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National Changes in Timing and Rates of Surgical Stabilization of Rib Fractures (SSRF): SSRF Occurring Early and More Often.

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Τίτλος: National Changes in Timing and Rates of Surgical Stabilization of Rib Fractures (SSRF): SSRF Occurring Early and More Often.
Συγγραφείς: de Virgilio MJ; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA., Grigorian A; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA., Nguyen PD; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA., Schubl S; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA., Jebbia M; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA., Kirkorowicz J; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA., Salamah H; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA., Kuza C; Department of Anesthesiology, Harbor-UCLA Medical Center and the Lundquist Institute, Torrance, CA, USA., Nahmias J; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA.
Πηγή: The American surgeon [Am Surg] 2026 Oct; Vol. 92 (10), pp. 2729-2735. Date of Electronic Publication: 2026 May 08.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-9823 (Electronic) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE
Imprint Name(s): Publication: 2020- : [Thousand Oaks, CA] : SAGE Publications in association with Southeastern Surgical Congress
Original Publication: Atlanta Ga : Southeastern Surgical Congress
Ιατρικοί όροι (MeSH): Rib Fractures*/surgery , Rib Fractures*/epidemiology , Wounds, Nonpenetrating*/surgery , Time-to-Treatment*/statistics & numerical data , Time-to-Treatment*/trends, United States/epidemiology ; Length of Stay/statistics & numerical data ; Humans ; Female ; Middle Aged ; Male ; Time Factors ; Retrospective Studies ; Aged ; Adult ; Databases, Factual
Περίληψη: Surgical stabilization of rib fractures (SSRF) has garnered increased attention recently for treatment of blunt chest trauma (BCT). This study evaluated temporal trends in rates and timing of SSRF in isolated BCT patients, hypothesizing increased rates of early SSRF and SSRF overall. The 2017-2023 Trauma Quality Improvement Program (TQIP) database was queried for patients with ≥2 rib fractures and abbreviated injury scale <2 in non-chest regions to delineate an isolated BCT cohort. Patients were stratified by timing of SSRF from arrival: early (≤72 h), intermediate (>72-≤ 120 h), and late (>120 h). The primary outcome was annual rate of SSRF. Of 371,193 isolated BCT patients, 17 966 (4.8%) underwent SSRF from 2017 to 2023. The median age of patients undergoing SSRF increased from 58 years in 2017 to 61 years in 2023 (P < 0.001). There was an increased rate of SSRF performed from 2017 to 2023 (n = 1,594, 3.5% vs n = 3,435, 5.5%, P < 0.001). When stratified by timing, early (1.8% [2017]; 3.4% [2023], P < 0.001) and intermediate SSRF (0.9% [2017]; 1.3% [2023], P < 0.001) increased over time, whereas late SSRF remained similar across 2017 to 2023 (late: 0.8%; 0.8%, P = 0.25). For all SSRF patients, median overall length of stay (LOS) decreased over time (12 [IQR: 8-17] days [2017]; 11 [IQR: 8-16] days [2023]; P < 0.001). This study demonstrates a nearly 60% relative national increase in SSRF from 2017 to 2023, with a progressively older patient cohort and shorter LOS. This was predominantly attributable to increased early (≤72 h) and intermediate (>72-≤120 h) SSRF cases, aligning with existing guidelines.
Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Contributed Indexing: Keywords: TQIP; national trends; outcomes; rib fractures; surgical stabilization of rib fractures; trauma
Entry Date(s): Date Created: 20260508 Date Completed: 20260908 Latest Revision: 20260908
Update Code: 20260908
DOI: 10.1177/00031348261448906
PMID: 42101005
Βάση Δεδομένων: MEDLINE
FullText Text:
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  Data: National Changes in Timing and Rates of Surgical Stabilization of Rib Fractures (SSRF): SSRF Occurring Early and More Often.
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  Data: &lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22de+Virgilio+MJ%22&quot;&gt;de Virgilio MJ&lt;/searchLink&gt;; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Grigorian+A%22&quot;&gt;Grigorian A&lt;/searchLink&gt;; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Nguyen+PD%22&quot;&gt;Nguyen PD&lt;/searchLink&gt;; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Schubl+S%22&quot;&gt;Schubl S&lt;/searchLink&gt;; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Jebbia+M%22&quot;&gt;Jebbia M&lt;/searchLink&gt;; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Kirkorowicz+J%22&quot;&gt;Kirkorowicz J&lt;/searchLink&gt;; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Salamah+H%22&quot;&gt;Salamah H&lt;/searchLink&gt;; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Kuza+C%22&quot;&gt;Kuza C&lt;/searchLink&gt;; Department of Anesthesiology, Harbor-UCLA Medical Center and the Lundquist Institute, Torrance, CA, USA.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Nahmias+J%22&quot;&gt;Nahmias J&lt;/searchLink&gt;; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine Medical Center, University of California, Orange, CA, USA.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%220370522%22&quot;&gt;The American surgeon&lt;/searchLink&gt; [Am Surg] 2026 Oct; Vol. 92 (10), pp. 2729-2735. &lt;i&gt;Date of Electronic Publication: &lt;/i&gt;2026 May 08.
