Analysis of the therapeutic effect and prognosis in 86 cases of rib fractures and atelectasis

Abstract

Background The aim of the present study was to explore the therapeutic effect and prognosis in patients with rib fractures and atelectasis after thoracic trauma in order to provide a basis for clinical decision-making in primary hospitals. Methods A retrospective study was conducted on 86 patients admitted to our hospital between January 2016 and May 2020 with rib fractures and atelectasis after thoracic trauma. On the basis of the chest computed tomography scans taken at the time of discharge, the patients were divided into two groups: the reexpansion group and the non-reexpansion group. The two groups were compared with respect to the changes observed in the patients’ levels of blood oxygen saturation (SpO2) and pulmonary function, the presence of secondary pulmonary or thoracic infection, the time of chest tube drainage, the length of hospitalization, the cost of hospitalization, and the patients’ level of satisfaction with their quality of life 3 months after discharge. Results In the reexpansion group, there were significant differences in the levels of SpO2 and pulmonary function measured before and after pulmonary reexpansion (P < 0.05). Compared with the non-reexpansion group, the patients in the reexpansion group had a lower incidence of secondary pulmonary and thoracic infection and a higher level of satisfaction with their quality of life after discharge; these differences were statistically significant (P < 0.05). There was no statistical significance between the two groups with respect to the time of chest tube drainage or the length of hospitalization (P > 0.05). However, the cost of hospitalization was significantly higher in the reexpansion group than in the non-reexpansion group (P < 0.05). Conclusions The patients in the pulmonary reexpansion group had a lower incidence of complications and a better prognosis than the patients in the non-reexpansion group.

Outcomes of surgical stabilization of rib fractures in a minority population: Retrospective analysis of a case series from an acute care facility

“…This finding is relatively intuitive and corroborates the findings of a myriad of studies noting respiratory compromise and the ensuing poor outcomes of affected patients. 17 …”

Análise Do Padrão De Resistência Antimicrobiana E Dos Fatores De Risco Das Infecções Estafilocócicas No Período Neonatal Em Um Hospital De Referência Em Pediatria: Uma Coorte Retrospectiva

“…El diagnóstico de la atelectasia comprende la formulación de una hipótesis a través de la observación y el examen físico, la cual tiene que ser corroborada a través de exámenes complementarios fundamentalmente imagenológicos (Yin et al, 2021).…”

Imaging Criteria in the Diagnosis of Atelectasis

“…The diagnosis of atelectasis includes the formulation of a hypothesis through observation and physical examination, which has to be corroborated through complementary examinations, mainly imaging (Yin et al, 2021). D -learning or Digital learning represents any type of learning facilitated by the use of technology, it includes electronic learning (E learning) and mobile learning (M learning), the first for being learning that is supported by digital tools through electronics, the second is a subset of E-learning and is defined by the use of technology such as mobile devices to facilitate and/or improve learning (Kumar Basak et al, 2018).…”