Surgical Stabilisation of Rib Fractures in Non-ventilated Patients: a Retrospective Propensity-matched Analysis Using the Data From the German National Trauma Registry (TraumaRegister of the German Trauma Society (DGU))
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 35,974
- 试验地点
- 1
- 主要终点
- Duration of intensive care unit stay.
研究概览
简要总结
The aim of the study is to investigate the effect of surgical stabilisation of rib fractures on clinical outcomes in patients that are not dependent on mechanical ventilation at the time of the treatment decision. To this end, data on all eligible patients will be extracted from the TraumaRegister® DGU. Baseline demographics will be analysed using descriptive statistics. Propensity matching will be conducted between the operative cohort (receiving SSRF by any technique) and the conservative cohort (not receiving SSRF). The effect of SSRF on the outcome variables will then be assessed using appropriate statistical tests.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 10 Years 至 100 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Rib AIS of ≥ 3
- •Initial hospital treatment
排除标准
- •Intubated preclinically or in the emergency department
- •Glasgow coma scale (GCS) < 9 at the time of the primary survey in the emergency department
- •No in-patient hospital management
结局指标
主要结局
Duration of intensive care unit stay.
时间窗: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
The duration in days a patient spent in the intensive care unit from the time of hospital admission to the time of initial hospital discharge.
In-hospital mortality
时间窗: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
Number of patients who died in the hospital and mortality rate up to hospital discharge
Duration of mechanical ventilation
时间窗: From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.
The duration in hours a patient spent intubated from the time of hospital admission to the time of initial hospital discharge
次要结局
- Rate of respiratory failure(From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.)
- Rate of single organ failure(From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.)
- Proportion of patients intubated at any time(From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.)
- Rate of multiorgan failure(From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.)
- Rate of sepsis(From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.)
- Duration of hospital stay(From injury up to initial hospital discharge or death, whichever came first, assessed up to 2 month.)
- Clinical outcome(At the time of initial hospital discharge or death, whichever came first, assessed up to 2 month.)