The study aims to investigate the effect of surgical stabilisation of rib fractures (SSRF) on clinical outcomes measured during the hospital stay (mortality, days on a mechanical ventilator, intensive care unit and hospital length of stay, rate of complications). Furthermore, the effect of the patients age and overall injury severity on the outcomes after SSRF will be investigated. We hypothesise that the combination of high age and high injury severity will lead to worse outcomes after SSRF.
Study Type
OBSERVATIONAL
Enrollment
700
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
RECRUITINGIn hospital-mortality
Mortality rate from injury to initial hospital discharge, binary
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Intensive care unit length of 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.
Intubation rate
Proportion of patients intubated at any time
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Multi-organ failure
Rate of Multi-organ failure
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Single organ failure
Rate of single organ failure
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Sepsis
Rate of Sepsis
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Lung-failure
Rate of Lung-failure
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 (GOS)
Time frame: At the time point of initial hospital discharge or at death, whichever came first, assessed up to 2 month.
Duration of hospital stay
Duration of hospital stay in days from injury to initial discharge
Time frame: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
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