The aim of the study is to investigate the effect of surgical stabilisation of rib fractures on clinical outcomes in patients that are not dependent on mechanical ventilation at the time of the treatment decision. To this end, data on all eligible patients will be extracted from the TraumaRegister® DGU. Baseline demographics will be analysed using descriptive statistics. Propensity matching will be conducted between the operative cohort (receiving SSRF by any technique) and the conservative cohort (not receiving SSRF). The effect of SSRF on the outcome variables will then be assessed using appropriate statistical tests.
Study Type
OBSERVATIONAL
Enrollment
35,974
Surgical stabilisation of rib fractures using any fixation technique (including but not limited to plate fixation, intramedullary fixation, wire fixation) via any operative approach (including but not limited to open external approach, minimally invasive approach, thoracoscopic approach, thoracotomy approach).
Any supportive or specific treatment of rib fractures excluding surgical stabilisation of rib fractures. This includes, but is not limited to analgesia, physiotherapy, non-invasive ventilation, mechanical ventilation, oxygen-supplementation.
Department for trauma, hand and reconstructive surgery, University hospital Muenster
Münster, North Rhine-Westphalia, Germany
In-hospital mortality
Number of patients who died in the hospital and mortality rate up to hospital discharge
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Duration of mechanical ventilation
The duration in hours a patient spent intubated from the time of hospital admission to the time of initial hospital discharge
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Duration of intensive care unit stay.
The duration in days a patient spent in the intensive care unit from the time of hospital admission to the time of initial hospital discharge.
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Proportion of patients intubated at any time
Proportion of patients intubated at any time from time of injury to initial hospital discharge
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Duration of hospital stay
Duration of the initial hospital stay in days
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Rate of single organ failure
The Rate of single organ failure from injury to initial hospital discharge
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Rate of multiorgan failure
The Rate of multiorgan failure from injury to initial hospital discharge
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Rate of respiratory failure
The Rate of respiratory failure from injury to initial hospital discharge
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Rate of sepsis
The Rate of sepsis from injury to initial hospital discharge
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Clinical outcome
Clinical outcome according to the Glasgow Outcome Scale
Time frame: At the time of initial hospital discharge or death, whichever came first, assessed up to 2 month.
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