SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2019
Comparison of analgesic interventions for traumatic rib fractures: a systematic review and meta-analysis.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparison of Rib Fixation with Medical Analgesia in Patients with Uncomplicated Rib Fractures on Pain Control: a Multi-center Randomized Clinical Trial
The Effect of Coolant Spray on Rib Fracture Pain of Geriatric Blunt Thoracic Trauma Patients: a Randomized Controlled Trial
Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect of ultrasound-guided fascial plane block (UGPB) on pain control of rib fractures: a systematic review and meta-analysis.BMC anesthesiology · 2026Pooled it
- Dexmedetomidine for Analgesia in Nonintubated Patients With Traumatic Rib Fractures: A Randomized Clinical Trial.JAMA surgery · 2025Trial
- Placebo-controlled randomized double-blind comparison of the analgesic efficacy of lidocaine spray and etofenamate spray in pain control of rib fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Trial
- Thoracic injuries in elderly trauma patients epidemiology, injury characteristics, in-hospital care and outcome.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Sequential use of erector spinae plane block and thoracic epidural analgesia as multimodal regional analgesia in bilateral rib fractures: a case report.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Major trauma in the elderly: unique challenges and considerations.BJA education · 2025Review
- Integrating Peripheral Nerve Blocks in Multiple Trauma Care: Current Evidence and Clinical Challenges.Journal of clinical medicine · 2025Review
- A deep learning-based approach to automated rib fracture detection and CWIS classification.International journal of computer assisted radiology and surgery · 2025Article
- Multivariate analysis of the effectiveness of the surgical treatment of the non-flail chest type of multiple rib fractures.Experimental and therapeutic medicine · 2025Article
- Regional anaesthesia techniques for management of severe chest wall trauma: a major trauma centre retrospective observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Article
- Article
- Erector spinae plane block (ESPB) enhances hemodynamic stability decreasing analgesic requirements in surgical stabilization of rib fractures (SSRFs).World journal of emergency surgery : WJES · 2024Article
- Treatment of traumatic rib fractures: an overview of current evidence and future perspectives.Journal of thoracic disease · 2024Review
- Analgesia for rib fractures: a narrative review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Review
- Review
- The Role of Regional Anaesthesia and Acute Pain Services in Value-Based Healthcare.Turkish journal of anaesthesiology and reanimation · 2023Article
- Evaluation and Treatment of Acute Trauma Pain in Older Adults.Drugs & aging · 2023Article
- Article
- Impact of flail chest injury on morbidity and outcome: ten years' experience at a tertiary care hospital in a developing country.BMC anesthesiology · 2023Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMany studies report on outcomes of analgesic therapy for (suspected) traumatic rib fractures. However, the literature is inconclusive and diverse regarding the management of pain and its effect on pain relief and associated complications. This systematic review and meta-analysis summarizes and compares reduction of pain for the different treatment modalities and as secondary outcome mortality during hospitalization, length of mechanical ventilation, length of hospital stay, length of intensive care unit stay (ICU) and complications such as respiratory, cardiovascular, and/or analgesia-related complications, for four different types of analgesic therapy: epidural analgesia, intravenous analgesia, paravertebral blocks and intercostal blocks.
methodsPubMed, EMBASE and CENTRAL databases were searched to identify comparative studies investigating epidural, intravenous, paravertebral and intercostal interventions for traumatic rib fractures, without restriction for study type. The search strategy included keywords and MeSH or Emtree terms relating blunt chest trauma (including rib fractures), analgesic interventions, pain management and complications.
resultsA total of 19 papers met our inclusion criteria and were finally included in this systematic review. Significant differences were found in favor of epidural analgesia for the reduction of pain. No significant differences were observed between epidural analgesia, intravenous analgesia, paravertebral blocks and intercostal blocks, for the secondary outcomes.
conclusionsResults of this study show that epidural analgesia provides better pain relief than the other modalities. No differences were observed for secondary endpoints like length of ICU stay, length of mechanical ventilation or pulmonary complications. However, the quality of the available evidence is low, and therefore, preclude strong recommendations.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.