全国肋骨骨折手术稳定趋势:适应症、方法和差异。

IF 1.8 3区 医学 Q2 SURGERY Journal of Surgical Research Pub Date : 2024-10-24 DOI:10.1016/j.jss.2024.09.080
Bardiya Zangbar MD, Aryan Rafieezadeh MD, Jordan Kirsch DO, Nicole Lin MD, Kartik Prabhakaran MD
{"title":"全国肋骨骨折手术稳定趋势:适应症、方法和差异。","authors":"Bardiya Zangbar MD,&nbsp;Aryan Rafieezadeh MD,&nbsp;Jordan Kirsch DO,&nbsp;Nicole Lin MD,&nbsp;Kartik Prabhakaran MD","doi":"10.1016/j.jss.2024.09.080","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Rib fractures are among the most frequent injuries in trauma. This study aims to assess the current nationwide trends in operative rib fixation and identify predictors of surgical stabilization of rib fractures (SSRFs).</div></div><div><h3>Methods</h3><div>A 5-y (2017-2021) retrospective analysis of the Trauma Quality Improvement Program database was performed. Adult trauma patients who had at least one rib fracture were included. We analyzed data regarding type of SSRF including open and thoracoscopic approaches and its trends.</div></div><div><h3>Results</h3><div>A total of 780,275 patients were identified, of which 15,339 patients (1.9%) were managed with SSRF. Trends of both open and endoscopic approaches were increasing during the study period. Patients with ≤2 rib fractures had a decreasing rate of SSRF. Flail chest (odds ratio = 13.42, <em>P</em> &lt; 0.001) was the strongest predictor of SSRF.</div></div><div><h3>Conclusions</h3><div>SSRF is gaining popularity in the management of chest trauma. The presence of a flail segment and multiplicity of rib fractures is among the predictors of SSRF.</div></div>","PeriodicalId":17030,"journal":{"name":"Journal of Surgical Research","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"National Trend of Surgical Stabilization of Rib Fractures: Indications, Approaches, and Disparities\",\"authors\":\"Bardiya Zangbar MD,&nbsp;Aryan Rafieezadeh MD,&nbsp;Jordan Kirsch DO,&nbsp;Nicole Lin MD,&nbsp;Kartik Prabhakaran MD\",\"doi\":\"10.1016/j.jss.2024.09.080\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Rib fractures are among the most frequent injuries in trauma. This study aims to assess the current nationwide trends in operative rib fixation and identify predictors of surgical stabilization of rib fractures (SSRFs).</div></div><div><h3>Methods</h3><div>A 5-y (2017-2021) retrospective analysis of the Trauma Quality Improvement Program database was performed. Adult trauma patients who had at least one rib fracture were included. We analyzed data regarding type of SSRF including open and thoracoscopic approaches and its trends.</div></div><div><h3>Results</h3><div>A total of 780,275 patients were identified, of which 15,339 patients (1.9%) were managed with SSRF. Trends of both open and endoscopic approaches were increasing during the study period. Patients with ≤2 rib fractures had a decreasing rate of SSRF. Flail chest (odds ratio = 13.42, <em>P</em> &lt; 0.001) was the strongest predictor of SSRF.</div></div><div><h3>Conclusions</h3><div>SSRF is gaining popularity in the management of chest trauma. The presence of a flail segment and multiplicity of rib fractures is among the predictors of SSRF.</div></div>\",\"PeriodicalId\":17030,\"journal\":{\"name\":\"Journal of Surgical Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-10-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Surgical Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0022480424006449\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Research","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0022480424006449","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

摘要

简介肋骨骨折是创伤中最常见的损伤之一。本研究旨在评估目前全国范围内肋骨手术固定的趋势,并确定肋骨骨折手术稳定(SSRFs)的预测因素:对创伤质量改进计划数据库进行了为期 5 年(2017-2021 年)的回顾性分析。纳入了至少有一处肋骨骨折的成人创伤患者。我们分析了有关 SSRF 类型(包括开放式和胸腔镜方法)及其趋势的数据:结果:共确定了 780,275 名患者,其中 15,339 名患者(1.9%)接受了 SSRF 治疗。在研究期间,开放式和内窥镜方法均呈上升趋势。肋骨骨折≤2根的患者采用SSRF的比例有所下降。胸部外翻(几率比 13.42,PSSRF 在胸部创伤的治疗中越来越受欢迎。胸廓外翻和多发性肋骨骨折是预测 SSRF 的因素之一。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
National Trend of Surgical Stabilization of Rib Fractures: Indications, Approaches, and Disparities

Introduction

Rib fractures are among the most frequent injuries in trauma. This study aims to assess the current nationwide trends in operative rib fixation and identify predictors of surgical stabilization of rib fractures (SSRFs).

Methods

A 5-y (2017-2021) retrospective analysis of the Trauma Quality Improvement Program database was performed. Adult trauma patients who had at least one rib fracture were included. We analyzed data regarding type of SSRF including open and thoracoscopic approaches and its trends.

Results

A total of 780,275 patients were identified, of which 15,339 patients (1.9%) were managed with SSRF. Trends of both open and endoscopic approaches were increasing during the study period. Patients with ≤2 rib fractures had a decreasing rate of SSRF. Flail chest (odds ratio = 13.42, P < 0.001) was the strongest predictor of SSRF.

Conclusions

SSRF is gaining popularity in the management of chest trauma. The presence of a flail segment and multiplicity of rib fractures is among the predictors of SSRF.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.90
自引率
4.50%
发文量
627
审稿时长
138 days
期刊介绍: The Journal of Surgical Research: Clinical and Laboratory Investigation publishes original articles concerned with clinical and laboratory investigations relevant to surgical practice and teaching. The journal emphasizes reports of clinical investigations or fundamental research bearing directly on surgical management that will be of general interest to a broad range of surgeons and surgical researchers. The articles presented need not have been the products of surgeons or of surgical laboratories. The Journal of Surgical Research also features review articles and special articles relating to educational, research, or social issues of interest to the academic surgical community.
期刊最新文献
Rodent Model of Cardiopulmonary Bypass Demonstrates Systemic Inflammation and NeuroMarker Changes Sequential Fasciotomies for Managing Abdominal Compartment Syndrome: Porcine Experimental Study Vascular Graft Infections Treated With Bioabsorbable Antibiotic Beads Effectiveness of Implementation of an Enhanced Recovery Program in Bariatric Surgery Outcomes of Gastroschisis and Omphalocele Treated at Children’s Surgery Verified Centers in Texas
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1