2023
DOI: 10.1097/js9.0000000000000271
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Timely surgical fixation confers beneficial outcomes in patients’ concomitant flail chest with mild-to-moderate traumatic brain injury: a trauma quality improvement project analysis – a cohort study

Abstract: Background: Traumatic flail chest results in respiratory distress and prolonged hospital stay. Timely surgical fixation of the flail chest reduces respiratory complications, decreases ventilator dependence, and shortens hospital stays. Concomitant head injury is not unusual in these patients and can postpone surgical timing due to the need to monitor the status of intracranial injuries. Reducing pulmonary sequelae also assists in the recovery from traumatic brain injury and improves outcomes. No pr… Show more

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“…Operative treatment of CWI is known to be associated with advantages regarding the clinical course and long-term outcome following polytrauma [30,31]. The positive effects of rib fixation in preventing pneumonia following CWI have been well established [32]. In contrast, no studies have yet been performed on this topic for concomitant clavicle fractures, although surgical fixation of the clavicle fracture appears to be much easier and less likely to cause complications compared with osteosynthesis of rib fractures.…”
Section: Discussionmentioning
confidence: 99%
“…Operative treatment of CWI is known to be associated with advantages regarding the clinical course and long-term outcome following polytrauma [30,31]. The positive effects of rib fixation in preventing pneumonia following CWI have been well established [32]. In contrast, no studies have yet been performed on this topic for concomitant clavicle fractures, although surgical fixation of the clavicle fracture appears to be much easier and less likely to cause complications compared with osteosynthesis of rib fractures.…”
Section: Discussionmentioning
confidence: 99%