AI Article Synopsis
- The study aimed to compare postoperative outcomes in patients aged under and over 65 who underwent rib fixation, focusing on various health metrics.
- Results showed no significant differences in injury severity, surgery indications, and mortality rates between age groups, but elderly patients had higher instances of cognitive complications.
- Elderly patients also experienced longer hospital stays post-surgery, highlighting a need for tailored care despite similar overall outcomes to younger patients.
Article Abstract
Background: There is no robust data regarding rib fixation in elderly patients. The aim of this study is to compare the postoperative outcomes of patients aged less and more than 65 years old.
Methods: Patients operated from January 2012 to December 2018 were retrospectively analyzed. The following data were collected: age, sex, comorbidities, smoking habit, Injury Severity Score (ISS), number of fractured ribs, indication for surgery, associated injuries, time from trauma to surgery, number of fixed ribs, intrathoracic injuries, duration of intubation, ICU stay, postoperative cardiopulmonary complications, blood transfusion, overall and 30-day mortality, length of stay.
Results: There was no difference regarding the ISS ( = 0.09), the number of rib fractures ( = 0.291), the indication for surgery, the number of fixed ribs ( = 0.819), the ICU stay ( = 0.096), the postoperative intubation duration ( = 0.059), the cardiopulmonary complications ( = 0.273) and perioperative blood transfusions ( = 0.34). Elderly patients presented more postoperative cognitive complications ( < 0.001). There was no difference in terms of overall mortality ( = 0.06) and 30-day mortality ( = 0.69). Elderly patients stayed longer in the hospital ( < 0.001).
Conclusions: The outcomes of rib fixation in the elderly patients are comparable to younger patients. However, elderly patients experience more frequently postoperative cognitive complications and their hospitalizations are longer.
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| http://dx.doi.org/10.1080/00015458.2020.1846939 | DOI Listing |
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