RibScore of Chapman et al

Description

Chapman et al reported the RibScore for evaluating a patient after chest trauma. This can help to identify a patient who may benefit from more aggressive management. The authors are from the University of Colorado Denver and Denver Health Medical Center.

Patient selection: chest trauma

Outcomes: pneumonia, respiratory failure, tracheostomy

Parameters:

(1) total number of rib fractures

(2) bilateral rib fractures

(3) flail chest

(4) number of severely (bi-cortical) displaced fractures

(5) fracture of the first rib

(6) number of fractures in the 3 anatomic regions (anterior, lateral, posterior)

Parameter	Finding	Points
total number of rib fractures	< 6	0
	>= 6	1
bilateral fractures	no	0
	yes	1
flail chest	no	0
	yes	1
number of severely displaced fractures	< 3	0
	>= 3	1
fracture of the first rib	no	0
	yes	1
at least one fracture in all 3 anatomic regions	no	0
	yes	1

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 6

• The higher the score the worse the clinical outcomes.

Performance:

• The area under the ROC curve for the outcomes ranged from 0.71 to 0.75.

To read more or access our algorithms and calculators, please log in or register.

Description

Specialty