Planning for the Worst: The impact of a comprehensive, risk associated treatment protocol on unanticipated ICU admissions in patients affected by rib fractures - 20/06/22
, Benjamin Johnson a , Laura Krech b, ⁎ , Steffen Pounders b , Matthew Lypka c , Alistair Chapman b , Carrie Valdez d Abstract |
Background |
There is no agreed upon triage criteria to identify traumatic rib fracture patients at the highest risk for decline. We developed a comprehensive triage tool that assigns patients to high, moderate, and low risk categories. The primary outcome of our study was to evaluate unplanned intensive care unit (ICU) admissions.
Methods |
We conducted a single-center, retrospective review at our level 1 trauma center comparing two cohorts of patients (≥18 years of age) six months before and after implementation of our risk-associated rib fracture protocol.
Results |
After implementation of the risk-associated rib fracture protocol, the unplanned ICU admission rate decreased from 6.60% (PRE) to 2.60% (POST) (p = 0.014).
Conclusions |
Implementation of our rib fracture protocol demonstrates that a comprehensive triage tool with a cascading risk associated treatment plan reduces in-hospital clinical decline of patients with traumatic rib fractures, as measured by unplanned ICU admissions.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Traumatic rib fractures result in significant morbidity and mortality. |
• | We created triage criteria to identify patients at the highest risk for decline. |
• | Unplanned ICU admission decreased after rib fracture protocol implementation. |
• | Hospital and ICU Length of Stay decreased after rib fracture protocol implementation. |
Plan
Vol 224 - N° 1PB
P. 602-606 - juillet 2022 Retour au numéro
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