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Original Article
- Outcomes after rib fractures: more complex than a single number
- Kristin P. Colling, Tyler Goettl, Melissa L. Harry
- J Trauma Inj. 2022;35(4):268-276. Published online August 5, 2022
- DOI: https://doi.org/10.20408/jti.2021.0096
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- 6 Web of Science
- 6 Citations
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Abstract
PDF - Purpose
Rib fractures are common injuries that can lead to morbidity and mortality.
Methods
Data on all patients with rib fractures admitted to a single trauma center between January 1, 2008 and December 31, 2018 were reviewed.
Results
A total of 1,671 admissions for rib fracture were examined. Patients’ median age was 57 years, the median Injury Severity Score (ISS) was 14, and the median number of fractured ribs was three. The in-hospital mortality rate was 4%. Age, the number of rib fractures, and Charlson Comorbidity Index scores were poor predictors of mortality, while the ISS was a slightly better predictor, with area under the receiver operating characteristic curve values of 0.60, 0.55, 0.58, and 0.74, respectively. Multivariate regression showed that age, ISS, and Charlson Comorbidity Index score, but not the number of rib fractures, were associated with significantly elevated adjusted odds ratios for mortality (1.03, 1.14, and 1.28, respectively).
Conclusions
Age, ISS, and comorbidities were independently associated with the risk of mortality; however, they were not accurate predictors of death. The factors associated with rib fracture mortality are complex and cannot be explained by a single variable. Interventions to improve outcomes must be multifaceted. -
Summary
Citations
Citations to this article as recorded by
- Efficacy and Safety of Serratus Anterior Plane Block for Pain Management in Patients with Rib Fractures: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Abdullah M. Alharran, Sara Almutawtah, Sarah Saqer Alblooshi, Fahad A. Alsaid, Mohammad Salem Alajmi, Muneera Jasim AlRumaihi, Sara Ahmed Albuhmaid
Medicina.2026; 62(2): 281. CrossRef - Prospective Diagnostic Accuracy and Technical Feasibility of Artificial Intelligence-Assisted Rib Fracture Detection on Chest Radiographs: Observational Study
Shu-Tien Huang, Liong-Rung Liu, Ming-Feng Tsai, Ming-Yuan Huang, Hung-Wen Chiu
JMIR Medical Informatics.2026; 14: e77965. CrossRef - Not All Black and White: Is Routine Chest Radiography Following Rib Fractures Beneficial?
Mary Reiber, Jeremy Mormol, Laura Krech, Steffen Pounders, Alistair Chapman, Elizabeth Steensma
Journal of Surgical Research.2026; 320: 15. CrossRef - Post-discharge complications and follow-up timing after hospitalization for traumatic rib fractures
Taylor N. Anderson, Michelle Earley, Sarah J. Rockwood, Elizabeth J. Zudock, Samantha L. Steeman, Jianna K. Footman, Samuel Castro, Alexandra A. Myers, Renceh A. B. Flojo, Joseph D. Forrester
European Journal of Trauma and Emergency Surgery.2025;[Epub] CrossRef - To fix or let them flail: the who, what and when of rib fixation
John T Simpson, Adrian Camarena, Patrick Georgoff, Joseph Fernandez-Moure
Trauma Surgery & Acute Care Open.2025; 10(Suppl 1): e001801. CrossRef - Machine Learning Predicts Mortality and Respiratory Failure in Patients Admitted With Rib Fractures
Travis J. Miles, Jose Mendez-Reyes, Ava K. Mokhtari, James W. Suliburk, Chad T. Wilson, Martin D. Zielinski, Ravi K. Ghanta
Journal of Surgical Research.2025; 313: 153. CrossRef
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