MDCalc

STUMBL/Battle Score

Predicts morbidity in patients with blunt chest wall trauma.

Use this score in patients who present with blunt chest wall trauma to determine their risk of complications.

years
fractures

Chronic lung disease

Pre-injury anticoagulant use

Oxygen saturation level

Result:

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Advice

Complications from rib fractures include in-hospital mortality, pulmonary complications (such as chest infection, pneumonia, hemothorax, pneumothorax, pleural effusion, and empyema), ICU admission, or a prolonged length of stay (defined in the original study as ≥7 days).

Management
  • Patients with high scores (and therefore, a higher risk of complications) should be considered for closer monitoring.
  • Patients with rib fracture should be treated with adequate pain control, encouraged to use incentive spirometry, and mobilized early in their recovery. If additional complications are suspected, chest imaging may be necessary.

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