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- Title
Implementation of a Rib Fracture Triage Protocol in Elderly Trauma Patients.
- Authors
Sahr, Sheryl M.; Webb, Michael L.; Renner, Catherine Hackett; Sokol, Rachael K.; Swegle, James R.
- Abstract
Elderly patients are highly susceptible to rib fractures after trauma. The use of a clinical pathway to determine resource allocation for patients with rib fractures has resulted in positive treatment outcomes. This retrospective study assessed the efficacy of a triage protocol involving trauma services on hospital length of stay in elderly patients with fractured ribs. Patients who had 3 or more ribs fractured experienced a statistically significant reduction in hospital length of stay after protocol implementation. We conclude that elderly patients with 3 or more rib fractures should be systematically referred to a trauma specialist.
- Subjects
IOWA; TREATMENT of fractures; DIAGNOSIS of bone fractures; GERIATRIC assessment; ANALYSIS of variance; CHI-squared test; STATISTICAL correlation; EMERGENCY medical services; EMERGENCY physicians; BONE fractures; LENGTH of stay in hospitals; LONGITUDINAL method; EVALUATION of medical care; MEDICAL protocols; MEDICAL referrals; MORTALITY; PATIENTS; QUALITY assurance; STATISTICAL hypothesis testing; RIB injuries; SURVIVAL analysis (Biometry); T-test (Statistics); TRAUMA centers; MEDICAL triage; STATISTICAL power analysis; CONTINUING education units; RETROSPECTIVE studies; SEVERITY of illness index; DATA analysis software; DESCRIPTIVE statistics; GLASGOW Coma Scale; TRAUMA severity indices; OLD age; DIAGNOSIS; THERAPEUTICS
- Publication
Journal of Trauma Nursing, 2013, Vol 20, Issue 4, p172
- ISSN
1078-7496
- Publication type
Article
- DOI
10.1097/JTN.0000000000000008