دورية أكاديمية
أعرض في EDS

Prospective study of long-term quality-of-life after rib fractures.

التفاصيل البيبلوغرافية
العنوان: Prospective study of long-term quality-of-life after rib fractures.
المؤلفون: Choi J; Division of General Surgery, Department of Surgery, Stanford University, Stanford, CA; Surgeons Writing About Trauma, Stanford University, Stanford, CA. Electronic address: jc2226@stanford.edu., Khan S; Surgeons Writing About Trauma, Stanford University, Stanford, CA; School of Medicine, Stanford University, Stanford, CA. Electronic address: https://twitter.com/_SulemanKhan_., Sheira D; Surgeons Writing About Trauma, Stanford University, Stanford, CA; School of Medicine, Stanford University, Stanford, CA., Hakes NA; Surgeons Writing About Trauma, Stanford University, Stanford, CA., Aboukhater L; Surgeons Writing About Trauma, Stanford University, Stanford, CA; School of Medicine, Stanford University, Stanford, CA., Spain DA; Division of General Surgery, Department of Surgery, Stanford University, Stanford, CA; Surgeons Writing About Trauma, Stanford University, Stanford, CA. Electronic address: https://twitter.com/DavidASpain.
المصدر: Surgery [Surgery] 2022 Jul; Vol. 172 (1), pp. 404-409. Date of Electronic Publication: 2021 Dec 27.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Mosby Country of Publication: United States NLM ID: 0417347 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-7361 (Electronic) Linking ISSN: 00396060 NLM ISO Abbreviation: Surgery Subsets: MEDLINE
أسماء مطبوعة: Publication: St. Louis, MO : Mosby
Original Publication: St. Louis.
مواضيع طبية MeSH: Frailty*/complications , Rib Fractures*/complications, Adult ; Humans ; Prospective Studies ; Quality of Life/psychology ; Retrospective Studies ; Trauma Centers
مستخلص: Background: Long-term quality-of-life after rib fractures remains understudied. We aimed to evaluate quality-of-life of patients who had rib fractures 1 year after discharge. We hypothesized that patients with rib fractures, even as an isolated injury, have suboptimal long-term quality-of-life.
Methods: We prospectively enrolled adults admitted to our level 1 trauma center with acute rib fractures. Primary outcome was quality-of-life at 1 year after discharge, characterized using the revised trauma-specific quality-of-life questionnaire and a supplemental survey. Secondary analysis evaluated association between baseline frailty (measured using the Rib Fracture Frailty Index) and quality-of-life. Patients with low versus moderate frailty risk underwent full matching and linear mixed model analysis.
Results: We enrolled 139 patients, among whom 72 (52%) completed 1-year surveys. Patients reported excellent emotional well-being (median [interquartile range]: 4.8 [3.7-5.0]) and functional engagement (median [interquartile range]: 5.0 [4.3-5.0]) but poor physical well-being and recovery (median [interquartile range]: 3.2 [2.8-3.6]). Nearly 40% of patients reported some degree of rib pain, and 29% had not returned to preinjury working capacity. Patients with and without isolated rib fractures reported similar median revised trauma-specific quality-of-life scores. We did not find statistically significant association between low versus moderate frailty and any quality-of-life domain, but no patients in our cohort had high frailty risk and our study was underpowered to detect this association.
Conclusion: Rib fractures are associated with suboptimal quality-of-life 1 year after discharge, even after isolated injury. Our sample size was limited, but our findings highlight persistent long-term consequences of rib fractures despite advances in inpatient management. Patients should be counseled on the potential for prolonged convalescence.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
تواريخ الأحداث: Date Created: 20211231 Date Completed: 20220621 Latest Revision: 20220811
رمز التحديث: 20221213
DOI: 10.1016/j.surg.2021.11.026
PMID: 34969527
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-7361
DOI:10.1016/j.surg.2021.11.026