Flail Chest in Polytraumatized Patients: Surgical Fixation Using Stracos Reduces Ventilator Time and Hospital Stay
Joint Authors
Jayle, Christophe P. M.
Allain, Géraldine
Ingrand, Pierre
Laksiri, Leila
Bonnin, Emilie
Hajj-Chahine, Jamil
Mimoz, Olivier
Corbi, Pierre
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-01
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objectives.
Conservative management of patients with flail chest is the treatment of choice.
Rib fracture repair is technically challenging; however, with the advent of specially designed molding titanium clips, surgical management has been simplified.
Surgical stabilization has been used with good outcomes.
We are reporting on our institutional matched-case-control study.
Methods.
Between April 2010 and April 2011, ten polytraumatized patients undergoing rib stabilization for flail chest were matched 1 : 1 to 10 control patients by age ±10 years, sex, neurological or vertebral trauma, abdominal injury, and arm and leg fractures.
Surgery was realized in the first 48 hours.
Results.
There were no significant differences between groups for matched data and prognostic scores: injury severity score, revised trauma score, and trauma injury severity score.
Ventilator time (142 ± 224 versus 74 ± 125 hours, P=0.026) and overall hospital stay (142 ± 224 versus 74 ± 125 hours, P=0.026) were significantly lower for the surgical group after adjustment on prognostic scores.
There was a trend towards shorter ICU stay for operative patients (12.3 ± 8.5 versus 9.0 ± 4.3 days, P=0.076).
Conclusions.
Rib fixation with Stracos is feasible and decreases the length of ventilation and hospital stay.
A multicenter randomized study is warranted so as to confirm these results and to evaluate impact on pulmonary function status, pain, and quality of life.
American Psychological Association (APA)
Jayle, Christophe P. M.& Allain, Géraldine& Ingrand, Pierre& Laksiri, Leila& Bonnin, Emilie& Hajj-Chahine, Jamil…[et al.]. 2015. Flail Chest in Polytraumatized Patients: Surgical Fixation Using Stracos Reduces Ventilator Time and Hospital Stay. BioMed Research International،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1056176
Modern Language Association (MLA)
Jayle, Christophe P. M.…[et al.]. Flail Chest in Polytraumatized Patients: Surgical Fixation Using Stracos Reduces Ventilator Time and Hospital Stay. BioMed Research International No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1056176
American Medical Association (AMA)
Jayle, Christophe P. M.& Allain, Géraldine& Ingrand, Pierre& Laksiri, Leila& Bonnin, Emilie& Hajj-Chahine, Jamil…[et al.]. Flail Chest in Polytraumatized Patients: Surgical Fixation Using Stracos Reduces Ventilator Time and Hospital Stay. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1056176
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1056176