Mastronardi Manuela, Troian Marina, Germani Paola, Lovadina Stefano, de Manzini Nicolò, Celaj Entiola, Biloslavo Alan
Department of Medical, Surgical and Health Sciences, University of Trieste, Strada Di Fiume 447, 34149, Trieste, Province of Trieste, Italy.
Thoracic Surgery Unit, Cattinara University Hospital, Trieste, Italy.
Eur J Trauma Emerg Surg. 2025 Jan 9;51(1):3. doi: 10.1007/s00068-024-02689-3.
Rib fractures account for 10-15% of trauma-related hospital admissions. Few data are available regarding long-term follow-up of patients undergoing non-operative management. Our aim is to evaluate quality of life at 1, 2, 4, 12 and 24 weeks from the trauma. Pain management, respiratory infection rate and length of hospitalization (LOS) will be recorded.
Patients with rib fractures older than 18 years of age will be prospectively included.
cognitive impairment, chronic pain due to pathologic fractures, active cancer. Patients will be asked to complete a specific survey at 1, 2, 4, 12 and 24 weeks from the trauma to assess their quality of life. Pain management, respiratory infection rate and LOS will be recorded.
gov ID NCT06405841.
The study will provide a detailed quality of life assessment for patients with rib fractures treated conservatively. It will identify the most effective types of analgesic therapies in controlling rib fracture-related pain, respiratory infections rate, and LOS.
The results could have broad practical applications, providing guidance on best practices for rib fracture treatment. This could lead to greater efficacy in management protocols, reducing or increasing the need for surgical interventions. The study could have a significant impact on the health-care system by providing evidence to optimize healthcare resources through more targeted management. If the results demonstrate that conservative treatment is ineffective for certain types of fractures, these patients could be selected for surgical treatment, resulting in savings for the healthcare system and improvement in patient quality of life.
肋骨骨折占创伤相关住院病例的10 - 15%。关于接受非手术治疗患者的长期随访数据很少。我们的目的是评估创伤后1、2、4、12和24周时的生活质量。记录疼痛管理情况、呼吸道感染率和住院时间（LOS）。
前瞻性纳入年龄大于18岁的肋骨骨折患者。
认知障碍、病理性骨折所致慢性疼痛、活动性癌症。患者将被要求在创伤后1、2、4、12和24周完成一项特定调查，以评估其生活质量。记录疼痛管理情况、呼吸道感染率和住院时间。
美国国立医学图书馆临床试验注册号NCT06405841。
本研究将为保守治疗的肋骨骨折患者提供详细的生活质量评估。它将确定控制肋骨骨折相关疼痛、呼吸道感染率和住院时间最有效的镇痛治疗类型。
研究结果可能具有广泛的实际应用，为肋骨骨折治疗的最佳实践提供指导。这可能会提高管理方案的有效性，减少或增加手术干预的需求。该研究可能会对医疗保健系统产生重大影响，通过提供证据以更有针对性的管理来优化医疗资源。如果结果表明保守治疗对某些类型的骨折无效，这些患者可被选作手术治疗，从而为医疗保健系统节省费用并改善患者生活质量。
