A, Schulz JT, Maung AA, Davis KA. Factors Associated With Survival Following Blunt Chest Trauma in Older Patients: Results From a Large Regional Trauma Cooperative. JAMA Surgery 2010, 145: 432-437. PMID: 20479340, DOI: 10.1001/archsurg.2010.71.Peer-Reviewed Original ResearchConceptsHigh-volume trauma centerInjury Severity ScoreCongestive heart failurePatient-controlled analgesiaRib fracturesTrauma centerSeverity scoreOlder patientsHeart failureMultivariable analysisTraumatic rib fracturesBlunt chest traumaPatient dataDevelopment of pneumoniaCoronary artery diseaseLevel I centersTraumatic chest injuriesStandard care practicesChest scoreChest traumaArtery diseaseImproved survivalIndependent predictorsPatient factorsUnivariable analysis
2005
Half-a-dozen ribs: The breakpoint for mortality
Flagel BT, Luchette FA, Reed RL, Esposito TJ, Davis KA, Santaniello JM, Gamelli RL. Half-a-dozen ribs: The breakpoint for mortality. Surgery 2005, 138: 717-725. PMID: 16269301, DOI: 10.1016/j.surg.2005.07.022.Peer-Reviewed Original ResearchConceptsAcute respiratory distress syndromeInjury Severity ScoreEpidural analgesiaRespiratory distress syndromeHospital LOSRib fracturesMortality rateICU LOSPulmonary morbidityAspiration pneumoniaDistress syndromeMechanical ventilationSeverity scoreIntensive care unit lengthNational Trauma Data BankMore fractured ribsMore rib fracturesOccurrence of pneumoniaOverall mortality rateChest wall injuryModalities of treatmentDiseases-9 codesTrauma Data BankStudent's t-testPulmonary complications