ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023
Flail chest injury-changing management and outcomes.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- A meta-analysis and trial sequential analysis of randomised controlled trials comparing nonoperative and operative management of chest trauma with multiple rib fractures.World journal of emergency surgery : WJES · 2024Pooled it
- Pain management in non-operatively treated patients with multiple single rib fractures: an international comparison.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Impact of inflammatory biomarkers and surgical interventions on one-month recovery after rib fractures: a propensity-matched cohort study.BMC surgery · 2026Article
- Impact of inflammatory biomarkers and surgical interventions on one-month recovery after rib fractures: A propensity-matched cohort study.Surgery open science · 2025Review
- Surgical stabilization of rib fractures improves survival in functionally dependent trauma patients.World journal of emergency surgery : WJES · 2025Article
- Is Traumatic Anterior Stove-In Chest Truly so Rare? A Single Institution Experience.The American surgeon · 2024Article
- Application of Titanium Mesh in the Early Treatment of Flail Chest.International journal of biomaterials · 2024Article
- Quality of life and clinical outcomes of operatively treated patients with flail chest injuries: A multicentre prospective cohort study.Frontiers in surgery · 2023Article
- Molecular Hydrogen Reverses Sepsis-induced Immunoparalysis: Insights from Longitudinal Deep Immunophenotyping.In vivo (Athens, Greece)Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to assess trends in management of flail chest injuries over time and to determine impact on patient outcomes.
methodsA 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.
resultsOur 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).
conclusionOver 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.
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