Surgical treatment of multiple rib fractures and flail chest in trauma: a one-year follow-up study
| Autor: | Monika Fagevik Olsén, Hans Granhed, David Pazooki, Eva-Corina Caragounis |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Quality of life
Vital capacity medicine.medical_specialty Flail chest Trauma 03 medical and health sciences 0302 clinical medicine Medicine Prospective cohort study Rib cage business.industry 030208 emergency & critical care medicine medicine.disease Rib fractures Lung function Surgery Blunt trauma 030220 oncology & carcinogenesis Emergency Medicine Injury Severity Score business Range of motion Research Article |
| Zdroj: | World Journal of Emergency Surgery : WJES |
| ISSN: | 1749-7922 |
| DOI: | 10.1186/s13017-016-0085-2 |
| Popis: | Background Multiple rib fractures and unstable thoracic cage injuries are common in blunt trauma. Surgical management of rib fractures has received increasing attention in recent years and the aim of this 1-year, prospective study was to assess the long-term effects of surgery. Methods Fifty-four trauma patients with median Injury Severity Score 20 (9–66) and median New Injury Severity Score 34 (16–66) who presented with multiple rib fractures and flail chest, and underwent surgical stabilization with plate fixation were recruited. Patients responded to a standardized questionnaire concerning pain, local discomfort, breathlessness and use of analgesics and health-related quality of life (EQ-5D-3 L) questionnaire at 6 weeks, 3 months, 6 months and 1 year. Lung function, breathing movements, range of motion and physical function were measured at 3 months, 6 months and 1 year. Results Symptoms associated with pain, breathlessness and use of analgesics significantly decreased from 6 weeks to 1 year following surgery. After 1 year, 13 % of patients complained of pain at rest, 47 % had local discomfort and 9 % used analgesics. The EQ-5D-3 L index increased from 0.78 to 0.93 and perceived overall health state increased from 60 to 90 % (p |
| Databáze: | OpenAIRE |
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