Evidence map›Paper›PMID 39853412›Full record

SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Effects of osteosynthesis of the bony thorax in the context of polytrauma compared to conservative treatment: a systematic review.

Karolina Dahms, Jan Volmerig, Julia Dormann, Eva Steinfeld, Kelly Ansems, Heidrun Janka, Maria-Inti Metzendorf, Carina Benstoem

Abstract readSystematic ReviewComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Karolina DahmsDepartment of Intensive Care Medicine and Intermediate Care Medical Faculty, RWTH Aachen University, Pauwelsstr. 30, D-52074, Aachen, Germany.
Jan VolmerigClinic for Thoracic Surgery, Evang. Kliniken Essen-Mitte, University of Duisburg-Essen, Essen, Germany.
Julia DormannDepartment of Intensive Care Medicine and Intermediate Care Medical Faculty, RWTH Aachen University, Pauwelsstr. 30, D-52074, Aachen, Germany.
Eva SteinfeldDepartment of Intensive Care Medicine and Intermediate Care Medical Faculty, RWTH Aachen University, Pauwelsstr. 30, D-52074, Aachen, Germany.
Kelly AnsemsDepartment of Intensive Care Medicine and Intermediate Care Medical Faculty, RWTH Aachen University, Pauwelsstr. 30, D-52074, Aachen, Germany.
Heidrun JankaInstitute of General Practice, Medical Faculty of the Heinrich-Heine- University Dusseldorf, Dusseldorf, Germany.
Maria-Inti MetzendorfInstitute of General Practice, Medical Faculty of the Heinrich-Heine- University Dusseldorf, Dusseldorf, Germany.
Carina BenstoemDepartment of Intensive Care Medicine and Intermediate Care Medical Faculty, RWTH Aachen University, Pauwelsstr. 30, D-52074, Aachen, Germany. cbenstoem@ukaachen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOsteosynthesis seems to have effects regarding clinical outcomes in trauma patients. However, current knowledge on chest wall osteosynthesis in polytrauma patients is insufficient, leaving its potential unanswered. Therefore, the objective of this systematic review is to assess the safety and effects of chest wall osteosynthesis compared to conservative treatment on clinical outcomes in adult polytrauma patients.

methodsWe searched PubMed to identify completed and ongoing studies from inception of each database to May, 2022. We included systematic reviews including RCTs comparing chest wall osteosynthesis to conservative treatment in adult polytrauma patients.

resultsWe included one RCT with 50 patients (n

conclusionThere is limited evidence regarding chest wall osteosynthesis compared to conservative treatment in polytrauma patients. One RCT shows no effect of surgical rib fixation compared to conservative treatment regarding mortality and clinical status, but a potential benefit regarding ICU length of stay.

Indexed as

Conservative TreatmentFracture Fixation, InternalMultiple TraumaRib FracturesThoracic InjuriesHospital MortalityHumansRespiration, ArtificialICUIntensive care unitMultiple traumaPolytraumaRib fixationSSRF

Identifiers

PMID39853412
PMCPMC11761492

What OpenQuestion holds

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Registered trials

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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.