دورية أكاديمية
Prospective study of long-term quality-of-life after rib fractures.
العنوان: | Prospective study of long-term quality-of-life after rib fractures. |
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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 |
تدمد: | 1532-7361 |
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DOI: | 10.1016/j.surg.2021.11.026 |