全国肋骨骨折手术稳定趋势：适应症、方法和差异。

IF 1.8 3区医学 Q2 SURGERY

Journal of Surgical Research Pub Date : 2024-10-24 DOI:10.1016/j.jss.2024.09.080

Bardiya Zangbar MD, Aryan Rafieezadeh MD, Jordan Kirsch DO, Nicole Lin MD, Kartik Prabhakaran MD

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引用次数: 0

摘要

简介肋骨骨折是创伤中最常见的损伤之一。本研究旨在评估目前全国范围内肋骨手术固定的趋势，并确定肋骨骨折手术稳定（SSRFs）的预测因素：对创伤质量改进计划数据库进行了为期 5 年（2017-2021 年）的回顾性分析。纳入了至少有一处肋骨骨折的成人创伤患者。我们分析了有关 SSRF 类型（包括开放式和胸腔镜方法）及其趋势的数据：结果：共确定了 780,275 名患者，其中 15,339 名患者（1.9%）接受了 SSRF 治疗。在研究期间，开放式和内窥镜方法均呈上升趋势。肋骨骨折≤2根的患者采用SSRF的比例有所下降。胸部外翻（几率比 13.42，PSSRF 在胸部创伤的治疗中越来越受欢迎。胸廓外翻和多发性肋骨骨折是预测 SSRF 的因素之一。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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National Trend of Surgical Stabilization of Rib Fractures: Indications, Approaches, and Disparities

Introduction

Rib fractures are among the most frequent injuries in trauma. This study aims to assess the current nationwide trends in operative rib fixation and identify predictors of surgical stabilization of rib fractures (SSRFs).

Methods

A 5-y (2017-2021) retrospective analysis of the Trauma Quality Improvement Program database was performed. Adult trauma patients who had at least one rib fracture were included. We analyzed data regarding type of SSRF including open and thoracoscopic approaches and its trends.

Results

A total of 780,275 patients were identified, of which 15,339 patients (1.9%) were managed with SSRF. Trends of both open and endoscopic approaches were increasing during the study period. Patients with ≤2 rib fractures had a decreasing rate of SSRF. Flail chest (odds ratio = 13.42, P < 0.001) was the strongest predictor of SSRF.

Conclusions

SSRF is gaining popularity in the management of chest trauma. The presence of a flail segment and multiplicity of rib fractures is among the predictors of SSRF.

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来源期刊

Journal of Surgical Research 医学-外科

CiteScore

3.90

自引率

4.50%

发文量

627

审稿时长

138 days

期刊介绍： The Journal of Surgical Research: Clinical and Laboratory Investigation publishes original articles concerned with clinical and laboratory investigations relevant to surgical practice and teaching. The journal emphasizes reports of clinical investigations or fundamental research bearing directly on surgical management that will be of general interest to a broad range of surgeons and surgical researchers. The articles presented need not have been the products of surgeons or of surgical laboratories. The Journal of Surgical Research also features review articles and special articles relating to educational, research, or social issues of interest to the academic surgical community.