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| ID | Type | Description | Link |
|---|---|---|---|
| 2023-007 | Other Identifier | TraumaRegister DGU |
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| Name | Class |
|---|---|
| TraumaRegister® DGU | UNKNOWN |
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The aim of the study is to investigate the effect of surgical stabilisation of rib fractures on clinical outcomes in patients that are not dependent on mechanical ventilation at the time of the treatment decision. To this end, data on all eligible patients will be extracted from the TraumaRegister® DGU. Baseline demographics will be analysed using descriptive statistics. Propensity matching will be conducted between the operative cohort (receiving SSRF by any technique) and the conservative cohort (not receiving SSRF). The effect of SSRF on the outcome variables will then be assessed using appropriate statistical tests.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Operative | Patients receiving surgical stabilisation of rib fractures (SSRF) by any operative technique |
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| Non-operative | Patients not receiving surgical stabilisation of rib fractures (SSRF) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Surgical stabilisation of rib fractures (SSRF) | Procedure | 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). |
| Measure | Description | Time Frame |
|---|---|---|
| In-hospital mortality | Number of patients who died in the hospital and mortality rate up to hospital discharge | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Duration of mechanical ventilation | The duration in hours a patient spent intubated from the time of hospital admission to the time of initial hospital discharge | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Duration of intensive care unit stay. | 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. | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients intubated at any time | Proportion of patients intubated at any time from time of injury to initial hospital discharge | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Duration of hospital stay |
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Inclusion Criteria:
Exclusion Criteria:
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All patients within the dataset of the TraumaRegister DGU
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| Name | Affiliation | Role |
|---|---|---|
| Steffen Rosslenbroich, PD Dr. med. | Department for trauma, hand and reconstructive surgery, University hospital Muenster | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department for trauma, hand and reconstructive surgery, University hospital Muenster | MĂĽnster | North Rhine-Westphalia | 48149 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39856261 | Derived | Huelskamp MD, Duesing H, Lefering R, Raschke MJ, Rosslenbroich S; TraumaRegister DGU. Surgical stabilisation of rib fractures in non-ventilated patients: a retrospective propensity-matched analysis using the data from the trauma registry of the German Trauma Society (TraumaRegister DGUⓇ). Eur J Trauma Emerg Surg. 2025 Jan 24;51(1):55. doi: 10.1007/s00068-024-02756-9. |
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| ID | Term |
|---|---|
| D012253 | Rib Fractures |
| D050723 | Fractures, Bone |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D013898 | Thoracic Injuries |
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| Non-operative management of rib fractures | Other | 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. |
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Duration of the initial hospital stay in days |
| From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Rate of single organ failure | The Rate of single organ failure from injury to initial hospital discharge | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Rate of multiorgan failure | The Rate of multiorgan failure from injury to initial hospital discharge | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Rate of respiratory failure | The Rate of respiratory failure from injury to initial hospital discharge | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Rate of sepsis | The Rate of sepsis from injury to initial hospital discharge | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Clinical outcome | Clinical outcome according to the Glasgow Outcome Scale | At the time of initial hospital discharge or death, whichever came first, assessed up to 2 month. |