{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T20:15:32Z","timestamp":1785442532876,"version":"3.56.0"},"reference-count":24,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["americanjournalofsurgery.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Surgery"],"published-print":{"date-parts":[[2022,7]]},"DOI":"10.1016\/j.amjsurg.2022.03.042","type":"journal-article","created":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T01:48:19Z","timestamp":1648864099000},"page":"602-606","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"PB","title":["Planning for the Worst: The impact of a comprehensive, risk associated treatment protocol on unanticipated ICU admissions in patients affected by rib fractures"],"prefix":"10.1016","volume":"224","author":[{"given":"Roxanne","family":"Kyriakakis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3216-5232","authenticated-orcid":false,"given":"Laura","family":"Krech","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffen","family":"Pounders","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Lypka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alistair","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie","family":"Valdez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.amjsurg.2022.03.042_bib1","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1097\/00005373-199412000-00018","article-title":"The morbidity and mortality of RIB fractures","volume":"37","author":"Ziegler","year":"1994","journal-title":"J Trauma Inj Infect Crit Care"},{"key":"10.1016\/j.amjsurg.2022.03.042_bib2","series-title":"Rib Fractures in the Elderly : J Trauma Acute Care Surg","author":"Bulger","year":"2000"},{"issue":"6","key":"10.1016\/j.amjsurg.2022.03.042_bib3","doi-asserted-by":"crossref","first-page":"1642","DOI":"10.1097\/01.CCM.0000217926.40975.4B","article-title":"Rib fractures: relationship with pneumonia and mortality","volume":"34","author":"Brasel","year":"2006","journal-title":"Crit Care Med"},{"issue":"1","key":"10.1016\/j.amjsurg.2022.03.042_bib4","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.injury.2018.11.005","article-title":"Impact of rib fixation on quality of life after major trauma with multiple rib fractures","volume":"50","author":"Marasco","year":"2019","journal-title":"Injury"},{"issue":"4","key":"10.1016\/j.amjsurg.2022.03.042_bib5","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1177\/000313480807400406","article-title":"Perils of rib fractures","volume":"74","author":"Sharma","year":"2008","journal-title":"Am Surg"},{"key":"10.1016\/j.amjsurg.2022.03.042_bib6","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1177\/000313481908500334","article-title":"Early use of a chest trauma protocol in elderly patients with rib fractures improves pulmonary outcomes","volume":"85","author":"Kelley","year":"2019","journal-title":"Am Surg"},{"issue":"1","key":"10.1016\/j.amjsurg.2022.03.042_bib7","doi-asserted-by":"crossref","DOI":"10.1136\/tsaco-2016-000064","article-title":"Comprehensive approach to the management of the patient with multiple rib fractures: a review and introduction of a bundled rib fracture management protocol","volume":"2","author":"Witt","year":"2017","journal-title":"Trauma Surg Acute Care Open"},{"issue":"6","key":"10.1016\/j.amjsurg.2022.03.042_bib8","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjsurg.2006.08.048","article-title":"A multidisciplinary clinical pathway decreases rib fracture\u2013associated infectious morbidity and mortality in high-risk trauma patients","volume":"192","author":"Todd","year":"2006","journal-title":"Am J Surg"},{"issue":"3","key":"10.1016\/j.amjsurg.2022.03.042_bib9","first-page":"211","article-title":"Bundle of care for blunt chest trauma patients improves analgesia but increases rates of intensive care unit admission: a retrospective case-control study","volume":"37","author":"Carrie","year":"2018","journal-title":"Anaesth Crit Care Pain Med"},{"issue":"4","key":"10.1016\/j.amjsurg.2022.03.042_bib10","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1007\/s00068-018-1037-1","article-title":"Rib fixation versus non-operative treatment for flail chest and multiple rib fractures after blunt thoracic trauma: a multicenter cohort study","volume":"45","author":"Beks","year":"2019","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"4","key":"10.1016\/j.amjsurg.2022.03.042_bib11","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1097\/JTN.0000000000000008","article-title":"Implementation of a rib fracture triage protocol in elderly trauma patients","volume":"20","author":"Sahr","year":"2013","journal-title":"J Trauma Nurs"},{"key":"10.1016\/j.amjsurg.2022.03.042_bib12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2020\/1030463","article-title":"Chronic