Comparison between non-surgical and surgical management of rib fractures in major trauma patients without brain injuries

This study aimed to evaluate the different outcomes between the non-surgical and surgical groups in patients with major trauma without brain injuries. This study prospectively collected data from patients with traumatic rib fractures without brain injuries from June 2017 to November 2019. The primar...

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Bibliographic Details
Published in:The American journal of surgery 2023-09, Vol.226 (3), p.350-355
Main Authors: Liu, Hao-Yun, Lin, Tzu-Hsin, Chen, Ke-Cheng, Hsiao, Wei-Ling, Hu, Rey-Heng, Liao, Hsien-Chi
Format: Article
Language:English
Subjects:
Abdomen
Body mass index
Brain
Chest
Contusions
Emergency medical care
Fractures
Head injuries
Hemothorax
Hospitals
Injuries
Major trauma
Mortality
Multiple regression analysis
Pain
Patients
Pneumonia
Pneumothorax
Postoperative period
Rib
Rib fracture
Ribs
Statistical analysis
Surgeons
Surgery
Surgical stabilization of rib fractures
Trauma
Traumatic brain injury
Variables
Ventilators
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Summary:This study aimed to evaluate the different outcomes between the non-surgical and surgical groups in patients with major trauma without brain injuries. This study prospectively collected data from patients with traumatic rib fractures without brain injuries from June 2017 to November 2019. The primary outcomes were the pain score at admission and discharge and the length of hospital stay. We performed multiple regression analysis to compare the outcomes and surgical risk as the severity of chest trauma between both groups. Fifty-three patients were enrolled. There was no statistically significant difference in baseline characteristics between both groups. However, the surgical group had more severe chest trauma than the non-surgical group. After the analysis, the pain score improved significantly in the surgical group. The hospital stay of the surgical group was four days shorter than that of the non-surgical group, and there was severe chest trauma in the surgical group. Surgical management of rib fractures can reduce pain and hospital stay in major trauma patients. •Rib fractures in major trauma patients can lead to compromised respiration.•Surgical group had more severe chest trauma than the non-surgical group.•Pain score improved significantly in the surgical group.•Rib fixation results in shorter hospital stay, less disability, and prevents death.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2023.05.025