Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Operative | Patients receiving surgical stabilisation of rib fractures (SSRF) by any operative technique |
| |
| 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 | Mortality rate from injury to initial hospital discharge, binary | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Intensive care unit length of 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 |
|---|---|---|
| Intubation rate | Proportion of patients intubated at any time | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Multi-organ failure | Rate of Multi-organ failure |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
The Patients will be sampled from all patients treated in the department for trauma, hand and reconstructive surgery of the university hospital Muenster
Not provided
| 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 | Münster | North Rhine-Westphalia | 48149 | Germany |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| 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 |
|
| From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Single organ failure | Rate of single organ failure | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Sepsis | Rate of Sepsis | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| Lung-failure | Rate of Lung-failure | 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 (GOS) | At the time point of initial hospital discharge or at death, whichever came first, assessed up to 2 month. |
| Duration of hospital stay | Duration of hospital stay in days from injury to initial discharge | From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month. |
| ID | Term |
|---|---|
| D012253 | Rib Fractures |
| D050723 | Fractures, Bone |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D013898 | Thoracic Injuries |
Not provided
Not provided