Journal article
Do simple beside lung function tests predict morbidity after rib fractures?
The American journal of surgery, v 213(3), pp 473-477
01 Mar 2017
PMID: 27894507
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We evaluated if incentive spirometry volume (ISV) and peak expiratory flow rate (PEFR) could predict acute respiratory failure (ARF) in patients with rib fractures.
Normotensive, co-operative patients were enrolled prospectively. ISV and PEFR were measured on admission, at 24 h and at 48 h by taking the best of three readings each time. The primary outcome, ARF, was defined as requiring invasive or noninvasive positive pressure ventilation.
99 patients were enrolled (median age, 77 years). ARF occurred in 9%. Of the lung function tests, only a low median ISV at admission was associated with ARF (500 ml vs 1250 ml, p = 0.04). Three of 69 patients with ISV of ≥1000 ml versus six of 30 with ISV <1000 ml developed ARF (p = 0.01). Other significant factors were: number of rib fractures, tube thoracostomy, any lower-third rib fracture, flail segment.
PEFR did not predict ARF. Admission ISV may have value in predicting ARF.
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Details
- Title
- Do simple beside lung function tests predict morbidity after rib fractures?
- Creators
- Christopher A. Butts - Philadelphia College of Osteopathic MedicineJohn J. Brady - Philadelphia College of Osteopathic MedicineSara Wilhelm - Reading HospitalLaura Castor - Reading HospitalAlicia Sherwood - Reading HospitalAbby McCall - Reading HospitalJohn Patch - Reading HospitalPamela Jones - Reading HospitalVicente Cortes - Reading HospitalAdrian W. Ong - Reading Hospital
- Publication Details
- The American journal of surgery, v 213(3), pp 473-477
- Publisher
- Elsevier
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000400473000009
- Scopus ID
- 2-s2.0-85007337205
- Other Identifier
- 991021929613604721
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- Web of Science research areas
- Surgery