Evidence map›Paper›PMID 39856261›Full record

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

Surgical stabilisation of rib fractures in non-ventilated patients: a retrospective propensity-matched analysis using the data from the trauma registry of the German Trauma Society (TraumaRegister DGU

Michael D Huelskamp, Helena Duesing, Rolf Lefering, Michael J Raschke, Steffen Rosslenbroich, TraumaRegister DGU

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study 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. It is linked to trial NCT06464289 (Surgical Stabilisation of Rib Fractures in Non-ventilated Patients), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT06464289 completednot on this map

Surgical Stabilisation of Rib Fractures in Non-ventilated Patients: a Retrospective Propensity-matched Analysis Using the Data From the German National Trauma Registry (TraumaRegister of the German Trauma Society (DGU))

TypeobservationalSponsorUniversity Hospital MuensterRan2024 to 2024Enrolled35,974ConditionsRib Fractures, Thorax, FractureArmsSurgical stabilisation of rib fractures (SSRF), Non-operative management of rib fractures
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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

6 authors.

Michael D Huelskamp *Department for Trauma-, Hand- and Reconstructive Surgery, University Hospital Münster, Münster, Germany. Michael.Huelskamp@ukmuenster.de.ORCID http://orcid.org/0000-0002-4840-0471
Helena Duesing *Department for Trauma-, Hand- and Reconstructive Surgery, University Hospital Münster, Münster, Germany.
Rolf LeferingInstitute for Research in Operative Medicine (IFOM), University Witten/Herdecke, Cologne, Germany.
Michael J RaschkeDepartment for Trauma-, Hand- and Reconstructive Surgery, University Hospital Münster, Münster, Germany.
Steffen RosslenbroichDepartment for Trauma-, Hand- and Reconstructive Surgery, University Hospital Münster, Münster, Germany.
TraumaRegister DGU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSevere thorax trauma including multiple rib fractures and flail chest deformity are leading causes of death in trauma patients. Increasing evidence supports the use of surgical stabilisation of rib fractures (SSRF) in these patients. However, there is currently a paucity of evidence for its use in non-ventilator-dependent patients.

methodsA retrospective propensity-matched analysis of the data of the TraumaRegister DGU REGISTRATION: TR-DGU project ID 2023-007; ClinicalTrials.gov protocol ID: NCT06464289.

resultsSSRF led to reduced mortality compared to conservative treatment (1.6% vs. 4.8%; p = 0.002) and in comparison to the mortality prognosis of the revised injury severity classification II (RISC II) of 5.2%. Interestingly, SSRF was associated with increased length of hospital and intensive care unit stay, higher rates of organ failure and secondary intubation. The patients with organ failure received SSRF later than those without organ failure.

conclusionHere we report on the largest currently published dataset of non-intubated patients receiving SSRF, which showed reduced mortality in the SSRF cohort. The data indicates that SSRF is a viable treatment option for non-intubated patients. The observed late surgical time points, which may be due to cross over after failed conservative treatment, might be the cause for the observed increased rate of organ failure.

Indexed as

Fracture FixationRib FracturesAbbreviated Injury ScaleAdultAgedConservative TreatmentFemaleGermanyHumansInjury Severity ScoreLength of StayMaleMiddle AgedPropensity ScoreRegistriesRetrospective StudiesFlail chestNon-ventilatedRib fracturesSSRFSurgical stabilisation of rib fractures

Identifiers

PMID39856261
PMCPMC11761477

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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.