Comparison of long-term outcomes from rib fractures for patients undergoing both operative and non-operative management: a survey analysis
Introduction Surgical stabilization of rib fractures (SSRF) has been gaining popularity for the treatment of rib fractures. Limited literature exists regarding the long-term effects of SSRF versus non-operative (NO) intervention. The goal of this study is to better understand these long-term effects...
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| Veröffentlicht in: | European journal of trauma and emergency surgery (Munich : 2007) 2022-08, Vol.48 (4), p.3299-3304 |
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| creator | Bauman, Zachary Mitchel Visenio, Michael Patel, Megha Sprigman, Connor Raposo-Hadley, Ashley Pieper, Collin Holloway, Micah Orcutt, Gunnar Cemaj, Samuel Evans, Charity Cantrell, Emily |
| description | Introduction
Surgical stabilization of rib fractures (SSRF) has been gaining popularity for the treatment of rib fractures. Limited literature exists regarding the long-term effects of SSRF versus non-operative (NO) intervention. The goal of this study is to better understand these long-term effects, hypothesizing SSRF patients have better outcomes.
Methods
IRB approved survey study at our Level I trauma center. Patients suffering rib fractures from 1/2017 through 1/2019 were surveyed via phone call and asked five questions. Basic demographics obtained. The five survey questions asked: “Are you still experiencing pain from your rib fractures?”; “If yes, how would you rate your pain 1–10?”; “Are you back to your baseline activity level?”; “If no, is this related to your rib fractures?”; “Do you feel your rib fractures moving/clicking?” Paired
t
test, Chi square, and median tests were utilized. Significance was set at
p
|
| doi_str_mv | 10.1007/s00068-022-01900-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2633919416</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2699829879</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-3c9ce1831d22ed852807da95a7b67c490db6a201164d895d4217db8ade9c71173</originalsourceid><addsrcrecordid>eNp9kctqHDEQRYWJ8Sv5gSyCIJtsZOsx3ZKyM0MSGwzeOGuhlmrabVpSR-o2zC_4q6PJ-AFeZFVF1albRV2EPjN6ziiVF4VS2ipCOSeUaUqJPEAnTLWCaL1iH15zIY7RaSkPlaZtw4_QsWg441LzE_S0TmGyeSgp4rTBY4o9mSEHnJbZpQAFb3IKOA9dTaybl7wrpYwnOw8Q54KX6CH3aYg97tJ8j9MEufYeAdvocUyRvFWCjbaHUOe-Y4vLkh9hWzE7bstQPqLDjR0LfHqOZ-j3zx936ytyc_vren15Q5yQzUyE0w6YEsxzDl41XFHprW6s7FrpVpr6rrWcMtauvNKNX3EmfaesB-0kY1KcoW973SmnPwuU2YShOBhHGyEtxfBWCM3qB9uKfn2HPqQl13t3lNaKayV1pfiecjmVkmFjpjwEm7eGUbNzyuydMtUp888ps7viy7P00gXwryMv1lRA7IFSW7GH_Lb7P7J_AVVaoJE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2699829879</pqid></control><display><type>article</type><title>Comparison of long-term outcomes from rib fractures for patients undergoing both operative and non-operative management: a survey analysis</title><source>Springer Nature - Complete Springer Journals</source><creator>Bauman, Zachary Mitchel ; Visenio, Michael ; Patel, Megha ; Sprigman, Connor ; Raposo-Hadley, Ashley ; Pieper, Collin ; Holloway, Micah ; Orcutt, Gunnar ; Cemaj, Samuel ; Evans, Charity ; Cantrell, Emily</creator><creatorcontrib>Bauman, Zachary Mitchel ; Visenio, Michael ; Patel, Megha ; Sprigman, Connor ; Raposo-Hadley, Ashley ; Pieper, Collin ; Holloway, Micah ; Orcutt, Gunnar ; Cemaj, Samuel ; Evans, Charity ; Cantrell, Emily</creatorcontrib><description>Introduction
Surgical stabilization of rib fractures (SSRF) has been gaining popularity for the treatment of rib fractures. Limited literature exists regarding the long-term effects of SSRF versus non-operative (NO) intervention. The goal of this study is to better understand these long-term effects, hypothesizing SSRF patients have better outcomes.
