Rib Fracture Multiple, Rib Fractures, Rib Trauma, Thorax; Fracture
Conditions
Keywords
Surgical stabilisation of rib fractures (SSRF)
Brief summary
The study aims to investigate the effect of surgical stabilisation of rib fractures (SSRF) on clinical outcomes measured during the hospital stay (mortality, days on a mechanical ventilator, intensive care unit and hospital length of stay, rate of complications). Furthermore, the effect of the patients age and overall injury severity on the outcomes after SSRF will be investigated. We hypothesise that the combination of high age and high injury severity will lead to worse outcomes after SSRF.
Interventions
Surgical stabilisation of rib fractures using any fixation technique (including but not limited to plate fixation, intramedullary fixation, wire fixation) via any operative approach (including but not limited to open external approach, minimally invasive approach, thoracoscopic approach, thoracotomy approach).
Any supportive or specific treatment of rib fractures excluding surgical stabilisation of rib fractures. This includes, but is not limited to analgesia, physiotherapy, non-invasive ventilation, mechanical ventilation, oxygen-supplementation
Sponsors
University Hospital Muenster
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
0 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Patients of the University Hospital Muenster * Coded serial rib fractures (ICD S22.4 and S22.5) * Treatment for the rib fractures between 2019 and 2023
Exclusion criteria
* pathological rib fractures (due to suspected malignancy)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| In hospital-mortality | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. | Mortality rate from injury to initial hospital discharge, binary |
| Intensive care unit length of stay | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. | The duration in days a patient spent in the intensive care unit from the time of hospital admission to the time of initial hospital discharge. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intubation rate | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. | Proportion of patients intubated at any time |
| Multi-organ failure | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. | Rate of Multi-organ failure |
| Single organ failure | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. | Rate of single organ failure |
| Sepsis | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. | Rate of Sepsis |
| Lung-failure | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. | Rate of Lung-failure |
| Clinical outcome | At the time point of initial hospital discharge or at death, whichever came first, assessed up to 2 month. | Clinical outcome according to the Glasgow outcome scale (GOS) |
| Duration of hospital stay | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. | Duration of hospital stay in days from injury to initial discharge |
Countries
Germany
Contacts
STUDY_DIRECTORSteffen Rosslenbroich, PD Dr. med.
Department for trauma, hand and reconstructive surgery, University hospital Muenster
Outcome results
None listed