{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T04:05:14Z","timestamp":1791518714160,"version":"4.3.4"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,4,18]],"date-time":"2023-04-18T00:00:00Z","timestamp":1681776000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Rib fractures are the most common injuries in chest trauma. Compared with younger patients, elderly patients with rib fracture have a higher incidence of complications and mortality. A retrospective study was conducted to investigate the effect of internal fixation compared with conservative treatment on the outcome of rib fracture in elderly patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>We used a 1:1 propensity score matching method to perform a retrospective analysis of 703 elderly patients with rib fractures treated in the Thoracic Surgery Department of Beijing Jishuitan Hospital between 2013 and 2020. After matching, the length of hospital stay, death, symptom relief and rib fracture healing were compared between the surgery and the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 121 patients receiving SSRF in the surgery group and 121 patients receiving conservative treatment in the control group. The length of hospital stay in the surgery group was significantly longer than that in the conservative group (11.39d vs. 9.48d, <jats:italic>p<\/jats:italic>\u2009=\u20090.000). After 9 months of follow-up, the fracture healing rate in the surgery group was significantly higher than that in the control group (96.67% vs. 88.89%, <jats:italic>p<\/jats:italic>\u2009=\u20090.020). The fracture healing time (<jats:italic>p<\/jats:italic>\u2009=\u20090.000), improvement in pain score (<jats:italic>p<\/jats:italic>\u2009=\u20090.000) and duration of pain medication use (<jats:italic>p<\/jats:italic>\u2009=\u20090.000) were also significantly better in the surgery group than in the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Compared with conservative treatment, surgical treatment can prolong hospital stay to some extent. However, it has the advantages of more rapid healing and lessened pain. For rib fractures in elderly individuals, surgical treatment is a safe and effective option under strict surgical indications and is recommended.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2023.1174365","type":"journal-article","created":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T08:16:09Z","timestamp":1681892169000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Evaluation of surgical outcomes in elderly patients with rib fractures: A single-centre propensity score matching study"],"prefix":"10.3389","volume":"10","author":[{"given":"Dong","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenbo","family":"Jiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siqi","family":"Xi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Langran","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Run","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,4,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1016\/j.cjtee.2021.07.012","article-title":"The Chinese consensus for surgical treatment of traumatic rib fractures 2021 (C-STTRF 2021)","volume":"24","author":"Kong","year":"2021","journal-title":"Chin J Traumatol"},{"key":"B2","doi-asserted-by":"publisher","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"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1527","DOI":"10.1007\/s00068-019-01183-5","article-title":"Predictors of mortality in patients with rib fractures","volume":"47","author":"Marini","year":"2021","journal-title":"Eur J Trauma Emerg Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1224","DOI":"10.1177\/000313481908501127","article-title":"Rib fractures and mortality: breaking the causal relationship","volume":"85","author":"Bankhead-Kendall","year":"2019","journal-title":"Am Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.ccc.2016.08.009","article-title":"Rib fracture fixation: indications and outcomes","volume":"33","author":"Senekjian","year":"2017","journal-title":"Crit Care Clin"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e000546","DOI":"10.1136\/tsaco-2020-000546","article-title":"Long-term outcomes of surgical rib fixation in patients with flail chest and multiple rib fractures","volume":"5","author":"Uchida","year":"2020","journal-title":"Trauma Surg Acute Care Open"},{"key":"B7","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1016\/j.jcma.2016.01.006","article-title":"Morbidity, mortality, associated injuries, and management of traumatic rib fractures","volume":"79","author":"Lin","year":"2016","journal-title":"J Chin Med Assoc"},{"key":"B8","doi-asserted-by":"publisher","first-page":"CD009919","DOI":"10.1002\/14651858.CD009919.pub2","article-title":"Surgical versus nonsurgical interventions for flail chest","volume":"2015","author":"Cataneo","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1020","DOI":"10.1016\/j.amjsurg.2018.03.011","article-title":"Outcomes after rib fractures in geriatric blunt trauma patients","volume":"215","author":"Barry","year":"2018","journal-title":"Am J Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1097\/MCC.0000000000000364","article-title":"Rib fractures in trauma patients: does operative fixation improve outcome?","volume":"22","author":"Majak","year":"2016","journal-title":"Curr Opin Crit Care"},{"key":"B11","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1080\/00015458.2020.1846939","article-title":"Is surgical rib fixation in patients aged more than 65 years old associated with worse outcomes compared to younger patients? 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