Medico-Economic Analysis of Management of Flail Chest Between Medical Treatment and Surgical Treatment With Stracos

Poitiers University Hospital310 enrolled

Overview

Optimize the management of polytraumatises with flail chest: surgical treatment Stracos by decreasing the length of stay and the late complications: pain chronicles, quality of life, respiratory function

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

310

Conditions

Polytraumatises With Rib Fractures

Interventions

Thoracic osteosyntheses with StracosDEVICE

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with flail chest including bifocal fracture of three or more consecutive ribs in at least two places with or without paradoxical movement * The surgical procedure was performed in the first 48 hours after admission * pathology with prognosis for survival 6-month-old inferior Exclusion Criteria: * Paraplegia or Tetraplegia * Patients having the necessity of neurosurgical treatment or reanimation of neurosurgical * Aorta hematoma or rupture * ß-HCG positive in women * titanium allergy

Locations (1)

Hospital University of Poitiers

Poitiers, France

RECRUITING

Outcomes

Primary Outcomes

Average cost hospitalization

Average cost hospitalization without the intensive care cost.The cost of the hospitalization will be calculated by adding the cost of the surgery and hospital stay- time of the surgery-The number of Stracos used by patient

Time frame: 4 weeks

Secondary Outcomes

length of hospital stays of the intensive care department

From the first day to the last day in the intensive care department. Care department - monitoring patients with traumatic hemothorax - lung pulmonary infectious associated -

Time frame: 4 weeks

length of hospital stays

From the first day to the last day in the hospital

Time frame: 4 weeks

occurence of pulmonary infection

Time frame: 12 months of follow up

The vital capacity (VC)

Volume measurement (L)

Time frame: visit 3 months, visit 6 months, visit 12 months after the surgery

The expiratory reserve volume (ERV)

Volume measurement (L)

Time frame: visit 3 months, visit 6 months, visit 12 months after the surgery

The total lung capacity (TLC)

Volume measurement (L)

Time frame: visit 3 months, visit 6 months, visit 12 months after the surgery

Residual volume (RV)

Volume measurement (L)

Time frame: visit 3 months, visit 6 months, visit 12 months after the surgery

Central Contacts

Christophe CJ JAYLE, PI

CONTACT

05.49.44.30.07 christophe.jayle@chu-poitiers.fr

Data from ClinicalTrials.gov

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