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10.1136/tsaco-2017-000133 http://scihub22266oqcxt.onion/10.1136/tsaco-2017-000133 C5887826!5887826 !29766120     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29766120 &cmd=llinks): Failed to open stream: HTTP request failed! 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Emergency department management of patients with rib fracture based on a clinical practice guideline |pdf=|usr=}}{{29766120 }} gab.com Text Emergency department management of patients with rib fracture based on a clinical practice guideline JO: Trauma Surg Acute Care Open http://www.kidney.de/pget.php?&tw=1&pmid=29766120 #FOAvip BACKGROUND: Clinical practice guidelines (CPGs) have the ability to increase efficiency and standardize care. A CPG based on forced vital capacity (FVC) for rib fractures was developed as a tool for triage of these patients. The objectives of this study were to assess the efficacy and compliance of physicians with this rib fracture CPG. METHODS: Patients >18?that were discharged from an urban level 2 trauma center emergency department (ED) between the dates of January 1, 2014, to December 31, 2016, were eligible for the study. Demographics, mechanism, outcomes and FVC were abstracted by review of the electronic medical record. Compliance with the CPG was examined, and comparisons were made between patients successfully discharged and patients who returned. RESULTS: 455 patients met were identified during the study period. 233 were eligible after exclusions. 64% of the cohort was male with median age of 53 years. Falls were the most common mechanism (59.6%). The median number of rib fractures was 2 and median FVC 2500 mL. 28 (12.0%) of the 233 returned to the ED after discharge. The groups were well matched with no significant differences. The most common reason for return was pain (95%). Adjusted analysis showed that increasing age (adjusted OR (AOR) 0.968) and FVC (AOR 0.999) were independent predictors. Adherence with the CPG was good for hemothorax/pneumothorax and bilateral fractures (96%), but lagged with the number of fractures (74%). CONCLUSIONS: This study confirms that the rib fracture CPG is safe and an FVC of 1500?mL is a safe criterion for discharging patients with rib fractures. Interestingly, it appears that older age is protective. More work needs to be done on effective pain control to decrease return to ED visits using this CPG. LEVEL OF EVIDENCE: IV. TYPE OF STUDY: Therapeutic. Twit Text FOAVip Emergency department management of patients with rib fracture based on a clinical practice guideline ????Trauma Surg Acute Care Open http://www.kidney.de/pget.php?&tw=1&pmid=29766120 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29766120 #FOAvip English Wikipedia <ref>{{Cite pmid|29766120 }}</ref> Emergency department management of patients with rib fracture based on a clinical practice guideline #MMPMID29766120 Hamilton C ; Barnett L ; Trop A ; Leininger B ; Olson A ; Brooks A ; Clark D ; Schroeppel T Trauma Surg Acute Care Open 2017[]; 2 (1 ): e000133 PMID29766120 show ga BACKGROUND: Clinical practice guidelines (CPGs) have the ability to increase efficiency and standardize care. A CPG based on forced vital capacity (FVC) for rib fractures was developed as a tool for triage of these patients. The objectives of this study were to assess the efficacy and compliance of physicians with this rib fracture CPG. METHODS: Patients >18?that were discharged from an urban level 2 trauma center emergency department (ED) between the dates of January 1, 2014, to December 31, 2016, were eligible for the study. Demographics, mechanism, outcomes and FVC were abstracted by review of the electronic medical record. Compliance with the CPG was examined, and comparisons were made between patients successfully discharged and patients who returned. RESULTS: 455 patients met were identified during the study period. 233 were eligible after exclusions. 64% of the cohort was male with median age of 53 years. Falls were the most common mechanism (59.6%). The median number of rib fractures was 2 and median FVC 2500 mL. 28 (12.0%) of the 233 returned to the ED after discharge. The groups were well matched with no significant differences. The most common reason for return was pain (95%). Adjusted analysis showed that increasing age (adjusted OR (AOR) 0.968) and FVC (AOR 0.999) were independent predictors. Adherence with the CPG was good for hemothorax/pneumothorax and bilateral fractures (96%), but lagged with the number of fractures (74%). CONCLUSIONS: This study confirms that the rib fracture CPG is safe and an FVC of 1500?mL is a safe criterion for discharging patients with rib fractures. Interestingly, it appears that older age is protective. More work needs to be done on effective pain control to decrease return to ED visits using this CPG. LEVEL OF EVIDENCE: IV. TYPE OF STUDY: Therapeutic. äEmergency department management of patients with rib fracture based on(epmc).pdf DeepDyve Pubget Overpricing