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  Data: &lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Rib+Fractures%22&quot;&gt;Rib Fractures*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Rib+Fractures+surgery%22&quot;&gt;surgery&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Rib+Fractures%22&quot;&gt;Rib Fractures*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Rib+Fractures+epidemiology%22&quot;&gt;epidemiology&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Wounds%2C+Nonpenetrating%22&quot;&gt;Wounds, Nonpenetrating*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Wounds%2C+Nonpenetrating+surgery%22&quot;&gt;surgery&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Time-to-Treatment%22&quot;&gt;Time-to-Treatment*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Time-to-Treatment+statistics+%26+numerical+data%22&quot;&gt;statistics &amp; numerical data&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Time-to-Treatment%22&quot;&gt;Time-to-Treatment*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Time-to-Treatment+trends%22&quot;&gt;trends&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22United+States%22&quot;&gt;United States&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22United+States+epidemiology%22&quot;&gt;epidemiology&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Length+of+Stay%22&quot;&gt;Length of Stay&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Length+of+Stay+statistics+%26+numerical+data%22&quot;&gt;statistics &amp; numerical data&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Humans%22&quot;&gt;Humans&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Female%22&quot;&gt;Female&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Middle+Aged%22&quot;&gt;Middle Aged&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Male%22&quot;&gt;Male&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Time+Factors%22&quot;&gt;Time Factors&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Retrospective+Studies%22&quot;&gt;Retrospective Studies&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Aged%22&quot;&gt;Aged&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Adult%22&quot;&gt;Adult&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Databases%2C+Factual%22&quot;&gt;Databases, Factual&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Surgical stabilization of rib fractures (SSRF) has garnered increased attention recently for treatment of blunt chest trauma (BCT). This study evaluated temporal trends in rates and timing of SSRF in isolated BCT patients, hypothesizing increased rates of early SSRF and SSRF overall. The 2017-2023 Trauma Quality Improvement Program (TQIP) database was queried for patients with ≥2 rib fractures and abbreviated injury scale &amp;lt;2 in non-chest regions to delineate an isolated BCT cohort. Patients were stratified by timing of SSRF from arrival: early (≤72&#160;h), intermediate (&gt;72-≤ 120&#160;h), and late (&gt;120&#160;h). The primary outcome was annual rate of SSRF. Of 371,193 isolated BCT patients, 17&#160;966 (4.8%) underwent SSRF from 2017 to 2023. The median age of patients undergoing SSRF increased from 58&#160;years in 2017 to 61&#160;years in 2023 (P &amp;lt; 0.001). There was an increased rate of SSRF performed from 2017 to 2023 (n = 1,594, 3.5% vs n = 3,435, 5.5%, P &amp;lt; 0.001). When stratified by timing, early (1.8% [2017]; 3.4% [2023], P &amp;lt; 0.001) and intermediate SSRF (0.9% [2017]; 1.3% [2023], P &amp;lt; 0.001) increased over time, whereas late SSRF remained similar across 2017 to 2023 (late: 0.8%; 0.8%, P = 0.25). For all SSRF patients, median overall length of stay (LOS) decreased over time (12 [IQR: 8-17] days [2017]; 11 [IQR: 8-16] days [2023]; P &amp;lt; 0.001). This study demonstrates a nearly 60% relative national increase in SSRF from 2017 to 2023, with a progressively older patient cohort and shorter LOS. This was predominantly attributable to increased early (≤72&#160;h) and intermediate (&gt;72-≤120&#160;h) SSRF cases, aligning with existing guidelines.
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  Data: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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  Data: &lt;i&gt;Keywords: &lt;/i&gt;TQIP; national trends; outcomes; rib fractures; surgical stabilization of rib fractures; trauma
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PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=42101005
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        Value: 10.1177/00031348261448906
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        Text: English
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        StartPage: 2729
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      – SubjectFull: United States epidemiology
        Type: general
      – SubjectFull: Length of Stay statistics & numerical data
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      – SubjectFull: Rib Fractures surgery
        Type: general
      – SubjectFull: Rib Fractures epidemiology
        Type: general
      – SubjectFull: Wounds, Nonpenetrating surgery
        Type: general
      – SubjectFull: Time-to-Treatment statistics & numerical data
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      – SubjectFull: Time-to-Treatment trends
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      – TitleFull: National Changes in Timing and Rates of Surgical Stabilization of Rib Fractures (SSRF): SSRF Occurring Early and More Often.
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              Text: 2026 Oct
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