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  1. Maxwell, Cathy A. PhD, RN
  2. Mion, Lorraine C. PhD, RN, FAAN
  3. Dietrich, Mary S. PhD


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.