التفاصيل البيبلوغرافية
| العنوان: |
Flail Chest in Polytraumatized Patients: Surgical Fixation Using Stracos Reduces Ventilator Time and Hospital Stay. |
| المؤلفون: |
Jayle, Christophe P. M., Allain, Géraldine, Ingrand, Pierre, Laksiri, Leila, Bonnin, Emilie, Hajj-Chahine, Jamil, Mimoz, Olivier, Corbi, Pierre |
| المصدر: |
BioMed Research International; 2/1/2015, Vol. 2015, p1-6, 6p |
| مصطلحات موضوعية: |
TRAUMA surgery, ANALYSIS of variance, ARTIFICIAL respiration, LENGTH of stay in hospitals, LONGITUDINAL method, MULTIVARIATE analysis, ORTHOPEDIC implants, QUALITY of life, PULMONARY function tests, STATISTICS, T-test (Statistics), TITANIUM, CASE-control method, DATA analysis software, RIB fractures, FLAIL chest |
| مصطلحات جغرافية: |
FRANCE |
| مستخلص: |
Objectives. Conservative management of patients with flail chest is the treatment of choice. Rib fracture repair is technically challenging; however, with the advent of specially designed molding titanium clips, surgical management has been simplified. Surgical stabilization has been used with good outcomes. We are reporting on our institutional matched-case-control study. Methods. Between April 2010 and April 2011, ten polytraumatized patients undergoing rib stabilization for flail chest were matched 1 : 1 to 10 control patients by age ±10 years, sex, neurological or vertebral trauma, abdominal injury, and arm and leg fractures. Surgery was realized in the first 48 hours. Results. There were no significant differences between groups for matched data and prognostic scores: injury severity score, revised trauma score, and trauma injury severity score. Ventilator time (142 ± 224 versus 74 ± 125 hours, P=0.026) and overall hospital stay (142 ± 224 versus 74 ± 125 hours, P=0.026) were significantly lower for the surgical group after adjustment on prognostic scores. There was a trend towards shorter ICU stay for operative patients (12.3 ± 8.5 versus 9.0 ± 4.3 days, P=0.076). Conclusions. Rib fixation with Stracos is feasible and decreases the length of ventilation and hospital stay. A multicenter randomized study is warranted so as to confirm these results and to evaluate impact on pulmonary function status, pain, and quality of life. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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