Surgical management versus non-surgical management of rib fractures in chest trauma:a systematic review and meta-analysis

Journal of Cardiothoracic Surgery
Xin Liu, Kai Xiong

Abstract

Rib fractures are common injuries sustained by patients who experience high-impact chest trauma, and they result in severe respiratory compromise because of the altered mechanics of respiration. Several studies have shown that the ventilation requirements and incidence of pulmonary complications may be decreased with operative intervention. The purpose of this study was to evaluate the effect of surgical fixation treatments for rib fractures through systematic review and meta-analysis. A literature search was performed in the PubMed, EMBASE, Web of Science and Cochrane Library databases for information from February 1958 to April 2018. Studies comparing the benefits of surgical management with that of non-surgical management of rib fractures were included. Statistical heterogeneity was evaluated by the X2 test with the significance set to P < 0.10 or I2 > 50%. Fourteen studies consisting of 839 patients were included (407 patients in the surgical management group; 432 patients in the non-surgical management group). The results showed that the surgical management group experienced a significant decrease in hospitalization time, intensive care time, mechanical ventilation time, mortality rate, pulmonary infection rate and tracheo...Continue Reading

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Citations

Oct 6, 2020·The Journal of Trauma and Acute Care Surgery·Ashton B ChristianSebastian D Schubl
Nov 20, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Shunichi OtakaHideo Yasunaga
May 4, 2020·The Annals of Thoracic Surgery·Shunichi OtakaHideo Yasunaga
Aug 19, 2021·The Journal of Trauma and Acute Care Surgery·William HeadEvert Eriksson

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