When will pulmonary function recover after rib fracture?

Hwang, Eun Gu; Lee, Yun‐Jung

doi:10.12965/jer.2040044.022

Cited by 10 publications

(11 citation statements)

References 14 publications

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“…It has been proved in our previous studies that the fractures of multiple continuous ribs may cause severe impairment of pulmonary function (PF). [10][11]Meanwhile, it has also been proved that the internal xation of rib fracture can signi cantly improve the impaired PF in the acute phase, which has also been con rmed by a great number of studies [12][13][14]. In this study, we con rmed that costal cartilage fractures may also cause the impaired integrity of thoracic cage.…”

Section: Resultssupporting

confidence: 67%

Surgical Treatment of Costal Cartilage Fractures With Titanium Plate Internal Fixation

Zhao

Yang

et al. 2021

Preprint

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Background: This study aim to evaluate surgical procedures for titanium plate internal fixation of costal cartilage fractures with displacement or nonunion. Methods: From January 2019 to October 2020, 13 patients with costal cartilage fractures were treated with titanium plate internal fixation in the thoracic surgery department of the Shanghai Sixth People’s Hospital. Pain severity scale scores and respiratory function were evaluated preoperatively and postoperatively. All the patients had a 6-month follow-up for treatment evaluation. Results: The mean hospital length of stay was 10.7 days. A statistically significant difference (P < 0.05) was found between preoperative and postoperative pain severity scores( 7.69 vs. 5.00). VC (24.6% vs. 44.5%) and FEV1 (25.3% vs. 44.0%) were also significantly different before operation and after operation (P<0.05). At follow-up, healing of the nonunion or fracture was confirmed in all the cases. Conclusion: The rigid titanium plate application ensured a safe and easy management of costal cartilage fractures and nonunion with a good prognosis as compared with other methods.

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Section: Resultssupporting

confidence: 67%

Surgical Treatment of Costal Cartilage Fractures With Titanium Plate Internal Fixation

Zhao

Yang

et al. 2021

Preprint

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“…19 However, it is not a determinant of the length of the post-rib fracture medical rehabilitation program, which is determined by the presence or absence of comorbid Chronic Obstructive Pulmonary Disease (COPD) before the occurrence of thoracic trauma. 20 Thoracic trauma was not accompanied by bilateral rib fractures in this study. This is different from a study in the United States which reported that 120 patients out of 385 cases of thoracic trauma experienced bilateral rib fractures.…”

Section: Discussionmentioning

confidence: 45%

Chest Trauma Score of Thoracic Trauma Patients in Dr. Mohammad Hoesin Palembang January-June 2020

Marrantiza¹,

Umar

Bermansyah

et al. 2021

sjs

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Introduction: Thoracic trauma has mortality rates varying from 10% to 60%. Various scoring frameworks have been created for prognostic value in thoracic trauma patients, including the chest trauma score (CTS). This has not been studied in Indonesian patients. The authors decided to study the picture of CTS in thoracic trauma patients in the Indonesian subpopulation, especially in our hospital. Methods: This research is an analytical observational study at dr. Mohammad Hoesin (RSMH) Palembang in January-June 2020. Our research variables are age, lung contusions, number of rib fractures, bilateral rib fractures, and Chest Trauma Score (CTS). 37 cases could be analyzed with the length of stay, ICU care, mortality, and surgery option. Results: The most common thoracic trauma occurred at the age between less than 45 years, the highest degree of lung contusions was unilateral minor lung contusions. The most common rib fractures were <3 rib fractures. Chest Trauma Score in this study were less than 5. The CTS score had a significant relationship with length of stay and the need of ICU, but was not significantly associated with mortality and surgery option. Conclusion: Chest trauma score can be used to consider the length of treatment and priority needs of the ICU which will be prepared for the management of thoracic trauma patients, especially the young who are accompanied by lung contusions and rib fractures.

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“…The improvement of FEV1 was also higher in good compliance patients, although there was no significant difference. Regular performance of lung expansion exercise and pulmonary rehabilitation showed impact on final PFT parameters in rib fractures patients [8,30]. Additionally, the frequency of using this spirometry system has positive effects on patients' rehabilitation.…”

Section: Discussionmentioning

confidence: 92%

The Feasibility and Efficiency of Remote Spirometry System on the Pulmonary Function for Multiple Ribs Fracture Patients

Liao

Young

Cheng

et al. 2021

JPM

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Background: Multiple rib fractures is a common chest trauma with a significant and sustained impact on pulmonary function and quality of life. Continuous monitoring of the pulmonary function parameter was necessary to adjust the therapeutic goals in these patients. We developed an internet-based remote system for lung function monitoring with a remote spirometry and smart device application to follow up these patients consecutively. Method: From Jan 2021 to April 2021, we conducted a prospective study that applied an intelligent spirometry system for patients with multiple rib fractures. With informed consent, we collected clinical data from them and introduced the remote spirometry system. We followed up with these patients for 12 weeks after trauma and compared the recovery of pulmonary function parameters and clinical outcomes. Result: A total of 21 patients were enrolled in our study. We divided them into two groups by the compliance to this remote spirometry system. The improvement of forced vital capacitywas better in the good compliance group than the poor compliance group (110% versus 21%, p value 0.049). Moreover, the complication rate was also lower in the good compliance group than the poor compliance group (10% versus 66.7% p value 0.017). Conclusion: Remote spirometry system is a novel system that can help in lung rehabilitation in patients with multiple rib fractures. Patients that cooperate well with this system presented superior lung function improvement and inferior complication rate.

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When will pulmonary function recover after rib fracture?

Cited by 10 publications

References 14 publications

Surgical Treatment of Costal Cartilage Fractures With Titanium Plate Internal Fixation

Surgical Treatment of Costal Cartilage Fractures With Titanium Plate Internal Fixation

Chest Trauma Score of Thoracic Trauma Patients in Dr. Mohammad Hoesin Palembang January-June 2020

The Feasibility and Efficiency of Remote Spirometry System on the Pulmonary Function for Multiple Ribs Fracture Patients

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