The benefits of early rib fixation for clinical outcomes of flail chest patients in intensive care unit

Ağababaoğlu, İsmail; Ersöz, Hasan

doi:10.5606/tgkdc.dergisi.2020.18439

Cited by 8 publications

(8 citation statements)

References 27 publications

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“…Quality of life (QOL) was compared between groups in eight studies, but there were significant inconsistencies between measurement scales, and quantitative analysis could not be performed for this subjective clinical outcome. 9,28,37,38,47,48,57,62 A range of scales were used to assess QOL, including the Short Form 36, QOL Scale and EQ-5D-5L survey. Four studies 28,38,57,62 found a statistically significant benefit of surgical fixation on QOL but the other papers found no benefit.…”

Section: Other Outcome Measuresmentioning

confidence: 99%

“…9,28,37,38,47,48,57,62 A range of scales were used to assess QOL, including the Short Form 36, QOL Scale and EQ-5D-5L survey. Four studies 28,38,57,62 found a statistically significant benefit of surgical fixation on QOL but the other papers found no benefit. Pain was also measured in 13 studies using a range of scoring systems, including the Visual Analog Scale (VAS), numerical pain score, and questionnaires.…”

Section: Other Outcome Measuresmentioning

confidence: 99%

“…Pain was also measured in 13 studies using a range of scoring systems, including the Visual Analog Scale (VAS), numerical pain score, and questionnaires. Studies typically favored surgical fixation for improvements in pain scores compared to conservative management, 9,28,45,46,50,57,62,64,66 but some studies found no statistical benefit. 10,37,48,55 The timeframe of data collection for follow-up of quality of life and pain scores varied across studies.…”

Section: Other Outcome Measuresmentioning

confidence: 99%

See 2 more Smart Citations

Surgical Rib Fixation of Multiple Rib Fractures and Flail Chest: A Systematic Review and Meta-analysis

Sawyer

Wullschleger

Muller

et al. 2022

Journal of Surgical Research

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Section: Other Outcome Measuresmentioning

confidence: 99%

Section: Other Outcome Measuresmentioning

confidence: 99%

Section: Other Outcome Measuresmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Rib Fixation of Multiple Rib Fractures and Flail Chest: A Systematic Review and Meta-analysis

Sawyer

Wullschleger

Muller

et al. 2022

Journal of Surgical Research

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“…Yet, another study reported that HLOS, ICU LOS, duration of mechanical ventilation, and mortality were higher in the conservative group compared with those managed surgically (p < 0.001, p < 0.001, p < 0.001, and p = 0.027, respectively) [ 23 ]. However, there was no statistical difference in complications such as pneumonia or sepsis between patient groups [ 23 ].…”

Section: Reviewmentioning

confidence: 99%

Rib Plating as an Effective Approach to Managing Traumatic Rib Injuries: A Review of the Literature

Adereti¹,

Meyer²,

Adereti³

et al. 2022

Cureus

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Timely repair is essential to maximizing outcomes in patients with traumatic rib injuries, whether in the presence or absence of flail chest (FC) or existing as single or multiple rib fractures (MRF), due to its high morbidity and mortality rate. This review focuses primarily on the plating system as an effective surgical approach to stabilizing these injuries.Literature was surveyed using the Google Scholar, PLOS One, and PubMed search engines between August 2021 and April 2022. A total of 34 articles were included herein, and primary and secondary outcomes were assessed. The primary outcomes of interest were intensive care unit length-of-stay (ICU LOS), hospital length-of-stay (HLOS), ventilatory requirements, and mortality rate. The secondary outcomes of interest were postoperative pain level and postoperative complications.The majority of the studies included herein reported lower ICU LOS, HLOS, and ventilation requirements in surgical patients when compared to conservatively managed patients. However, variables such as the presence or absence of FC also impacted outcomes in certain studies. Mortality rate and postoperative pain were largely underreported in the selected studies, but limited data from these studies suggest that these outcomes tend to be lower in surgical patients compared to those treated conservatively. When present, postoperative complications were often less severe amongst surgical patients compared to conservatively managed patients. Results further suggest that surgical repair is associated with lower pain severity as early as 72 hours postop. Likewise, findings suggest that early rib fracture stabilization is superior to late stabilization and often yields a sooner return to a baseline health status.Few studies report little to no statistical difference in primary and secondary outcomes between operative and conservative treatment. However, there is greater evidence that suggests the contrary, with better short-term and potential for better long-term outcomes in patients who undergo rib fixation.

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“…Balcı et al preferred titanium plate for this purpose and found that the material did not interfere with the visualization in thoracic CT and MRI taken after the plate application [10].…”

Section: Locking Plates (Figurementioning

confidence: 99%

Surgical Approach to Rib Fractures

Dubus¹

2022

Trauma and Emergency Surgery

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Rib fractures due to thorax trauma are one of the issues that mostly concern thoracic surgeons. Treatment for rib fractures is usually conservative. However, in some cases, fractured rib can cause complicated situations and surgical repair is required. Very serious respiratory problems occur in multiple costa fractures. Therefore, many advantages of surgical stabilization of the thorax wall have been reported. Especially shortening mechanical ventilation, decreasing the duration of intensive care unit stay, is important in preventing complications. Operation indications; Persistent pain despite intercostal block, narcotic and nonsteroidal anti-inflammatory analgesics, It was determined upon the presence of leakage from the thorax tube, intrathoracic hematoma and flail chest deformity. Nowadays, nithinol plates and titanium plates are frequently used in surgeon fixation of the rib fractures.

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The benefits of early rib fixation for clinical outcomes of flail chest patients in intensive care unit

Cited by 8 publications

References 27 publications

Surgical Rib Fixation of Multiple Rib Fractures and Flail Chest: A Systematic Review and Meta-analysis

Surgical Rib Fixation of Multiple Rib Fractures and Flail Chest: A Systematic Review and Meta-analysis

Rib Plating as an Effective Approach to Managing Traumatic Rib Injuries: A Review of the Literature

Surgical Approach to Rib Fractures

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