Predictive Factors for Onset of Moderate-to-Severe Disability Following Hospital Discharge Due to Rib Fractures.

Autor:	Granados Santiago M; Department of Nursing, Faculty of Health Sciences, University of Granada, 18071 Granada, Spain., López López L; Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18071 Granada, Spain., Quero Valenzuela F; Thoracic Surgery Department, Hospital Virgen de las Nieves de Granda, 18071 Granada, Spain., Calvache Mateo A; Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18071 Granada, Spain., Martín Núñez J; Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18071 Granada, Spain., Ortiz Rubio A; Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18071 Granada, Spain., Valenza MC; Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18071 Granada, Spain.
Jazyk:	angličtina
Zdroj:	Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2024 Oct 04; Vol. 12 (19). Date of Electronic Publication: 2024 Oct 04.
DOI:	10.3390/healthcare12191984
Abstrakt:	Background: According to previous studies, a prolonged hospital stay, along with the patient's clinical features, can lead to the onset of disability. Objectives: This study aimed to identify predictive factors of moderate-to-severe disability following hospital discharge in rib fracture patients. Methods: We conducted a retrospective study with hospitalized adult patients with rib fractures who received conservative treatment. Patients' clinical profiles and characteristics were collected from their clinical histories and healthcare professional records. Results: Overall, patients exhibited a 44% rate of moderate-to-severe disability after a six-day hospital stay. The incidence of patients with a prolonged hospital stay who showed disabilities was associated with male sex (HR 0.73, p < 0.001), presence of first rib fracture (HR 1.78, p = 0.047), presence of flail chest (HR 1.29, p = 0.046), severity of lung injury (HR 1.65, p < 0.001), and functional status (HR 1.37, p < 0.001). Conclusions: Moderate-to-severe disability in patients with rib fractures may depend on factors such as sex, functionality, severity of lung injury, and presence of first rib fracture and flail chest during a prolonged hospital stay.
Databáze:	MEDLINE
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