Nonoperative versus operative treatment for flail chest and multiple rib fractures after blunt thoracic trauma. A multicenter prospective cohort study.

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON23596

Enrollment

250

Registered

2017-11-13

Start date

2018-01-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

rib fracture

Interventions

Rib fracture fixation for patients with a flail chest or multiple rib fractures

Eligibility

Inclusion criteria

Inclusion criteria: All adult (over 18 years) patients presenting at the Emergency Department (ED) of the participating hospitals with a CT scan confirmed flail chest or multiple rib fractures after blunt thoracic trauma will be enrolled in the cohort.

Exclusion criteria

Exclusion criteria: - Mentally impaired patients who are unable to fill in the EQ5D-5L questionnaire - Non-traumatic rib fractures - Rib fractures as a result of cardiopulmonary resuscitation - Allergy for titanium

Design outcomes

Primary

Measure	Time frame
- Intensive care unit length of stay for patients with a flail chest - Hospital length of stay for patients with multiple rib fractures	—

Secondary

Measure	Time frame
- Numerical rating scale (NRS) for pain on day 3, 5, 7 and 14 - Pneumonia during hospital stay; date of pneumonia - In hospital mortality - Days of epidural / IV / systematic analgesia (morphine) - Number of days admitted to Intensive Care Unit (ICU) - Number of days on mechanical ventilation` - Number of days in need oxygen therapy - Vital capacity - Tracheostomy yes / no - Number of complications during admission - Total number of days admitted in the hospital - Quality of life as measured with EQ5D-5L 1 year after trauma - Lung function related problems as measured with the mMRC 1 year after trauma - Implant related complaints and removal yes / no - Cost-effectiveness of rib fixation - Chest tube yes/no	—

Measure

Time frame

- Numerical rating scale (NRS) for pain on day 3, 5, 7 and 14 - Pneumonia during hospital stay; date of pneumonia - In hospital mortality - Days of epidural / IV / systematic analgesia (morphine) - Number of days admitted to Intensive Care Unit (ICU) - Number of days on mechanical ventilation` - Number of days in need oxygen therapy - Vital capacity - Tracheostomy yes / no - Number of complications during admission - Total number of days admitted in the hospital - Quality of life as measured with EQ5D-5L 1 year after trauma - Lung function related problems as measured with the mMRC 1 year after trauma - Implant related complaints and removal yes / no - Cost-effectiveness of rib fixation - Chest tube yes/no

—

Contacts

Public ContactR.M. Houwert

University Medical Center Utrecht

088 755 5555

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)