{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:45:00Z","timestamp":1777448700101,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T00:00:00Z","timestamp":1698624000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With reported improvements in patient outcomes, surgical stabilization of rib fractures (SSRF) has been increasingly adopted. While institutional series have sought to define the role of early SSRF, large scale analysis remains lacking. The present study evaluated clinical and financial outcomes of SSRF in a nationally representative cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients (\u226516\u00a0years) admitted with multiple rib fractures were identified using the 2016-2020 National Inpatient Sample. Those who underwent rib plating &gt;14\u00a0days following admission were omitted. Using restricted cubic spline analysis, patients who underwent SSRF within 2\u00a0days of hospitalization were classified as Expedited while fixation &gt;2 days were deemed Routine. Multivariable regressions were used to evaluate the association of operative timing on outcomes of interest.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 8150 patients meeting final inclusion criteria, 4090 (50.2%) were Expedited. Compared to Routine, Expedited tended to be older but were of comparable race, primary payer, and income quartile. Traumatic mechanism was also similar but rates of concomitant sternal fracture as well as intra-abdominal and cardiac injuries were higher in Routine. After adjustment, Expedited was associated with lower odds of respiratory complications, which included need for mechanical ventilation, prolonged mechanical ventilation, and pneumonia, compared to Routine. Expedited was associated with similar hospitalization duration but had lower incremental costs (\u03b2: -$19.1\u00a0K, 95% CI: -24.1 to -14.2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Early SSRF was associated with lower likelihood of a number of respiratory complications and in-hospital costs. While patient selection criteria may limit our findings, expeditious fixation may limit morbidity while enhancing value of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348231211041","type":"journal-article","created":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T19:24:18Z","timestamp":1698693858000},"page":"754-761","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Association of Early Rib Plating on Clinical and Financial Outcomes: A National Analysis"],"prefix":"10.1177","volume":"90","author":[{"given":"Zachary","family":"Tran","sequence":"first","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA"},{"name":"Outcomes Research Laboratories (CORELAB), David Geffen School of Medicine, University of California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nam Yong","family":"Cho","sequence":"additional","affiliation":[{"name":"Outcomes Research Laboratories (CORELAB), David Geffen School of Medicine, University of California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"De Polo","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaushik","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peyman","family":"Benharash","sequence":"additional","affiliation":[{"name":"Outcomes Research Laboratories (CORELAB), David Geffen School of Medicine, University of California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sigrid","family":"Burruss","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, Department of Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,10,30]]},"reference":[{"key":"bibr1-00031348231211041","doi-asserted-by":"publisher","DOI":"10.1177\/000313481207800427"},{"key":"bibr2-00031348231211041","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18004217610"},{"key":"bibr3-00031348231211041","volume":"14","author":"Adereti C","year":"2022","journal-title":"Cureus"},{"key":"bibr4-00031348231211041","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2022.4299"},{"key":"bibr5-00031348231211041","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001648"},{"key":"bibr6-00031348231211041","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001350"},{"key":"bibr7-00031348231211041","unstructured":"CHEST WALL INJURY SOCIETY GUIDELINE FOR SSRF INDICATIONS, CONTRAINDICATIONS AND TIMING. Web site. https:\/\/cwisociety.org\/wp-content\/uploads\/2020\/05\/CWIS-SSRF-Guideline-01102020.pdf, Updated 01. 2020."},{"key":"bibr8-00031348231211041","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-21-649"},{"key":"bibr9-00031348231211041","unstructured":"HCUP-US Methods Series. https:\/\/www.hcup-us.ahrq.gov\/reports\/methods\/methods.jsp. Updated 10\/2022."},{"key":"bibr10-00031348231211041","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2021.07.061"},{"key":"bibr11-00031348231211041","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29903"},{"key":"bibr12-00031348231211041","unstructured":"NIS Description of Data Elements. https:\/\/www.hcup-us.ahrq.gov\/db\/nation\/nis\/nisdde.jsp. Updated 09\/2022."},{"key":"bibr13-00031348231211041","unstructured":"Regional Trauma Systems: Optimal Elements, Integration, and Assessment: Systems Consultation Guide. https:\/\/www.facs.org\/media\/sgue1q5x\/regionaltraumasystems.pdf"},{"key":"bibr14-00031348231211041","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002194"},{"key":"bibr15-00031348231211041","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199801000-00004"},{"key":"bibr16-00031348231211041","unstructured":"Using Appropriate Price Indices for Expenditure Comparisons. https:\/\/meps.ahrq.gov\/about_meps\/Price_Index.shtml. Updated 04\/2022."},{"key":"bibr17-00031348231211041","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9868.2005.00503.x"},{"key":"bibr18-00031348231211041","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318234d479"},{"key":"bibr19-00031348231211041","doi-asserted-by":"publisher","DOI":"10.1177\/0003134820942185"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231211041","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231211041","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231211041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:38:42Z","timestamp":1777379922000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231211041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,30]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1177\/00031348231211041"],"URL":"https:\/\/doi.org\/10.1177\/00031348231211041","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,30]]}}}