An observational study in Flail Chest, Rib Fractures and Thoracic Injuries, sponsored by Caner İşevi, MD. Completed. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-01-01.
Sponsored by Caner İşevi, MD · Observational
This study retrospectively investigates the causes of mortality and morbidity in patients undergoing rib fracture surgery due to blunt trauma. The primary objective is to determine whether pulmonary contusion or associated extrathoracic trauma plays a more significant role in adverse outcomes. Data collected includes patient demographics, trauma mechanisms, associated injuries, surgical timing, and clinical outcomes. The study aims to provide insights into improving management strategies for trauma patients and reducing complication rates through early identification and tailored interventions.
This retrospective study investigates the underlying causes of morbidity and mortality in patients who underwent rib stabilization surgery due to blunt trauma-induced rib fractures. The primary objective is to determine whether pulmonary contusion or associated extrathoracic trauma plays a more significant role in adverse outcomes such as pneumonia, prolonged air leaks, tracheostomy, wound infections, and mortality.
The study includes patients diagnosed with flail chest who underwent rib stabilization surgery between January 1, 2014, and January 1, 2024, at a single tertiary care center. Collected data encompasses patient demographics, trauma mechanisms, associated injuries (thoracic and extrathoracic), surgery timing (early vs. late stabilization), ventilator settings, extubation duration, intensive care unit (ICU) and hospital length of stay, laboratory parameters, and clinical outcomes.
Key outcomes include the incidence of morbidity (e.g., pneumonia, prolonged air leak, wound infections) and mortality. Statistical analyses will evaluate the relationship between these outcomes and factors such as the severity and timing of injuries, surgery timing, trauma mechanisms, and associated injuries.
The study aims to provide valuable insights into optimizing the management of flail chest patients, emphasizing the importance of early rib stabilization and a multidisciplinary approach. These findings are expected to contribute to the development of standardized protocols for patient selection and intervention timing, potentially improving patient outcomes in multitrauma settings.
126 studies on the registry are indexed under Rib Fractures; 28 are open to participants now.
This study's enrollment of 112 is above the median of 100 across 27 observational studies indexed under Rib Fractures.
Browse Rib Fractures studies →Caner İşevi, MD is the lead sponsor of 7 studies on the registry; none are open to participants now.
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Patients with blunt trauma-induced rib fractures leading to flail chest, treated with rib stabilization surgery in a hospital setting.
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Exclusion Criteria:
This is an observational study, so participants are not assigned interventions. However, the study investigates the outcomes of patients undergoing rib stabilization surgery as part of their routine clinical care. The exposure of interest includes surgical rib stabilization and its timing, combined with any related clinical and care procedures. The outcomes and clinical data collected reflect routine care practices.
Mortality Rate in Patients Undergoing Rib Stabilization Surgery
The primary outcome measure is the overall mortality rate among patients with flail chest due to blunt trauma, treated with rib stabilization surgery. The analysis will focus on the association between mortality and factors such as trauma severity and associated injuries.
Time frame: Within 30 days post-surgery
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This study is completed, as verified in Dec 2024. You cannot join it, but the record below documents what was studied.
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Caner İşevi, MD