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
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 complicationsOld Fashion Clinical Judgment in the Era of Protocols: Is Mandatory Chest X-Ray Necessary in Injured Patients?
Sears BW, Luchette FA, Esposito TJ, Dickson EL, Grant M, Santaniello JM, Jodlowski CR, Davis KA, Poulakidas SJ, Gamelli RL. Old Fashion Clinical Judgment in the Era of Protocols: Is Mandatory Chest X-Ray Necessary in Injured Patients? Journal Of Trauma And Acute Care Surgery 2005, 59: 324-332. PMID: 16294071, DOI: 10.1097/01.ta.0000179450.01434.90.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAdolescentAdultAgedAged, 80 and overChild, PreschoolClinical CompetenceClinical ProtocolsDecision MakingFemaleHumansInfantJudgmentMaleMediastinumMiddle AgedProspective StudiesRadiography, ThoracicRib FracturesSensitivity and SpecificityThoracic InjuriesWounds and InjuriesConceptsChest X-rayClinical indicatorsTrauma surgeonsTwelve-month study periodNegative predictive valueSelective policyAbnormal findingsCXR abnormalitiesCXR resultsTrauma patientsThoracic injuriesHistory suggestiveClinical indicationsLevel IPatientsClinician judgmentPredictive valueClinical judgmentBlunt forceSurgical judgmentStudy periodATLS coursePotential injuryConfidence intervalsInjury