Analysis of the Status, Treatment and Outcomes of Rib Fractures

Penn State Health

Status

Completed

Conditions

Rib Fracture

Trauma

Study type

Observational

Funder types

Other

Identifiers

NCT02487264

1125

Details and patient eligibility

About

A retrospective analysis of all patient presenting with multiple rib fractures to the emergency room of Penn State Hershey Medical Center between 2010-2012. Patient demographics, cause of fracture, outcomes, chronic medical conditions, vital signs, length of stay, pain levels and treatment, and sequelae will be recorded and analyzed.

Full description

This is a retrospective chart review with follow-up phone calls.

The initial part of the study will be a retrospective chart review. For this chart review study, the following data elements will be entered for each participant.

The investigators will perform a retrospective study of patients who have been treated for rib fractures at Penn State Hershey Medical Center (PSHMC). The time period of review will be 1/10/10 - 1/10/12 until 1500 cases have been reviewed. Data collected will be:

Patient Medical Record Number (MRN)
Name
Phone number
length of stay (admit and discharge date)
Number of rib fractures per patient
Cause of rib fracture
Characteristics of the fracture (unilateral versus bilateral and multiple versus single)
Pain management used for the rib fracture including pain interventions, medications and all pain scores
Complications attributable to the rib fracture, including:
1. Shortness of Breath (SOB)
2. Hemothorax,
3. Pneumothorax
4. Flail chest
5. Intubation required
6. Mechanical ventilation required
7. Opioids required for pain
8. Chest tube placement required
Sequelae of rib fracture, including:
1. Acute Respiratory Deficiency Syndrome (ARDS)
2. Pneumonia
3. Death
4. chronic pain
5. delayed subclavian vessel thrombosis
6. aortic aneurysm
7. tracheobronchial fistula
8. thoracic outlet syndrome
9. Horner's syndrome
Clinical history of
1. Rib fractures
2. Other fractures
3. Osteoporosis
4. Chronic Obstructive Pulmonary Disease (COPD)
5. Cancer
6. Myocardial Infarction (MI) / Coronary Artery Disease (CAD)
7. Arthritis
8. Parkinson's disease
Patient characteristics:
1. Age
2. Gender
3. Race
4. Body Mass Index (BMI)
5. Alcohol use
6. Smoking status
7. Marital status
8. Education
9. Initial blood pressure

7.2.2 Follow-up phone calls

The investigators will then attempt to call the patients for follow-up information using a summary explanation of research phone script to obtain the following information: