Rib Fracture Multiple
Conditions
Brief summary
The purpose of this study is to explore the difference between the clinical effects of surgical and non-surgical treatment for patients with low rib fracture, and to explore whether SSRF has more clinical treatment advantages in patients with low rib fracture in a randomized, controlled and prospective manner.
Interventions
PROCEDUREsurgical stabilization of low rib fratures
surgical stabiliazation of rib fractures by internal fixation
OTHERconverstive treatment of low rib fratures
chest wall fixation band
Sponsors
Shanghai Jiao Tong University Affiliated Sixth People's Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients with chest trauma only and unilateral low rib fractures Three rib fractures and more Displacement of the broken end of the fracture (bicortical fracture and not in the same line) Time from injury to hospital \< 24 hours Age 18-70 ASA grade I-II Preoperative arterial oxygen partial pressure \>60mmHg, carbon dioxide partial pressure \<50mmHg The participate is volunteer in the study and sign the informed consent Pain score( Number Rating Scale, NRS) \>5 under calm breathing
Exclusion criteria
* Difficult airway History of esophageal reflux Myasthenia gravis Coagulation disorders Gastrointestinal ulcer Gastrointestinal bleeding Anesthetic drugs allergy history Asthma Chronic obstructive pulmonary disease Pregnant women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| EQ-5D-5L | On the day of admission | appraisal of life quality |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Score | On the day of admission | Number Rating Score, NRS |
Other
| Measure | Time frame | Description |
|---|---|---|
| Mortality | On the day of admission | death toll in each group |
| Length of hospital stay | the day from in the hospital to discharge | time of hospitalization |
| Cost of treatment | the day from in the hospital to discharge | total cost of hospitalization expense |
| Chest discomfort | On the day of admission | chest tightness, foreign body sensation, numbness of surgical incision |
| Atelectasis | On the day of admission | CT scan show |
| Duration of analgesic drug | the time of analgesic usement from first treat to the paitent do not use it anymore | the time of analgesic usement from first treat to the paitent do not use it anymore |
| Total analgesic drug use | the time of analgesic usement from first treat to the paitent do not use it anymore | total amont of analgesic usement from first treat to the paitent do not use it anymore |
| Lung function 1 | On the day of admission | Forced vital capacity， FVC |
| Lung function 2 | On the day of admission | First second forced vital capacity，FEV1 |
| Chronic pain | 3 months after treatment , 6 month after treatment | pain for more than three months after surgery or trauma, NRS assessment |
| Pleural effusion | On the day of admission | CT scan show |
Contacts
Primary ContactWeiming Wu
Outcome results
None listed