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Authors

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

Abstract

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.