Flail chest injury-changing management and outcomes.
Chest wall injury
Flail chest
Rib fixation
Rib fracture
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
received:
06
03
2022
accepted:
21
10
2022
medline:
15
5
2023
pubmed:
2
11
2022
entrez:
1
11
2022
Statut:
ppublish
Résumé
The purpose of this study was to assess trends in management of flail chest injuries over time and to determine impact on patient outcomes. A retrospective review of data from a prospectively collated database of all trauma patients admitted to a level 1 trauma service in Victoria was conducted. All trauma patients admitted to the hospital between July 2008 and June 2020 with an Abbreviated Injury Scale (AIS) code for flail chest injury were included. Our study included 720 patients, mean age was 59.5 ± 17.3 years old, and 76.5% of patients were male. Length of ICU stay decreased on average by 9 h each year. Regional anaesthesia use increased by 15% per year (0% in 2009 to 36% in 2020) (p < 0.001). Surgical stabilisation of rib fractures increased by 16% per year (2.9% in 2009 to 22.3% in 2020) (p = 0.006). The use of invasive ventilation decreased by 14% per year (70% in 2008 to 27% in 2020) (p < 0.001), and invasive ventilation time decreased by 8 h per year (p = 0.007). Over the past decade, we have seen increasing rates of regional anaesthesia and surgical rib fixation in the management of flail chest. This has resulted in lower requirements for and duration of invasive mechanical ventilation and intensive care unit stay but has not impacted mortality in this patient cohort.
Identifiants
pubmed: 36318281
doi: 10.1007/s00068-022-02152-1
pii: 10.1007/s00068-022-02152-1
pmc: PMC9628626
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1047-1055Informations de copyright
© 2022. Crown.
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