![]() The ICU LOS was longer in the SSRF group (13 days, P25-P75 9-23 vs. In the nonoperative group, a rib fixation specialist was consulted in 14 patients (21%). SSRF was performed at a median of 5 days (P25-P75 3-8) after CPR. n = 31, 47% p = 0.015) and a higher median number of displaced ribs (2, P25-P75 0-3 vs. Patients who underwent SSRF more often had displaced rib fractures (n = 28, 72% vs. The primary outcome was ICU length of stay (LOS).RESULTS: Thirty-nine operatively treated patient were matched to 66 nonoperatively managed controls with comparable CPR-related characteristics. Patients who underwent SSRF were matched to nonoperative controls by cardiac arrest location and cause, rib fracture pattern, and age. This study aimed to evaluate outcomes after SSRF versus nonoperative management in patients with multiple rib fractures after CPR.METHODS: An international, retrospective study was performed in patients who underwent SSRF or nonoperative management for multiple rib fractures following CPR between Januand July 31, 2020. Evidence on the effect of surgical stabilization of rib fractures (SSRF) following CPR is limited. ![]() LEVEL OF EVIDENCE: therapeutic study, level III.Ībstract = "BACKGROUND: The presence of six or more rib fractures or a displaced rib fracture due to cardiopulmonary resuscitation (CPR) has been associated with longer hospital and intensive care unit (ICU) length of stay. A benefit of SSRF on in-hospital outcomes could not be demonstrated.A low consultation rate for rib fixation in the nonoperative group indicates that the consideration to perform SSRF in this population might be associated with other non-radiographic or injury-related variables. Mechanical ventilator-free days, hospital LOS, thoracic complications, and mortality were similar.ĬONCLUSION: Despite matching, those who underwent SSRF over nonoperative management for multiple rib fractures following CPR had more severe consequential chest wall injury and a longer ICU LOS. ![]() RESULTS: Thirty-nine operatively treated patient were matched to 66 nonoperatively managed controls with comparable CPR-related characteristics. The primary outcome was ICU length of stay (LOS). METHODS: An international, retrospective study was performed in patients who underwent SSRF or nonoperative management for multiple rib fractures following CPR between Januand July 31, 2020. This study aimed to evaluate outcomes after SSRF versus nonoperative management in patients with multiple rib fractures after CPR. Rib fracture-aftercare.BACKGROUND: The presence of six or more rib fractures or a displaced rib fracture due to cardiopulmonary resuscitation (CPR) has been associated with longer hospital and intensive care unit (ICU) length of stay. National Library of Medicine: MedlinePlus. Rib fracture: different radiographic projections. Thoracic wall trauma-misdiagnosed lesions on radiographs and usefulness of ultrasound, multidetector computed tomography and magnetic resonance imaging. A comprehensive analysis of traumatic rib fractures in an acute general hospital in Singapore. An analysis of 214 cases of rib fractures. Karadayi S, Nadir A, Sahin E, Celik B, Arslan S, Kaptanoglu M.
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