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A clinical study on the surgical treatment of simple multiple rib fractures in older adult patients
BACKGROUND: The treatment of simple rib fractures in older adults can be divided into surgical treatment and nonsurgical treatment, with indications for surgery presently being unclear. This study was conducted to determine whether older adult individuals with simple multiple rib fractures can benef...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482652/ https://www.ncbi.nlm.nih.gov/pubmed/37691685 http://dx.doi.org/10.21037/jtd-22-1829 |
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author | Zhang, Dong Wang, Langran Xi, Siqi Li, Run Jiao, Chenbo Zhang, Qiang |
author_facet | Zhang, Dong Wang, Langran Xi, Siqi Li, Run Jiao, Chenbo Zhang, Qiang |
author_sort | Zhang, Dong |
collection | PubMed |
description | BACKGROUND: The treatment of simple rib fractures in older adults can be divided into surgical treatment and nonsurgical treatment, with indications for surgery presently being unclear. This study was conducted to determine whether older adult individuals with simple multiple rib fractures can benefit from surgical treatment. METHODS: A single-center, retrospective study was conducted. All 880 registry-identified patients aged ≥60 years who were admitted to Beijing Jishuitan Hospital with blunt rib fractures between 2013 to 2020 were included. They were divided into 2 groups according to whether internal fixation was performed. After screening of inclusion and exclusion criteria and propensity score matching, there were 226 patients, 113 of whom were placed in the operation group and 113 in the nonoperation group. The demographic characteristics, underlying diseases, number of rib fractures, hospital stay, intensive care unit (ICU) hospital stay, mechanical ventilation duration, fracture comorbidities on admission, pain index, and fracture healing condition were analyzed using chi-squared test and independent samples t test. RESULTS: The pain score and fracture healing time were significantly improved in the operation group (P<0.05), while the duration of painkiller use was significantly shorter in the operation group (P=0.009). However, there was no significant differences in mortality, the incidence of bone nonunion, length of stay in the ICU, or duration of mechanical ventilation between the 2 groups. CONCLUSIONS: For patients in the clinical study, internal fixation surgery could reduce fracture healing time and minimize the use of painkillers. Surgical treatment was determined to be safe, as it did not increase the mortality of the older adult patients. For older patients with simple rib fractures who have no contraindications to surgery, internal fixation surgery is recommended. |
format | Online Article Text |
id | pubmed-10482652 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-104826522023-09-08 A clinical study on the surgical treatment of simple multiple rib fractures in older adult patients Zhang, Dong Wang, Langran Xi, Siqi Li, Run Jiao, Chenbo Zhang, Qiang J Thorac Dis Original Article BACKGROUND: The treatment of simple rib fractures in older adults can be divided into surgical treatment and nonsurgical treatment, with indications for surgery presently being unclear. This study was conducted to determine whether older adult individuals with simple multiple rib fractures can benefit from surgical treatment. METHODS: A single-center, retrospective study was conducted. All 880 registry-identified patients aged ≥60 years who were admitted to Beijing Jishuitan Hospital with blunt rib fractures between 2013 to 2020 were included. They were divided into 2 groups according to whether internal fixation was performed. After screening of inclusion and exclusion criteria and propensity score matching, there were 226 patients, 113 of whom were placed in the operation group and 113 in the nonoperation group. The demographic characteristics, underlying diseases, number of rib fractures, hospital stay, intensive care unit (ICU) hospital stay, mechanical ventilation duration, fracture comorbidities on admission, pain index, and fracture healing condition were analyzed using chi-squared test and independent samples t test. RESULTS: The pain score and fracture healing time were significantly improved in the operation group (P<0.05), while the duration of painkiller use was significantly shorter in the operation group (P=0.009). However, there was no significant differences in mortality, the incidence of bone nonunion, length of stay in the ICU, or duration of mechanical ventilation between the 2 groups. CONCLUSIONS: For patients in the clinical study, internal fixation surgery could reduce fracture healing time and minimize the use of painkillers. Surgical treatment was determined to be safe, as it did not increase the mortality of the older adult patients. For older patients with simple rib fractures who have no contraindications to surgery, internal fixation surgery is recommended. AME Publishing Company 2023-08-01 2023-08-31 /pmc/articles/PMC10482652/ /pubmed/37691685 http://dx.doi.org/10.21037/jtd-22-1829 Text en 2023 Journal of Thoracic Disease. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Original Article Zhang, Dong Wang, Langran Xi, Siqi Li, Run Jiao, Chenbo Zhang, Qiang A clinical study on the surgical treatment of simple multiple rib fractures in older adult patients |
title | A clinical study on the surgical treatment of simple multiple rib fractures in older adult patients |
title_full | A clinical study on the surgical treatment of simple multiple rib fractures in older adult patients |
title_fullStr | A clinical study on the surgical treatment of simple multiple rib fractures in older adult patients |
title_full_unstemmed | A clinical study on the surgical treatment of simple multiple rib fractures in older adult patients |
title_short | A clinical study on the surgical treatment of simple multiple rib fractures in older adult patients |
title_sort | clinical study on the surgical treatment of simple multiple rib fractures in older adult patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482652/ https://www.ncbi.nlm.nih.gov/pubmed/37691685 http://dx.doi.org/10.21037/jtd-22-1829 |
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