Evidence map›Paper›PMID 36653803›Full record

Observational studyJournal of cardiothoracic surgery2023

Surgical and perioperative management of flail chest with titanium plates: a French cohort series from a thoracic referral center.

Sarah Féray, Clarisse Blayau, Hicham Masmoudi, Samuel Haddad, Christophe Quesnel, Jalal Assouad, Muriel Fartoukh

Open access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of cardiothoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 45% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Application of Titanium Mesh in the Early Treatment of Flail Chest.International journal of biomaterials · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Sarah FérayAssistance Publique-Hôpitaux de Paris, Hôpital Tenon, Service de Médecine Intensive Réanimation, Sorbonne Université, 75020, Paris, France. sarah.feray@aphp.fr.
Clarisse BlayauAssistance Publique-Hôpitaux de Paris, Hôpital Tenon, Service de Médecine Intensive Réanimation, Sorbonne Université, 75020, Paris, France.
Hicham MasmoudiAssistance Publique-Hôpitaux de Paris, Hôpital Tenon, Service de Chirurgie Thoracique et Vasculaire, Sorbonne Université, 75020, Paris, France.
Samuel HaddadAssistance Publique-Hôpitaux de Paris, Hôpital Tenon, Service de Radiologie, Sorbonne Université, 75020, Paris, France.
Christophe QuesnelAssistance Publique-Hôpitaux de Paris, Hôpital Tenon, Service d'Anesthésie-Réanimation et Médecine Péri-operatoire, Sorbonne Université, 75020, Paris, France.
Jalal AssouadAssistance Publique-Hôpitaux de Paris, Hôpital Tenon, Service de Chirurgie Thoracique et Vasculaire, Sorbonne Université, 75020, Paris, France.
Muriel FartoukhAssistance Publique-Hôpitaux de Paris, Hôpital Tenon, Service de Médecine Intensive Réanimation, Sorbonne Université, 75020, Paris, France.
Sorbonne Université · FRAssistance Publique – Hôpitaux de Paris · FRHôpital Tenon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe development of titanium claw plates has made rib osteosynthesis easy to achieve and led to a renewed interest for this surgery. We report the management of patients referred to the intensive care unit (ICU) of a referral center for surgical rib fracture fixation (SRFF) after chest trauma.

methodsWe performed a retrospective observational cohort study describing the patients' characteristics and analyzing the determinants of postoperative complications.

resultsFrom November 2013 to December 2016, 42 patients were referred to our center for SRFF: 12 patients (29%) had acute respiratory failure, 6 of whom received invasive mechanical ventilation. The Thoracic Trauma Severity Score (TTSS) was 11.0 [9-12], with 7 [5-9] broken ribs and a flail chest in 92% of cases. A postoperative complication occurred in 18 patients (43%). Five patients developed ARDS (12%). Postoperative pneumonia occurred in 11 patients (26%). Two patients died in the ICU. In multivariable analysis, the Thoracic Trauma Severity Score (TTSS) (OR = 1.89; CI 95% 1.12-3.17; p = 0.016) and the Simplified Acute Physiology Score II without age (OR = 1.17; CI 95% 1.02-1.34; p = 0.024) were independently associated with the occurrence of a postoperative complication.

conclusionThe TTSS score appears to be accurate for determining thoracic trauma severity. Short and long-term benefit of Surgical Rib Fracture Fixation should be assessed, particularly in non-mechanically ventilated patients.

Indexed as

Flail ChestRib FracturesThoracic InjuriesFracture Fixation, InternalHumansPostoperative ComplicationsRetrospective StudiesTitaniumTitaniumComplicationFlail chestSurgical rib fracture fixationThoracic traumaTTSS score

Identifiers

PMID36653803
PMCPMC9850677
OpenAlexW4317242239

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.