onoperative versus operative treatment for flail chest and multiple rib fractures after blunt thoracic trauma. A multicenter prospective cohort study.

Conditions: rib fracture
blunt thoracic trauma
nonoperative
rib fracture fixation
hospital length of stay
intensive care unit length of stay

Registration Number: NL-OMON23596

Lead Sponsor: DePuy Synthes

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: Not specified

Target Recruitment: 250

Inclusion Criteria

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.

Exclusion Criteria

- Mentally impaired patients who are unable to fill in the EQ5D-5L questionnaire

- Non-traumatic rib fractures

Study & Design

Study Type: Observational non invasive

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
- Intensive care unit length of stay for patients with a flail chest <br><br /><br /><br>- Hospital length of stay for patients with multiple rib fractures

Secondary Outcome Measures

Name	Time	Method
- Numerical rating scale (NRS) for pain on day 3, 5, 7 and 14<br /><br>- Pneumonia during hospital stay; date of pneumonia<br /><br>- In hospital mortality<br /><br>- Days of epidural / IV / systematic analgesia (morphine)<br /><br>- Number of days admitted to Intensive Care Unit (ICU)<br /><br>- Number of days on mechanical ventilation`<br /><br>- Number of days in need oxygen therapy<br /><br>- Vital capacity<br /><br>- Tracheostomy yes / no<br /><br>- Number of complications during admission<br /><br>- Total number of days admitted in the hospital<br /><br>- Quality of life as measured with EQ5D-5L 1 year after trauma<br /><br>- Lung function related problems as measured with the mMRC 1 year after trauma<br /><br>- Implant related complaints and removal yes / no<br /><br>- Cost-effectiveness of rib fixation<br /><br>- Chest tube yes/no