Mortality Causes in Rib Surgery Patients

This study retrospectively investigates the causes of mortality and morbidity in patients undergoing rib fracture surgery due to blunt trauma. The primary objective is to determine whether pulmonary contusion or associated extrathoracic trauma plays a more significant role in adverse outcomes. Data collected includes patient demographics, trauma mechanisms, associated injuries, surgical timing, and clinical outcomes. The study aims to provide insights into improving management strategies for trauma patients and reducing complication rates through early identification and tailored interventions.

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Key information

Conditions

Flail Chest Blunt Trauma Fractures, Bone Multiple Trauma Pulmonary Contusion Rib Fractures Thoracic Injuries Wounds and Injuries Wounds, Nonpenetrating

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Observational

About this study

This retrospective study investigates the underlying causes of morbidity and mortality in patients who underwent rib stabilization surgery due to blunt trauma-induced rib fractures. The primary objective is to determine whether pulmonary contusion or associated extrathoracic trauma plays a more significant role in adverse outcomes such as pneumonia, prolonged air leaks, tracheostomy, wound infections, and mortality.

The study includes patients diagnosed with flail chest who underwent rib stabilization surgery between January 1, 2014, and January 1, 2024, at a single tertiary care center. Collected data encompasses patient demographics, trauma mechanisms, associated injuries (thoracic and extrathoracic), surgery timing (early vs. late stabilization), ventilator settings, extubation duration, intensive care unit (ICU) and hospital length of stay, laboratory parameters, and clinical outcomes.

Key outcomes include the incidence of morbidity (e.g., pneumonia, prolonged air leak, wound infections) and mortality. Statistical analyses will evaluate the relationship between these outcomes and factors such as the severity and timing of injuries, surgery timing, trauma mechanisms, and associated injuries.

The study aims to provide valuable insights into optimizing the management of flail chest patients, emphasizing the importance of early rib stabilization and a multidisciplinary approach. These findings are expected to contribute to the development of standardized protocols for patient selection and intervention timing, potentially improving patient outcomes in multitrauma settings.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients aged 18-80 years diagnosed with flail chest following blunt trauma who underwent rib stabilization surgery
Those with complete clinical and laboratory data
Those with at least 30 days of follow-up after surgery.

Exclusion criteria

Patients under 18 years of age
Flail chest patients who did not require rib stabilization surgery
Patients with incomplete clinical or laboratory data
Those with penetrating thoracic trauma.

Treatment and study plan

Rib fractures manangement

Other

This is an observational study, so participants are not assigned interventions. However, the study investigates the outcomes of patients undergoing rib stabilization surgery as part of their routine clinical care. The exposure of interest includes surgical rib stabilization and its timing, combined with any related clinical and care procedures. The outcomes and clinical data collected reflect routine care practices.

Primary outcomes

Mortality Rate in Patients Undergoing Rib Stabilization Surgery

Time frame: Within 30 days post-surgery

The primary outcome measure is the overall mortality rate among patients with flail chest due to blunt trauma, treated with rib stabilization surgery. The analysis will focus on the association between mortality and factors such as trauma severity and associated injuries.

Sponsors and collaborators

Lead sponsor

Caner İşevi, MD

Other

Registry information

Official study title

The Underlying Cause of Mortality and Morbidity in Patients Undergoing Rib Fracture Surgery: Pulmonary Contusion or Associated Extrathoracic Trauma?

Important dates

Study start: 2014
Primary completion: 2024
Study completion: 2024
First posted: Jan 1, 2025
Registry last updated: Jan 1, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed