Surgical Stabilisation of Rib Fractures in Non-ventilated Patients

University Hospital Muenster

Status: Completed

Conditions: Thorax; Fracture; Rib Fractures

Treatments: Other: Non-operative management of rib fractures; Procedure: Surgical stabilisation of rib fractures (SSRF)

Study type: Observational

Funder types: Other

Identifiers

NCT06464289

2023-007

UKM_UCH_2024_001

Details and patient eligibility

About

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.

Enrollment: 35,974 patients

Sex: All

Ages: 10 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Rib AIS of ≥ 3
• Initial hospital treatment

Exclusion criteria

• Intubated preclinically or in the emergency department
• Glasgow coma scale (GCS) < 9 at the time of the primary survey in the emergency department
• No in-patient hospital management

Trial design

35,974 participants in 2 patient groups

Operative

Description:

Patients receiving surgical stabilisation of rib fractures (SSRF) by any operative technique

Treatment:

Procedure: Surgical stabilisation of rib fractures (SSRF)

Other: Non-operative management of rib fractures

Non-operative

Description:

Patients not receiving surgical stabilisation of rib fractures (SSRF)

Treatment:

Other: Non-operative management of rib fractures