Analysis of the Status, Treatment and Outcomes of Rib Fractures

Completed

• Conditions: Rib Fracture; Trauma

• Registration Number: NCT02487264
• Lead Sponsor: Milton S. Hershey Medical Center

Brief Summary

A retrospective analysis of all patient presenting with multiple rib fractures to the emergency room of Penn State Hershey Medical Center between 2010-2012. Patient demographics, cause of fracture, outcomes, chronic medical conditions, vital signs, length of stay, pain levels and treatment, and sequelae will be recorded and analyzed.

Detailed Description

This is a retrospective chart review with follow-up phone calls.

The initial part of the study will be a retrospective chart review. For this chart review study, the following data elements will be entered for each participant.

The investigators will perform a retrospective study of patients who have been treated for rib fractures at Penn State Hershey Medical Center (PSHMC). The time period of review will be 1/10/10 - 1/10/12 until 1500 cases have been reviewed. Data collected will be:

* Patient Medical Record Number (MRN)

* Name

* Phone number

* length of stay (admit and discharge date)

* Number of rib fractures per patient

* Cause of rib fracture

* Characteristics of the fracture (unilateral versus bilateral and multiple versus single)

* Pain management used for the rib fracture including pain interventions, medications and all pain scores

* Complications attributable to the rib fracture, including:

1. Shortness of Breath (SOB)

2. Hemothorax,

3. Pneumothorax

4. Flail chest

5. Intubation required

6. Mechanical ventilation required

7. Opioids required for pain

8. Chest tube placement required

* Sequelae of rib fracture, including:

1. Acute Respiratory Deficiency Syndrome (ARDS)

2. Pneumonia

3. Death

4. chronic pain

5. delayed subclavian vessel thrombosis

6. aortic aneurysm

7. tracheobronchial fistula

8. thoracic outlet syndrome

9. Horner's syndrome

* Clinical history of

1. Rib fractures

2. Other fractures

3. Osteoporosis

4. Chronic Obstructive Pulmonary Disease (COPD)

5. Cancer

6. Myocardial Infarction (MI) / Coronary Artery Disease (CAD)

7. Arthritis

8. Parkinson's disease

* Patient characteristics:

1. Age

2. Gender

3. Race

4. Body Mass Index (BMI)

5. Alcohol use

6. Smoking status

7. Marital status

8. Education

9. Initial blood pressure

7.2.2 Follow-up phone calls

The investigators will then attempt to call the patients for follow-up information using a summary explanation of research phone script to obtain the following information:

1. pain score

2. quality of life via the EuroQol's quality of life survey :EQ-5D-3L questionnaire

3. pain meds

Study Timeline

• Study Start: 2013-06
• Study First Submitted: 2015-04-05
• Study First Submitted QC: 2015-06-26
• Study First Posted: 2015-07-01
• Primary Completion: 2016-10-30
• Study Completion: 2017-12-14
• Status Verified: 2018-06
• Last Update Submitted: 2018-06-19
• Last Update Posted: 2018-06-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 921

Inclusion Criteria

• must have above and be notated in our medical record

Exclusion Criteria

• missing data

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Types and treatment of Rib Fractures	Past 4 years	* Characteristics of the fracture (unilateral versus bilateral and multiple versus single); * Pain management used for the rib fracture including pain interventions, medications and all pain scores

Secondary Outcome Measures

Name	Time	Method
sequelae and complications from rib fractures	Past 4 years	sequelae and complications in patients presenting with rib fractures: •Complications attributable to the rib fracture, including: 1. Shortness of Breath (SOB); 2. Hemothorax,; 3. Pneumothorax; 4. Flail chest; 5. Intubation required; 6. Mechanical ventilation required; 7. Opioids required for pain; 8. Chest tube placement required
Pain levels	Past 4 years
Patient Characteristics	past 4 years	* Clinical history of; 1. Rib fractures; 2. Other fractures; 3. Osteoporosis; 4. Chronic Obstructive Pulmonary Disease (COPD); 5. Cancer; 6. Myocardial Infarction (MI) / Coronary Artery Disease (CAD); 7. Arthritis; 8. Parkinson's disease; * Patient characteristics: 1. Age; 2. Gender; 3. Race; 4. Body Mass Index (BMI); 5. Alcohol use; 6. Smoking status; 7. Marital status; 8. Education; 9. Initial blood pressure
Current patient quality of life as assessed by telephone survey	past 4 years	Follow-up phone calls; The investigators will then attempt to call the patients for follow-up information using a summary explanation of research phone script to obtain the following information: 1. pain score; 2. quality of life via the EuroQol's quality of life survey :EQ-5D-3L questionnaire; 3. pain meds