Table 4.
Timing of Rib Fixation and its Impact on Clinical Outcomes for Adults 45+ Years of Age
| For one additional day to SSRF | |||
|---|---|---|---|
| Outcomes | Interaction p-value (days to SSRF*age group1) | OR (95% CI) | P |
| Ventilator-associated pneumonia1 | 0.389 | 1.07 (1.03, 1.11) | <0.001 |
| Unplanned intubation2 | 0.734 | 1.10 (1.08, 1.13) | <0.001 |
| Acute respiratory distress syndrome3 | 0.846 | 1.10 (1.05, 1.15) | <0.001 |
| In-hospital mortality3 | 0.512 | 0.99 (0.93, 1.04) | 0.601 |
| Failure to rescue v13 (after a major complication4) | 0.780 | 0.90 (0.83, 0.97) | 0.007 |
| Failure to rescue v23 (after having ventilator-assisted pneumonia, unplanned intubation, or acute respiratory distress syndrome) | 0.085 | 0.87 (0.78, 0.96) | 0.006 |
Legend:
1
The variable, age group, compared adults ages 45–64 with adults ages 65+.
2
Covariates included age, gender, race, ethnicity, insurance, BMI, missing indicator for BMI, ISS, flail chest, and comorbidities including COPD, CHF, smoking.
3
Due to low event rate, model included age, ISS, flail chest, and comorbidities including COPD, CHF, smoking.
4
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).
5
Data was obtained from Trauma Quality Improvement Program from 2016–2020.