Methods
IRB approved survey study at our Level I trauma center. Patients suffering rib fractures from 1/2017 through 1/2019 were surveyed via phone call and asked five questions. Basic demographics obtained. The five survey questions asked: “Are you still experiencing pain from your rib fractures?”; “If yes, how would you rate your pain 1–10?”; “Are you back to your baseline activity level?”; “If no, is this related to your rib fractures?”; “Do you feel your rib fractures moving/clicking?” Paired
t
test, Chi square, and median tests were utilized. Significance was set at
p
< 0.05.
Results
527 patients were called with 228 unsuccessfully reached. 47 refused to participate. 252 patients (47.8%) participated in the survey; 78 SSRF and 174 NO. Age and gender were similar between cohorts. Majority of patients suffered blunt trauma. No significant difference between ISS; 15 SSRF vs 14 NO. SSRF patients had worse chest trauma with median chest AIS of 3 (IQR 3–4) vs 3 (IQR 3–3) for NO (
p
< 0.001). Response to survey questions revealed similar incidences of pain between SSRF and NO cohorts (28.2% vs 27.6%;
p
= 0.939), however decreased pain scores for SSRF group (2 vs 4;
p
= 0.006). Return to baseline activity was better for the SSRF group (75.6% vs 56.3%;
p
= 0.143) and the incidence of rib fractures being the reason for patients not returning to baseline was decreased (26.3% vs 44.7%;
p
= 0.380). Lastly, SSRF resulted in significantly less movement of rib fractures (3.8% vs 13.8%;
p
= 0.031).
Conclusion
Patients who undergo SSRF show significant long-term improvements in pain scores and better return to baseline function with less overall issues from their rib fractures compared to those managed non-operatively.</description><identifier>ISSN: 1863-9933</identifier><identifier>EISSN: 1863-9941</identifier><identifier>DOI: 10.1007/s00068-022-01900-7</identifier><identifier>PMID: 35212792</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Clinical outcomes ; Critical Care Medicine ; Emergency Medicine ; Fractures ; Intensive ; Medicine ; Medicine & Public Health ; Original Article ; Orthopedics ; Pain ; Rib cage ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Surgical outcomes ; Traumatic Surgery ; Vertebrae</subject><ispartof>European journal of trauma and emergency surgery (Munich : 2007), 2022-08, Vol.48 (4), p.3299-3304</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-3c9ce1831d22ed852807da95a7b67c490db6a201164d895d4217db8ade9c71173</citedby><cites>FETCH-LOGICAL-c375t-3c9ce1831d22ed852807da95a7b67c490db6a201164d895d4217db8ade9c71173</cites><orcidid>0000-0002-6229-0758</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00068-022-01900-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00068-022-01900-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35212792$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bauman, Zachary Mitchel</creatorcontrib><creatorcontrib>Visenio, Michael</creatorcontrib><creatorcontrib>Patel, Megha</creatorcontrib><creatorcontrib>Sprigman, Connor</creatorcontrib><creatorcontrib>Raposo-Hadley, Ashley</creatorcontrib><creatorcontrib>Pieper, Collin</creatorcontrib><creatorcontrib>Holloway, Micah</creatorcontrib><creatorcontrib>Orcutt, Gunnar</creatorcontrib><creatorcontrib>Cemaj, Samuel</creatorcontrib><creatorcontrib>Evans, Charity</creatorcontrib><creatorcontrib>Cantrell, Emily</creatorcontrib><title>Comparison of long-term outcomes from rib fractures for patients undergoing both operative and non-operative management: a survey analysis</title><title>European journal of trauma and emergency surgery (Munich : 2007)</title><addtitle>Eur J Trauma Emerg Surg</addtitle><addtitle>Eur J Trauma Emerg Surg</addtitle><description>Introduction
Surgical stabilization of rib fractures (SSRF) has been gaining popularity for the treatment of rib fractures. Limited literature exists regarding the long-term effects of SSRF versus non-operative (NO) intervention. The goal of this study is to better understand these long-term effects, hypothesizing SSRF patients have better outcomes.
Methods
IRB approved survey study at our Level I trauma center. Patients suffering rib fractures from 1/2017 through 1/2019 were surveyed via phone call and asked five questions. Basic demographics obtained. The five survey questions asked: “Are you still experiencing pain from your rib fractures?”; “If yes, how would you rate your pain 1–10?”; “Are you back to your baseline activity level?”; “If no, is this related to your rib fractures?”; “Do you feel your rib fractures moving/clicking?” Paired
t
test, Chi square, and median tests were utilized. Significance was set at
p
< 0.05.
