{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T07:47:46Z","timestamp":1782373666731,"version":"3.54.5"},"reference-count":26,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000},"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":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The effectiveness of surgical stabilization of rib fractures (SSRF) in patients with obesity is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Nationwide Readmissions Database 2015-2019 was used to identify adult patients with obesity and rib fractures (RF). The outcomes of those with Obesity who underwent SSRF were compared to non-operative management (NOM) and also to non-obese participants who underwent SSRF. Patient demographics and outcomes were characterized with univariate, multivariate, and inverse-propensity score (IWPS) analyses adjusting for confounding variables and selection bias. Primary outcomes included 30-day readmission, hospital length of stay (LOS), and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      39\u00a0177 patients were included Obese with NOM 86% (n = 33,516), Obese SSRF 1.8% (n = 707), and non-Obese SSRF 13% (n = 4954). While comparing between Obese NOM vs Obese with SSRF, no significant differences in all-cause 30-day-readmission rates between groups were identified through multivariate analysis (odds ratio (OR) 1.16, 95% confidence interval (CI) 0.91-1.48), or IWPS analysis (OR 0.81, CI 0.50-1.31). Patients undergoing SSRF vs NOM had increased median (IQR) LOS (12 (8-20) vs 6 (3-12) days,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), but lower rates of in-hospital mortality (1.7% vs 6.2%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001; OR 0.16, CI 0.09-0.28). While comparing SSRF in Obese vs non-Obese using a multivariate analysis, obesity did not confer greater odds of readmission (OR = 1.17, 95% CI 0.92-1.5) or death (OR = 0.74, 95% CI 0.4-1.35), and obesity did not contribute to a clinically significant increase in LOS (43 additional minutes,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In patients with obesity and rib fractures, SSRF is a valuable treatment option given its association with decreased rates of in-hospital mortality and comparable outcomes to their non-obese counterparts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>III.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study type<\/jats:title>\n                    <jats:p>therapeutic\/Care management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261419734","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T10:13:20Z","timestamp":1771582400000},"page":"2180-2189","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Analysis of Surgical Stabilization of Traumatic Rib Fractures in Patients With Morbid Obesity: A Retrospective Review of the Nationwide Readmissions Database"],"prefix":"10.1177","volume":"92","author":[{"given":"Jeffrey","family":"Aalberg","sequence":"first","affiliation":[{"name":"Tufts Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Ricard","sequence":"additional","affiliation":[{"name":"Tufts Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Brown","sequence":"additional","affiliation":[{"name":"Sheppard AFB, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Johnson","sequence":"additional","affiliation":[{"name":"Tufts Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Woon Cho","family":"Kim","sequence":"additional","affiliation":[{"name":"Tufts Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horacio","family":"Hojman","sequence":"additional","affiliation":[{"name":"Tufts Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Bawazeer","sequence":"additional","affiliation":[{"name":"Tufts Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6325-6837","authenticated-orcid":false,"given":"Nikolay","family":"Bugaev","sequence":"additional","affiliation":[{"name":"Tufts Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,20]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2019.04.020"},{"key":"e_1_3_4_3_2","volume-title":"Healthcare Cost and Utilization Project (HCUP)","author":"HCUP Nationwide Emergency Department Sample (NEDS)","year":"2006","unstructured":"HCUP Nationwide Emergency Department Sample (NEDS). Healthcare Cost and Utilization Project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality; 2006-2014. Available at: https:\/\/hcup-us.ahrq.gov\/db\/nation\/neds\/NEDS_Introduction_2020.jspwww.hcup-us.ahrq.gov\/nedsoverview.jsp"},{"key":"e_1_3_4_4_2","volume-title":"Healthcare Cost and Utilization Project (HCUP)","author":"HCUP National and Nationwide Inpatient Samples (NIS)","year":"2006","unstructured":"HCUP National and Nationwide Inpatient Samples (NIS). Healthcare Cost and Utilization Project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality; 2006-2014. 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