Research Article|Articles in Press

Outcomes of Surgical Stabilization of Rib Fractures in a Minority Population: Retrospective Analysis of a Case Series from an Acute Care Facility

Open AccessPublished:March 10, 2023DOI:
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      The aim of was to examine the post-operative outcomes and associated factors of SSRF in a minority population.


      A retrospective analysis with case series of 10 patients undergoing SSRF at an acute care facility in New York City was performed. Data including patient demographics, comorbidities, hospital length of stay, and others were collected. Results were presented in comparative tables and a Kaplan Meier curve. Primary outcome was to compare outcomes of SSRF in minority patients to larger studies in non-minority populations. Secondary outcomes included various post-operative outcomes including atelectasis, pain and infection, and the impact of medical comorbidities on each.


      The median time (with accompanying IQR) from diagnosis to SSRF, SSRF to discharge and overall length of stay was 4.5 (4.25), 6.0 (17.00) and 10.5 (18.25) days respectively. The time until SSRF and post-operative complication rate were found to be comparable to those in larger studies. Kaplan-Meier curve demonstrates correlation between persistence of atelectasis to increased length of stay (p = 0.05). Increased time to SSRF was seen in elderly and diabetic patients (p = 0.012; p = 0.019), increased pain requirements by diabetic patients (p = 0.007) and higher infectious complications noted in flail chest and diabetic patients (p = 0.035; p = 0.002) were also seen.


      Preliminary outcomes and complication rates of SSRF in a minority population are shown to be comparable to larger studies in non-minority populations. Larger, higher-powered studies are required to further compare outcomes between these two populations.

      Graphical abstract

      Glossary of Abbreviations:

      SSRF (surgical stabilization of rib fracture), HLOS (Hospital Length of stay), IRB (Institutional Review Board), LOS (length of stay), IQR (interquartile range), SD (Standard deviation), PO (per oral), ICU (intensive care unit), TQIP (Trauma Quality Improvement Program), BMI (body mass index), EAST (Eastern Association for the Surgery of Trauma), PRN (pro re nata), ERAS (Enhanced Recovery After Surgery), MV (motor vehicle), MVA (motor vehicle accident), VATS (video-assisted thoracic surgery), PLT (posterolateral thoracotomy), ALT (anterolateral thoracotomy), SNF (skilled nursing facility)