Long-term follow-up after rib fixation for flail chest and multiple rib fractures.
Purpose: Rib fixation for flail chest has been shown to improve in-hospital outcome, but little is known about treatment for multiple rib fractures and long-term outcome is scarce. The aim of this study was to describe the safety, long-term quality of life, and implant-related irritation after rib f...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 45; no. 4; pp. 645 - 655 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137992053&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137992053 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Aug2019 vid: 45 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 137992053 137992053 137992053 10.1007/s00068-018-1009-5 137992053 ppf: 645 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Long-term follow-up after rib fixation for flail chest and multiple rib fractures. aug: au: Beks, Reinier B. de Jong, Mirjam B. Houwert, Roderick M. Sweet, Arthur A. R. De Bruin, Ivar G. J. M. Govaert, Geertje A. M. Wessem, Karlijn J. P. Simmermacher, Rogier K. J. Hietbrink, Falco Groenwold, Rolf H. H. Leenen, Luke P. H. affil: Department of Surgery, University Medical Center Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands sug: subj: After Care Rib Fractures Surgery Flail Chest Surgery Postoperative Complications Treatment Outcomes Human Quality of Life Pneumonia Clinical Assessment Tools Device Removal Scales Long Term Care ab: Purpose: Rib fixation for flail chest has been shown to improve in-hospital outcome, but little is known about treatment for multiple rib fractures and long-term outcome is scarce. The aim of this study was to describe the safety, long-term quality of life, and implant-related irritation after rib fixation for flail chest and multiple rib fractures. Methods: All adult patients with blunt thoracic trauma who underwent rib fixation for flail chest or multiple rib fractures between January 2010 and December 2016 in our level 1 trauma facility were retrospectively included. In-hospital characteristics and implant removal were obtained via medical records and long-term quality of life was assessed over the telephone. Results: Of the 864 patients admitted with ≥ 3 rib fractures, 166 (19%) underwent rib fixation; 66 flail chest patients and 99 multiple rib fracture patients with an ISS of 24 (IQR 18–34) and 21 (IQR 16–29), respectively. Overall, the most common complication was pneumonia (n = 58, 35%). Six (9%) patients with a flail chest and three (3%) with multiple rib fractures died, only one because of injuries related to the thorax. On average at 3.9 years, follow-up was obtained from 103 patients (62%); 40 with flail chest and 63 with multiple rib fractures reported an EQ-5D index of 0.85 (IQR 0.62–1) and 0.79 (0.62–0.91), respectively. Forty-eight (48%) patients had implant-related irritation and nine (9%) had implant removal. Conclusions: We show that rib fixation is a safe procedure and that patients reported a relative good quality of life. Patients should be counseled that after rib fixation approximately half of the patients will experience implant-related irritation and about one in ten patients requires implant material removal. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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