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Early Outcomes of Surgical Stabilisation of Traumatic Rib Fractures: Single-Center Review With a Real-World Evidence Perspective.
Sedaghat, Negin; Chiong, Corinna; Tjahjono, Richard; Hsu, Jeremy.
Afiliação
  • Sedaghat N; Department of General Surgery, Westmead Hospital, Westmead, New South Wales, Australia.
  • Chiong C; Department of General Surgery, Westmead Hospital, Westmead, New South Wales, Australia.
  • Tjahjono R; Department of General Surgery, Westmead Hospital, Westmead, New South Wales, Australia; Trauma Service, Westmead Hospital, Westmead, New South Wales, Australia.
  • Hsu J; Department of General Surgery, Westmead Hospital, Westmead, New South Wales, Australia; Trauma Service, Westmead Hospital, Westmead, New South Wales, Australia; Discipline of Surgery, Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Australia. Electronic address: jerem
J Surg Res ; 264: 222-229, 2021 08.
Article em En | MEDLINE | ID: mdl-33838406
ABSTRACT

BACKGROUND:

Randomized controlled trials have demonstrated that surgical stabilization of rib fractures (SSRF) in selected trauma patients is associated with potential benefits. This study evaluates the real-world outcomes of SSRF since its implementation at Westmead Hospital, Australia. We hypothesize these outcomes to be similar to that reported by best-evidence in the literature. MATERIALS AND

METHODS:

A retrospective analysis of data on all consecutive SSRF performed between January 2013 to December 2018 was completed.

RESULTS:

Sixty-three patients (54 male; average age 55.9 ± 14.1 y) with median ISS 24 (IQR 17;30) underwent SSRF. Thirty-seven patients were admitted to Intensive Care Unit (ICU), with median ICU length of stay (LOS) 10.0 (5.0-17.0) d. Median hospital LOS was 15.5 (10.0-24.8) d. Fifty-five (87.3%) patients did not have any surgery-specific complications. The highest observed surgical morbidity was wound infection (n = 4, 4.7%). There was one mortality after rib fixation that was not related to surgery. SSRF within 3 d of hospital presentation in ventilated patients with flail chest was associated with significantly reduced median ICU LOS (3.0 [2.0;4.0] versus 10.0 [9.3;13.0] d; P = 0.03). Early (2013-2015) versus late (2015-2018) phase SSRF implementation demonstrated no significant difference in outcome variables.

CONCLUSION:

Experience with SSRF demonstrates early outcomes similar to best-evidence in the existing literature. As a quality assurance tool, ongoing evaluation of real-world data is needed to ensure that outcomes remain consistent with benchmarks available from best-evidence.
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Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Respiração Artificial / Fraturas das Costelas / Tempo para o Tratamento / Tórax Fundido / Fixação Interna de Fraturas Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Oceania Idioma: En Revista: J Surg Res Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Respiração Artificial / Fraturas das Costelas / Tempo para o Tratamento / Tórax Fundido / Fixação Interna de Fraturas Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Oceania Idioma: En Revista: J Surg Res Ano de publicação: 2021 Tipo de documento: Article