Table 3.
Odds and Outcomes of Receiving Surgical Stabilization of Rib Fractures (SSRF) for Adults 45+ Years of Age
| SSRF vs no SSRF | |||
|---|---|---|---|
| Outcomes | Interaction p-value (SSRF*age group1) | OR (95% CI) | P |
| Ventilator-associated pneumonia | 0.661 | 2.33 (1.93, 2.81) | <0.001 |
| Unplanned intubation | 0.478 | 2.56 (2.29, 2.87) | <0.001 |
| Acute respiratory distress syndrome | 0.480 | 1.39 (1.06, 1.83) | 0.018 |
| In-hospital mortality | 0.936 | 0.47 (0.38, 0.57) | <0.001 |
| Failure to rescue v1 (after a major complication2) | 0.256 | 0.37 (0.28, 0.49) | <0.001 |
| Failure to rescue v2 (after having ventilator-assisted pneumonia, unplanned intubation, or acute respiratory distress syndrome) | 0.310 | 0.41 (0.31, 0.55) | <0.001 |
Legend:
1
The variable, age group, compared adults ages 45–64 with adults ages 65+.
2
Major complications included severe sepsis, ventilator-assisted pneumonia, pulmonary embolism, acute respiratory distress syndrome, acute kidney injury, or a cardiovascular event (i.e. cardiac arrest, myocardial infarction).
3
All models controlled for age, gender, race, ethnicity, insurance, BMI, missing indicator for BMI, ISS, flail chest, and comorbidities including COPD, CHF, smoking.
4
Data was obtained from Trauma Quality Improvement Program from 2016–2020