{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:04:27Z","timestamp":1787504667726,"version":"build-2736575974"},"reference-count":45,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Geriatr Orthop Surg Rehabil"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Thoracic injuries are a very common entity throughout all age groups. With rising numbers of geriatric patients, characteristics of this patient group need to be better defined. The aim of this study was to investigate the impact of age on the outcome of thoracic trauma. In this project we provide a stratification of differentiated age groups regarding outcome parameter on rib fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study employed a retrospective design using data from patients who sustained thoracic trauma and received treatment at a level I trauma center over a 5-year period. Patients with the same pattern of injury and gender but different age (above and below 70\u00a0years) were matched.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age of the study population was 57 \u00b1 19\u00a0years, 69% were male, 54% of patients had preexisting comorbidities. Hemothorax was present in 109 (16%), pneumothorax in 204 (31%) and lung contusions in 136 patients (21%). The overall complication rate was 36%, with a mortality rate of 10%. The matched pair analysis of 70 pairs revealed a higher prevalence of comorbidities in the older age group. They had significantly fewer pulmonary contusions and pneumothoraces than the younger patients and a shorter length of stay. However, the older age group had a significantly higher mortality rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Geriatric patients with rib fractures exhibit different patterns of intrathoracic injuries compared to their younger counterparts. Although numeric age may not be the most accurate predictor of adverse outcome, we found that higher age was associated with a clear trend towards an increased mortality rate. Our findings build a basis for further research to evaluate the outcome of age for instance with the tool of a rib fracture scoring system within stratified age groups in order to identify patients at major risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21514593241280879","type":"journal-article","created":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T01:39:49Z","timestamp":1727919589000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Influence of Age on Outcome Following Rib Fractures \u2013 A Case-Control Analysis"],"prefix":"10.1177","volume":"15","author":[{"given":"Franziska","family":"Ziegenhain","sequence":"first","affiliation":[{"name":"Division of Trauma Surgery, University Hospital Zurich (USZ), University of Zurich (UZH), Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5026-5766","authenticated-orcid":false,"given":"Anne S.","family":"Mittlmeier","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery, University Hospital Zurich (USZ), University of Zurich (UZH), Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Christoph","family":"Pape","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery, University Hospital Zurich (USZ), University of Zurich (UZH), Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4012-5628","authenticated-orcid":false,"given":"Valentin","family":"Neuhaus","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery, University Hospital Zurich (USZ), University of Zurich (UZH), Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6486-2481","authenticated-orcid":false,"given":"Claudio","family":"Canal","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery, University Hospital Zurich (USZ), University of Zurich (UZH), Zurich, Switzerland"},{"name":"Department of Surgery, Cantonal Hospital Thurgau, Frauenfeld, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,2]]},"reference":[{"key":"bibr1-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.01.004"},{"key":"bibr2-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2012.12.007"},{"key":"bibr3-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-022-01058-6"},{"key":"bibr4-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1177\/000313481808400950"},{"key":"bibr5-21514593241280879","doi-asserted-by":"publisher","DOI":"10.5114\/ait.2020.103510"},{"key":"bibr6-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-019-01183-5"},{"key":"bibr7-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(95)70030-7"},{"key":"bibr8-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-020-01505-y"},{"key":"bibr9-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2020.09.010"},{"key":"bibr10-21514593241280879","unstructured":"Nations Department of Economic U., Social Affairs, Population Division. World Population Ageing2019; 2020. (ST\/ESA\/SER.A\/444)."},{"key":"bibr11-21514593241280879","volume-title":"Older People in Germany and the EU","year":"2016"},{"key":"bibr12-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200006000-00007"},{"key":"bibr13-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.03.011"},{"key":"bibr14-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-018-0969-9"},{"key":"bibr15-21514593241280879","volume-title":"Schweizerische Operationsklassifikation (CHOP)","author":"(BFS) BfS","year":"2021"},{"key":"bibr16-21514593241280879","volume-title":"ICD-10: International Statistical Classification of Diseases and Related Health Problems : Tenth Revision","author":"World Health O","year":"2004","edition":"2"},{"key":"bibr17-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197403000-00001"},{"key":"bibr53-21514593241280879","unstructured":"Abbreviated Injury Scale: 2015 Revision (6 ed.). Association for the Advancement of Automotive Medicine; 2016. Accessed August 30, 2024. https:\/\/www.aaam.org\/abbreviated-injury-scale-ais\/"},{"key":"bibr19-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1700505"},{"key":"bibr20-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200101000-00021"},{"key":"bibr21-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-019-05219-9"},{"key":"bibr22-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2016-000074"},{"key":"bibr23-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-019-01230-1"},{"key":"bibr24-21514593241280879","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19148729"},{"key":"bibr25-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/s1010-7940(02)00813-8"},{"key":"bibr26-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2019.10.021"},{"key":"bibr27-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1017\/cem.2017.377"},{"key":"bibr28-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.07.022"},{"key":"bibr29-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1007\/s00414-022-02866-2"},{"key":"bibr30-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2016.10.018"},{"key":"bibr31-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2014.06.045"},{"key":"bibr32-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2011.09.018"},{"key":"bibr33-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000867"},{"key":"bibr34-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2020.04.032"},{"key":"bibr35-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0000000000003390"},{"key":"bibr36-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2018.08.002"},{"key":"bibr37-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(21)00418-X"},{"key":"bibr38-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.04.045"},{"key":"bibr39-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2017.06.054"},{"key":"bibr40-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1097\/JTN.0000000000000008"},{"key":"bibr41-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200009000-00018"},{"key":"bibr42-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199209000-00001"},{"key":"bibr43-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1097\/JTN.0b013e318261d201"},{"key":"bibr44-21514593241280879","doi-asserted-by":"publisher","DOI":"10.4103\/ija.IJA_750_18"},{"key":"bibr45-21514593241280879","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.03.025"}],"container-title":["Geriatric Orthopaedic Surgery &amp; Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21514593241280879","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21514593241280879","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21514593241280879","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:09:28Z","timestamp":1777446568000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21514593241280879"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":45,"alternative-id":["10.1177\/21514593241280879"],"URL":"https:\/\/doi.org\/10.1177\/21514593241280879","relation":{},"ISSN":["2151-4593","2151-4593"],"issn-type":[{"value":"2151-4593","type":"print"},{"value":"2151-4593","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"21514593241280879"}}