Results
527 patients were called with 228 unsuccessfully reached. 47 refused to participate. 252 patients (47.8%) participated in the survey; 78 SSRF and 174 NO. Age and gender were similar between cohorts. Majority of patients suffered blunt trauma. No significant difference between ISS; 15 SSRF vs 14 NO. SSRF patients had worse chest trauma with median chest AIS of 3 (IQR 3–4) vs 3 (IQR 3–3) for NO (
p
< 0.001). Response to survey questions revealed similar incidences of pain between SSRF and NO cohorts (28.2% vs 27.6%;
p
= 0.939), however decreased pain scores for SSRF group (2 vs 4;
p
= 0.006). Return to baseline activity was better for the SSRF group (75.6% vs 56.3%;
p
= 0.143) and the incidence of rib fractures being the reason for patients not returning to baseline was decreased (26.3% vs 44.7%;
p
= 0.380). Lastly, SSRF resulted in significantly less movement of rib fractures (3.8% vs 13.8%;
p
= 0.031).
Conclusion
Patients who undergo SSRF show significant long-term improvements in pain scores and better return to baseline function with less overall issues from their rib fractures compared to those managed non-operatively.</description><subject>Clinical outcomes</subject><subject>Critical Care Medicine</subject><subject>Emergency Medicine</subject><subject>Fractures</subject><subject>Intensive</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Rib cage</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Surgical outcomes</subject><subject>Traumatic Surgery</subject><subject>Vertebrae</subject><issn>1863-9933</issn><issn>1863-9941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kctqHDEQRYWJ8Sv5gSyCIJtsZOsx3ZKyM0MSGwzeOGuhlmrabVpSR-o2zC_4q6PJ-AFeZFVF1albRV2EPjN6ziiVF4VS2ipCOSeUaUqJPEAnTLWCaL1iH15zIY7RaSkPlaZtw4_QsWg441LzE_S0TmGyeSgp4rTBY4o9mSEHnJbZpQAFb3IKOA9dTaybl7wrpYwnOw8Q54KX6CH3aYg97tJ8j9MEufYeAdvocUyRvFWCjbaHUOe-Y4vLkh9hWzE7bstQPqLDjR0LfHqOZ-j3zx936ytyc_vren15Q5yQzUyE0w6YEsxzDl41XFHprW6s7FrpVpr6rrWcMtauvNKNX3EmfaesB-0kY1KcoW973SmnPwuU2YShOBhHGyEtxfBWCM3qB9uKfn2HPqQl13t3lNaKayV1pfiecjmVkmFjpjwEm7eGUbNzyuydMtUp888ps7viy7P00gXwryMv1lRA7IFSW7GH_Lb7P7J_AVVaoJE</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Bauman, Zachary Mitchel</creator><creator>Visenio, Michael</creator><creator>Patel, Megha</creator><creator>Sprigman, Connor</creator><creator>Raposo-Hadley, Ashley</creator><creator>Pieper, Collin</creator><creator>Holloway, Micah</creator><creator>Orcutt, Gunnar</creator><creator>Cemaj, Samuel</creator><creator>Evans, Charity</creator><creator>Cantrell, Emily</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6229-0758</orcidid></search><sort><creationdate>20220801</creationdate><title>Comparison of long-term outcomes from rib fractures for patients undergoing both operative and non-operative management: a survey analysis</title><author>Bauman, Zachary Mitchel ; Visenio, Michael ; Patel, Megha ; Sprigman, Connor ; Raposo-Hadley, Ashley ; Pieper, Collin ; Holloway, Micah ; Orcutt, Gunnar ; Cemaj, Samuel ; Evans, Charity ; Cantrell, Emily</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-3c9ce1831d22ed852807da95a7b67c490db6a201164d895d4217db8ade9c71173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Clinical outcomes</topic><topic>Critical Care Medicine</topic><topic>Emergency Medicine</topic><topic>Fractures</topic><topic>Intensive</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Pain</topic><topic>Rib cage</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Surgical outcomes</topic><topic>Traumatic Surgery</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bauman, Zachary Mitchel</creatorcontrib><creatorcontrib>Visenio, Michael</creatorcontrib><creatorcontrib>Patel, Megha</creatorcontrib><creatorcontrib>Sprigman, Connor</creatorcontrib><creatorcontrib>Raposo-Hadley, Ashley</creatorcontrib><creatorcontrib>Pieper, Collin</creatorcontrib><creatorcontrib>Holloway, Micah</creatorcontrib><creatorcontrib>Orcutt, Gunnar</creatorcontrib><creatorcontrib>Cemaj, Samuel</creatorcontrib><creatorcontrib>Evans, Charity</creatorcontrib><creatorcontrib>Cantrell, Emily</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bauman, Zachary