Surgical stabilization of traumatic rib fractures is associa
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Surgical stabilization for rib fractures (SSRF) in trauma patients is associated with reduced readmission risk and improved survival.

The National Readmission Database was examined for adults with any rib fractures from 2010 to 2017. Readmission up to 90 days was examined. Patients receiving surgical stabilization for rib fractures were compared with those receiving nonoperative treatment. In total, 864,485 patients met the criteria, with 13,701 receiving SSRF.

- For patients receiving SSRF, 338 were readmitted. Readmitted patients had a higher Charlson Comorbidity Index and were more likely to have flail chests.

- On multivariate propensity score-matched analysis, SSRF was associated with reduced readmission.

- The addition of surgical stabilization for rib fractures to video-assisted thoracoscopic surgery (VATS) or thoracotomy was not associated with increased readmission.

- On further propensity-matched analysis, VATS + SSRF when compared with SSRF alone, and VATS + SSRF, when compared with VATS alone, was also not associated with increased readmission.

- SSRF on primary admission was associated with increased in-hospital survival.

- For patients with retained hemothorax who underwent VATS, the addition of SSRF did not improve survival. However, for patients requiring thoracotomy for retained hemothorax, concomitant SSRF was associated with improved survival.

Conclusively, surgical stabilization for rib fractures is associated with reduced readmission risk while also being associated with improved survival. Patients who had a thoracotomy for retained hemothorax appear to especially benefit from concomitant surgical stabilization for rib fractures.

Surgery
Source: https://doi.org/10.1016/j.surg.2021.05.032
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