title: Hospitalized injured older adults: clinical utility of a rib fracture scoring system.
abstract: BACKGROUND
  A rib fracture scoring system (RFS) was proposed for risk assessment in hospitalized injured older adults. Development was limited to one site.
  
  
  OBJECTIVE
  To validate the RFS for clinical utility in predicting outcomes in another hospital setting.
  
  
  METHODS
  Retrospective cohort design.
  
  
  METHODS
  Patients aged 50 years or older with rib fracture(s) (N = 81).
  
  
  METHODS
  Level II trauma center.
  
  
  METHODS
  Trauma registry data (2002-2005).
  
  
  METHODS
  Bivariate correlations, linear and logistic regression models.
  
  
  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.
authors.affiliation: Vanderbilt University School of Nursing, Nashville, Tennessee, USA. cathy.maxwell@vanderbilt.edu
authors.forename: Cathy A
authors.initials: CA
authors.lastname: Maxwell
authors.forename: Lorraine C
authors.initials: LC
authors.lastname: Mion
authors.forename: Mary S
authors.initials: MS
authors.lastname: Dietrich
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D017102:Fracture Healing / Q000502:physiology*; D015577:Geriatric Assessment; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D015601:Injury Severity Score; D007902:Length of Stay; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D013902:Radiography, Thoracic / Q000379:methods; D012042:Registries; D012189:Retrospective Studies; D012253:Rib Fractures / Q000000981:diagnostic imaging* / Q000401:mortality / Q000628:therapy*; D018570:Risk Assessment; D015996:Survival Rate; D013898:Thoracic Injuries / Q000175:diagnosis / Q000401:mortality / Q000628:therapy; D014057:Tomography, X-Ray Computed / Q000379:methods; D014193:Trauma Centers