Mitchel</au><au>Visenio, Michael</au><au>Patel, Megha</au><au>Sprigman, Connor</au><au>Raposo-Hadley, Ashley</au><au>Pieper, Collin</au><au>Holloway, Micah</au><au>Orcutt, Gunnar</au><au>Cemaj, Samuel</au><au>Evans, Charity</au><au>Cantrell, Emily</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of long-term outcomes from rib fractures for patients undergoing both operative and non-operative management: a survey analysis</atitle><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle><stitle>Eur J Trauma Emerg Surg</stitle><addtitle>Eur J Trauma Emerg Surg</addtitle><date>2022-08-01</date><risdate>2022</risdate><volume>48</volume><issue>4</issue><spage>3299</spage><epage>3304</epage><pages>3299-3304</pages><issn>1863-9933</issn><eissn>1863-9941</eissn><abstract>Introduction
Surgical stabilization of rib fractures (SSRF) has been gaining popularity for the treatment of rib fractures. Limited literature exists regarding the long-term effects of SSRF versus non-operative (NO) intervention. The goal of this study is to better understand these long-term effects, hypothesizing SSRF patients have better outcomes.
Methods
IRB approved survey study at our Level I trauma center. Patients suffering rib fractures from 1/2017 through 1/2019 were surveyed via phone call and asked five questions. Basic demographics obtained. The five survey questions asked: “Are you still experiencing pain from your rib fractures?”; “If yes, how would you rate your pain 1–10?”; “Are you back to your baseline activity level?”; “If no, is this related to your rib fractures?”; “Do you feel your rib fractures moving/clicking?” Paired
t
test, Chi square, and median tests were utilized. Significance was set at
p
< 0.05.
Results
527 patients were called with 228 unsuccessfully reached. 47 refused to participate. 252 patients (47.8%) participated in the survey; 78 SSRF and 174 NO. Age and gender were similar between cohorts. Majority of patients suffered blunt trauma. No significant difference between ISS; 15 SSRF vs 14 NO. SSRF patients had worse chest trauma with median chest AIS of 3 (IQR 3–4) vs 3 (IQR 3–3) for NO (
p
< 0.001). Response to survey questions revealed similar incidences of pain between SSRF and NO cohorts (28.2% vs 27.6%;
p
= 0.939), however decreased pain scores for SSRF group (2 vs 4;
p
= 0.006). Return to baseline activity was better for the SSRF group (75.6% vs 56.3%;
p
= 0.143) and the incidence of rib fractures being the reason for patients not returning to baseline was decreased (26.3% vs 44.7%;
p
= 0.380). Lastly, SSRF resulted in significantly less movement of rib fractures (3.8% vs 13.8%;
p
= 0.031).
Conclusion
Patients who undergo SSRF show significant long-term improvements in pain scores and better return to baseline function with less overall issues from their rib fractures compared to those managed non-operatively.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35212792</pmid><doi>10.1007/s00068-022-01900-7</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6229-0758</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1863-9933 |
| ispartof | European journal of trauma and emergency surgery (Munich : 2007), 2022-08, Vol.48 (4), p.3299-3304 |
| issn | 1863-9933 1863-9941 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2633919416 |
| source | Springer Nature - Complete Springer Journals |
| subjects | Clinical outcomes Critical Care Medicine Emergency Medicine Fractures Intensive Medicine Medicine & Public Health Original Article Orthopedics Pain Rib cage Sports Medicine Surgery Surgical Orthopedics Surgical outcomes Traumatic Surgery Vertebrae |
| title | Comparison of long-term outcomes from rib fractures for patients undergoing both operative and non-operative management: a survey analysis |
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