Hospitalized injured older adults: clinical utility of a rib fracture scoring system

J Trauma Nurs. Jul-Sep 2012;19(3):168-74; quiz 175-6. doi: 10.1097/JTN.0b013e318261d201.


Introduction: A rib fracture scoring system (RFS) was proposed for risk assessment in hospitalized injured older adults. Development was limited to one site.

Purpose: To validate the RFS for clinical utility in predicting outcomes in another hospital setting.

Methods: Retrospective cohort design.

Sample: Patients aged 50 years or older with rib fracture(s) (N = 81).

Setting: Level II trauma center.

Data collection: Trauma registry data (2002-2005).

Data analysis: Bivariate correlations, linear and logistic regression models.

Results/conclusions: While the RFS is associated with outcomes, explanatory value is low. Further research is needed to identify hospitalized injured older adults most likely to utilize health services.

Publication types

  • Comparative Study
  • Validation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Fracture Healing / physiology*
  • Geriatric Assessment
  • Hospitalization / statistics & numerical data
  • Humans
  • Injury Severity Score*
  • Length of Stay
  • Linear Models
  • Logistic Models
  • Male
  • Middle Aged
  • Radiography, Thoracic / methods
  • Registries
  • Retrospective Studies
  • Rib Fractures / diagnostic imaging*
  • Rib Fractures / mortality
  • Rib Fractures / therapy*
  • Risk Assessment
  • Survival Rate
  • Thoracic Injuries / diagnosis
  • Thoracic Injuries / mortality
  • Thoracic Injuries / therapy
  • Tomography, X-Ray Computed / methods
  • Trauma Centers