Document Type

Article

Publication Date

2019

Advisor

Catherine A. Marco

Abstract

Objective: Pneumonia is a known complication following rib fractures. The purpose of this study is to identify factors associated with the development of pneumonia following rib fractures. Methods: In this retrospective chart review, eligible participants included trauma patients with one or more rib fractures who were admitted to Miami Valley Hospital during 2012 through 2017. Variables studied included age, gender, injury severity score (ISS), mechanism of injury, smoking status, alcohol use, administration of influenza and pneumococcal vaccine, number and side of rib fracture(s), spirometer use, blood transfusion, and intravenous fluid administration.

Results: Among 78 cases and 74 controls, matched for age and ISS, patients who developed pneumonia were more likely to be male, had higher number of rib fractures, consumed alcohol of 1 to 5 drinks per day, and had a higher rate of intravenous fluid administration during the initial 24 hours following trauma.

Conclusions: Risk factors for the development of pneumonia following rib fractures include male gender, higher number of rib fractures, alcohol consumption, and higher rates of intravenous fluid administration during the initial 24 hours following trauma.

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