pain following chest trauma: prevalence, associated factors, and psychosocial impact","volume":"2020","author":"Kahloul","year":"2020","journal-title":"Pain Res Manag"},{"issue":"5","key":"10.1016\/j.amjsurg.2022.03.042_bib13","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1016\/j.amjsurg.2013.12.012","article-title":"The contribution of rib fractures to chronic pain and disability","volume":"207","author":"Gordy","year":"2014","journal-title":"J Surg"},{"issue":"4","key":"10.1016\/j.amjsurg.2022.03.042_bib14","doi-asserted-by":"crossref","DOI":"10.1007\/s00068-012-0186-x","article-title":"Chronic pain and its impact on quality of life following a traumatic rib fracture","volume":"38","author":"Shelat","year":"2012","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"1","key":"10.1016\/j.amjsurg.2022.03.042_bib15","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.injury.2014.06.014","article-title":"Quality of life after major trauma with multiple rib fractures","volume":"46","author":"Marasco","year":"2015","journal-title":"Injury"},{"issue":"12","key":"10.1016\/j.amjsurg.2022.03.042_bib16","doi-asserted-by":"crossref","first-page":"1856","DOI":"10.1177\/000313481808401228","article-title":"Predictors of dependency in geriatric trauma patients with rib fractures: a population study","volume":"84","author":"Halevi","year":"2018","journal-title":"Am Surg"},{"issue":"8","key":"10.1016\/j.amjsurg.2022.03.042_bib17","doi-asserted-by":"crossref","first-page":"2180","DOI":"10.1016\/j.injury.2021.05.027","article-title":"The financial burden of rib fractures: national estimates 2007 to 2016","volume":"52","author":"Sarode","year":"2021","journal-title":"Injury"},{"issue":"2","key":"10.1016\/j.amjsurg.2022.03.042_bib20","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.jamda.2007.11.005","article-title":"Frailty: toward a clinical definition","volume":"9","author":"van Kan","year":"2008","journal-title":"J Am Med Dir Assoc"},{"key":"10.1016\/j.amjsurg.2022.03.042_bib21","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.1177\/000313481808400950","article-title":"Rib fracture location should be evaluated when predicting morbidity and mortality in trauma patients","volume":"84","author":"Haines","year":"2018","journal-title":"Am Surg"},{"issue":"1","key":"10.1016\/j.amjsurg.2022.03.042_bib22","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/CNQ.0000000000000137","article-title":"Rib fracture protocol advancing the care of the elderly patient","volume":"40","author":"Leininger","year":"2017","journal-title":"Crit Care Nurs Q"},{"issue":"2","key":"10.1016\/j.amjsurg.2022.03.042_bib23","doi-asserted-by":"crossref","DOI":"10.1097\/JTN.0b013e31825629ee","article-title":"Patients with rib fractures: use of incentive spirometry volumes to guide care","volume":"19","author":"Brown","year":"2012","journal-title":"J Trauma Nurs"},{"issue":"6","key":"10.1016\/j.amjsurg.2022.03.042_bib24","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1016\/j.injury.2019.04.020","article-title":"Clinical management of rib fractures and methods for prevention of pulmonary complications: a review","volume":"50","author":"Martin","year":"2019","journal-title":"Injury"},{"issue":"3","key":"10.1016\/j.amjsurg.2022.03.042_bib25","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/j.amjsurg.2016.11.026","article-title":"Do simple beside lung function tests predict morbidity after rib fractures?","volume":"213","author":"Butts","year":"2017","journal-title":"Am J Surg"},{"issue":"5","key":"10.1016\/j.amjsurg.2022.03.042_bib26","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1111\/anae.14634","article-title":"Regional anaesthesia for rib fractures: too many choices, too little evidence","volume":"74","author":"El-Boghdadly","year":"2019","journal-title":"Anaesthesia"}],"container-title":["The American Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961022002203?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961022002203?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T18:28:57Z","timestamp":1757701737000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002961022002203"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["S0002961022002203"],"URL":"https:\/\/doi.org\/10.1016\/j.amjsurg.2022.03.042","relation":{},"ISSN":["0002-9610"],"issn-type":[{"value":"0002-9610","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Planning for the Worst: The impact of a comprehensive, risk associated treatment protocol on unanticipated ICU admissions in patients affected by rib fractures","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjsurg.2022.03.042","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}