Quality of life and clinical outcomes of operatively treated patients with flail chest injuries: A multicentre prospective cohort study

Frontiers in Surgery

Surgery

Rolf H. H. Groenwold¹  Frank J. P. Beeres²  Nicole M. van Veelen²  Fabrizio Minervini³  Koen W. W. Lansink⁴  Bas van Wageningen⁵  Frank F. IJpma⁶  Roderick M. Houwert⁷  Mark. C. P. van Baal⁷  Ruben J. Hoepelman⁷  Jochem M. Hoogendoorn⁸ 

[1] Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, Netherlands;Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands;Department of Orthopedics and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland;Department of Thoracic Surgery, Luzerner Kantonsspital, Lucerne, Switzerland;Department of Trauma Surgery, Elisabeth-Tweesteden Hospital, Tilburg, Netherlands;Department of Trauma Surgery, Radboud University Medical Center Utrecht, Nijmegen, Netherlands;Department of Trauma Surgery, University Medical Center Groningen, Groningen, Netherlands;Department of Trauma Surgery, University Medical Center Utrecht, Utrecht, Netherlands;Department of Trauma, Surgery, Haaglanden Medical Center, Hague, Netherlands;

关键词: rib fixation;    flail chest;    rib fracture;    quality of life;    thoracic trauma;   

DOI  :  10.3389/fsurg.2023.1156489

 received in 2023-02-01, accepted in 2023-02-27,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionMost studies about rib fractures focus on mortality and morbidity. Literature is scarce on long term and quality of life (QoL) outcomes. Therefore, we report QoL and long-term outcomes after rib fixation in flail chest patients.MethodsA prospective cohort study of clinical flail chest patients admitted to six level 1 trauma centres in the Netherlands and Switzerland between January 2018 and March 2021. Outcomes included in-hospital outcomes and long-term outcomes, such as QoL measurements 12 months after hospitalization using the EuroQoL five dimensions (EQ-5D) questionnaire.ResultsSixty-one operatively treated flail chest patients were included. Median hospital length of stay was 15 days and intensive care length of stay was 8 days. Sixteen (26%) patients developed pneumonia and two (3%) died. One year after hospitalization the mean EQ5D score was 0.78. Complication rates were low and included hemothorax (6%) pleural effusion (5%) and two revisions of the implant (3%). Implant related irritation was commonly reported by patients (n = 15, 25%).ConclusionsRib fixation for flail chest injuries can be considered a safe procedure and with low mortality rates. Future studies should focus on quality of life rather than solely short-term outcomes.Trial registration: Registered in the Netherlands Trial Register NTR6833 on 13/11/2017 and the Swiss Ethics Committees Registration Number 2019-00668

【 授权许可】

Unknown   
© 2023 Hoepelman, Minervini, Beeres, van Wageningen, IJpma, van Veelen, Lansink, Hoogendoorn, van Baal, Groenwold and Houwert.