Research Article

ICU Length of Stay and Factors Associated with Longer Stay of Major Trauma Patients with Multiple Rib Fractures: A Retrospective Observational Study

Table 1

Demographic characteristics and interventions of the cohort.

Basic characteristicN = 215

Age, median (IQR)59 (45–70)
Male gender150/215 (69.7%)
APACHE-II score, median (IQR)11 (8–16)
ISS score, median (IQR)24 (17–32)
GCS, median (IQR)15 (4–15)
Mechanism of trauma
 (1) Traffic accident, percentage140/215 (65.1%)
  (i) Car104/215 (48.3%)
  (ii) Motorbike36/215 (16.7%)
 (2) Fall51/215 (23.7%)
 (3) Others24/215 (11.1%)
No. of rib fractures, median (IQR)6 (5–9)
Flail segments76/215 (35.3%)
Lung contusion118/215 (54.9%)
HAP/VAP26/215 (12.1%)
HFNP112/215 (52.1%)
NIV43/215 (20%)
IMV97/215 (45.1%)
Duration of IMV, days (median (IQR))0 (0–4)
Regional analgesia111/215 (51.6%)
Surgical rib stabilization28/215 (13%)
Tracheostomy7/215 (3.3%)
ICU LOS, days (median (IQR))4 (2–7)
Hospital LOS, days (median (IQR))15 (9–27)
Mortality rate15/215 (7%)
ICU readmission rate11/215 (5.1%)

IQR: interquartile range; APACHE-II: acute physiology and chronic health evaluation II; ISS: injury severity score; No: number; GCS: Glasgow coma score; IMV: invasive mechanical ventilation; NIV: noninvasive ventilation; HFNP: high-flow nasal prongs; HAP: hospital-acquired pneumonia; VAP: ventilator-associated pneumonia; TBI: traumatic brain injury; ICU: intensive care unit; LOS: length of stay.