Table 5

Adjusted ORs for mortality (risk-adjusted mortality) in patients with rib fractures (adapted from TARN predictive model)

OR 95% CI p Value
UpperLower
ISS(FracPoly) ISS_11.141.091.210.000
ISS_20.990.981.000.003
Age (years) 16–44Ref
45–541.731.202.490.003
55–641.921.312.820.001
65–754.433.106.31<0.001
>7518.0913.1224.94<0.001
Gender MaleRef
Female1.010.651.580.958
Age/gender interaction 16–44#FemaleRef
45–54#Female0.970.462.030.931
55–64#Female1.060.502.230.888
65–75#Female1.250.672.340.477
>75#Female0.830.501.370.455
GCS GCS 15Ref
GCS 13–141.891.492.38<0.001
GCS 9–123.852.775.35<0.001
GCS 6–84.492.916.92<0.001
GCS 4–512.667.8420.44<0.001
GCS=332.6624.6143.35<0.001
Intubated20.7210.7639.88<0.001
Charlson Score 0Ref
1–51.811.472.22<0.001
6–102.471.833.32<0.001
>104.513.116.54<0.001
Not recorded3.162.523.97<0.001
Injury pattern Isolated chest injuryRef
Polytrauma1.010.781.310.925
Type of rib fracture Other ribsRef
First rib0.970.791.190.780
  • AUROC 0.879 (95% CI 0.869 to 0.890).

  • The age/gender interaction term (Age#Female) refers to the ratio of odds of death between males and females for each age group. Both age/gender interaction and fractional polynomial transformation of ISS were included in the model as these are part of the PS14 model, which was used to calculate adjusted mortality in our sample.

  • Fracpoly, fractional polynomial transformation; ISS, Injury Severity Score; TARN, UK Trauma Audit and Research Network.