[Education] UMEM Educational Pearl: Geriatrics

amalmattu at comcast.net amalmattu at comcast.net
Sun Mar 20 23:23:38 EDT 2011

I'm re-sending this with the reference. 

Title: rib fractures in elderly patients 
Author: Amal Mattu 
[Click to email author] 

Rib fractures are associated with significant morbidity and mortality in the elderly, and the risk increases dramatically with each successive rib fractured. An elderly patient with 3 rib fractures has a mortality of 20% and risk of pneumonia is 31%. As a general rule, you should really think twice about discharging home any elderly patients with rib fractures. 

[credit to Dr. Joe Martinez for bringing forth this information] References 

Bulger EM, Arneson MA, Mock CN , et al. Rib fractures in the elderly. J Trauma 2000;48:1040-1046. 
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