An observational study to derive clinically relevant and predictive rib fracture classification systems, based on retrospective and prospective cohorts, incorporating assessment of PROMs (Patient Reported Outcome Measures) and healthcare utilisation
The aim of this study is to derive radiology-based classifications of rib fractures and to test whether such classifications have a value in the prediction of clinical outcomes and patient reported outcome measures. The first aspect of work is to analyse existing radiology investigations (plain chest radiography (CXR) and derive classifications of rib fractures that, in the retrospective cohort of operated and non-operated cases, could have potential value in the guidance of management and prediction of clinical outcomes. The second aspect will be to evaluate the feasibility of collection of Patient Reported Outcome Measures in patients suffering multiple rib fractures, which will be used to assess the impact of the radiological classifications. The indications for surgery will remain according to current clinical practice and the management algorithms that have been developed previously in the department.
Study Type
OBSERVATIONAL
Enrollment
21
Use of MatrixRib, where indicated, according to departmental protocol
Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield, South Yorkshire, United Kingdom
Acute Pain
Visual Analogue Score
Time frame: up to 2 years
Forced Expired Volume in 1 second (FEV1)
Time frame: up to 2 years
Forced Vital Capacity (FVC)
Time frame: up to 2 years
Length of critical care unit stay
Time frame: up to 1 year
Complications during critical care unit stay
adverse events as assessed by CTCAE v4.0
Time frame: up to 1 year
Length of hospital stay
Time frame: up to 1 year
Complications during hospital stay
adverse events as assessed by CTCAE v4.0
Time frame: up to 1 year
Quality of Life - SF36 (Short Form 36)
SF-36
Time frame: up to 2 years
Quality of Life - EQ5D
EuroQol Group EQ5D
Time frame: up to 2 years
Quality of Life - EORTC (European Organisation for the Research and Treatment of Cancer) QLQ-C30 (Quality of Life Questionnaire - Cancer-30)
EORTC QLQ-C30
Time frame: up to 2 years
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Quality of Life - EORTC QLQ-LC13 (Lung Cancer13)
EORTC QLQ-LC13
Time frame: up to 2 years
Healthcare cost
procedural costs plus hospital cost plus community healthcare costs
Time frame: up to 2 years