The Effect of COVID-19 on Rib Fracture Patients in Michigan

Author:

Eickholtz Allie1,Mormol Jeremy2,Kelley Jesse1ORCID,Mangione Madi1,Pounders Steffen2ORCID,Groseclose Ryan2,Lypka Matthew3,Gibson Charles1,Chapman Alistair1,Chadwick Cathryn1,Krech Laura2

Affiliation:

1. Department of Acute Care Surgery, Corewell Health West, Grand Rapids, MI, USA

2. Trauma Research Institute, Corewell Health West, Grand Rapids, MI, USA

3. Scholarly Activity and Scientific Support, Corewell Health, Grand Rapids, MI, USA

Abstract

This study aims to compare outcomes of rib fracture patients with and without COVID-19 in Michigan. Data from the Michigan Trauma Quality Improvement Program (MTQIP) identified adults hospitalized from January 1, 2020, to October 31, 2022, with at least one rib fracture and a completed COVID-19 test on admission. Patients were propensity score matched 1:1 using 20 variables. The primary outcome was hospital length of stay (LOS). Secondary outcomes were mortality, ventilator days, intensive care unit (ICU) LOS, pneumonia, and ventilator-assisted pneumonia (VAP). 13,305 total patients were identified. 232 patients matched into both the COVID+ and COVID− groups. COVID was associated with increased LOS (7 days vs. 5 days, P < 0.001). There were no significant differences between the two groups when evaluating secondary outcomes. Our study indicates that although COVID-19 infection is associated with increased LOS, COVID may not contribute to additional morbidity or mortality in traumatic rib fracture patients.

Publisher

SAGE Publications

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