Evidence map›Paper›PMID 39342270›Full record

ArticleJournal of orthopaedic surgery and research2024

Fixation of rib fractures is beneficial for patients with chronic obstructive pulmonary disease, a trauma quality improvement program study.

Chien-An Liao, Chih-Po Hsu, Jen-Fu Huang, Chih-Yuan Fu, Szu-An Chen, Yu-San Tee, Chien-Hung Liao, Chi-Hsun Hsieh, Chi-Tung Cheng, Ling-Wei Kuo

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Article in Journal of orthopaedic surgery and research, 2024. 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
–field-weighted citation impact
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

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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.

  1. Mortality prediction in older adults with earthquake-related trauma: a model combining MEWS and laboratory biomarkers.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Observational
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

10 authors.

Chien-An LiaoDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Kwei-Shan District, Taoyuan, Taiwan.
Chih-Po HsuDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Kwei-Shan District, Taoyuan, Taiwan.
Jen-Fu HuangDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Kwei-Shan District, Taoyuan, Taiwan.
Chih-Yuan FuDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Kwei-Shan District, Taoyuan, Taiwan.
Szu-An ChenDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Kwei-Shan District, Taoyuan, Taiwan.
Yu-San TeeDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Kwei-Shan District, Taoyuan, Taiwan.
Chien-Hung LiaoDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Kwei-Shan District, Taoyuan, Taiwan.
Chi-Hsun HsiehDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Kwei-Shan District, Taoyuan, Taiwan.
Chi-Tung ChengDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Kwei-Shan District, Taoyuan, Taiwan.
Ling-Wei KuoDepartment of Trauma and Emergency Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Kwei-Shan District, Taoyuan, Taiwan. m8407@cgmh.org.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternal fixation for multiple rib fractures is well established. Patients with underlying chronic obstructive pulmonary disease (COPD) have a higher rate of perioperative complications. It is unclear if these patients are suitable candidates for internal fixation and if surgical interventions are harmful to these patients. STUDY DESIGN AND

methodsAdult patients with ≥ 3 rib fractures and underlying COPD from the Trauma Quality Improvement Program between 2017 and 2019 were eligible for inclusion. The patients were divided into two treatment groups: operative and non-operative. Furthermore, inverse probability treatment weighting was applied to analyze mortality and adverse hospital events.

resultsPatients with COPD in the operative group had higher ventilator use (odds ratio [OR], 3.211; 95% confidence interval [CI], 1.993-5.175; p < 0.001). Additionally, they had a longer length of stay (coefficient β, 4.139; standard error, 0.829; p < 0.001) and longer ventilator days (coefficient β, 1.937; standard error, 0.655; p = 0.003) than in the non-operative group. Furthermore, the mortality rate was lower in the operative group than in the non-operative group (OR, 0.426; 95% CI, 0.228-0.798; p = 0.008).

conclusionInternal fixation of rib fractures plays a crucial role in patients with underlying COPD disease. They presented a better mortality rate without an increased perioperative complication rate.

Indexed as

Fracture Fixation, InternalPulmonary Disease, Chronic ObstructiveQuality ImprovementRib FracturesAdultAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRespiration, ArtificialRetrospective StudiesTreatment OutcomeChronic obstructive pulmonary diseaseInternal fixationRib fracture

Identifiers

PMID39342270
PMCPMC11438050

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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.