The aim of this large multicentre prospective cohort study is to compare rib fixation with nonoperative treatment of a flail chest and multiple rib fractures by evaluating treatment effects in ‘real-world’ patients treated in different level 1…
ID
Bron
Verkorte titel
Aandoening
rib fracture; blunt thoracic trauma; nonoperative; rib fracture fixation; hospital length of stay; intensive care unit length of stay
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
- Intensive care unit length of stay for patients with a flail chest
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- Hospital length of stay for patients with multiple rib fractures
Achtergrond van het onderzoek
Patients with thoracic injury and multiple rib fractures are at high risk of serious health outcomes. Nonoperative treatment for flail chest and multiple rib fractures has been the gold standard but there is an increasing popularity for rib fracture fixation in the last two decades, however, the literature remains scarce. The aim of this large multicentre prospective cohort study is to compare rib fixation with nonoperative treatment for flail chest or multiple rib fractures by evaluating treatment effects in ‘real-world’ patients treated in different level 1 trauma centers by means of a propensity score matched analysis.
Doel van het onderzoek
The aim of this large multicentre prospective cohort study is to compare rib fixation with nonoperative treatment of a flail chest and multiple rib fractures by evaluating treatment effects in ‘real-world’ patients treated in different level 1 trauma centers.
Onderzoeksopzet
- hospital admission
- 6 weeks after discharge
- 1 year after discharge
Onderzoeksproduct en/of interventie
Rib fracture fixation for patients with a flail chest or multiple rib fractures
Publiek
R.M. Houwert
Heidelberglaan 100
Utrecht 3584 CX
The Netherlands
088 755 5555
Wetenschappelijk
R.M. Houwert
Heidelberglaan 100
Utrecht 3584 CX
The Netherlands
088 755 5555
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
All adult (over 18 years) patients presenting at the Emergency Department (ED) of the participating hospitals with a CT scan confirmed flail chest or multiple rib fractures after blunt thoracic trauma will be enrolled in the cohort.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
- Mentally impaired patients who are unable to fill in the EQ5D-5L questionnaire
- Non-traumatic rib fractures
- Rib fractures as a result of cardiopulmonary resuscitation
- Allergy for titanium
Opzet
Deelname
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL6647 |
| NTR-old | NTR6833 |
| Ander register | METC : 17-544/C |