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J Trauma Acute Care Surg
June 2024
From the Division of General Surgery Department of Surgery, (M.H.), Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie-Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC; Department of Surgery, St. Michael's Hospital-Unity Health and the Temerty Faculty of Medicine (D.G.), Tory Trauma Program, Sunnybrook Health Sciences Center and the Temerty Faculty of Medicine (B.T., B.H., A.N.), University of Toronto; Division of Respirology and Critical Care Medicine, Department of Medicine, University Health Network (B.T.), Toronto, ON, Canada.
Background: Given the lack of high-quality data on patient selection for surgical stabilization of rib fractures (SSRF), significant variability in practice likely exists across trauma centers. We aimed to determine whether centers with a more liberal approach to SSRF had improved outcomes.
Methods: We performed a retrospective cohort study of adult patients with flail chest admitted to Level I or II trauma centers participating in the American College of Surgeons' Trauma Quality Improvement Program.