Matches in SemOpenAlex for { <https://semopenalex.org/work/W3094216335> ?p ?o ?g. }
- W3094216335 endingPage "500" @default.
- W3094216335 startingPage "492" @default.
- W3094216335 abstract "Outcomes after surgical stabilization of rib fractures (SSRF) have not been studied in patients with multiple rib fractures and traumatic brain injury (TBI). We hypothesized that SSRF, as compared with nonoperative management, is associated with favorable outcomes in patients with TBI.A multicenter, retrospective cohort study was performed in patients with rib fractures and TBI between January 2012 and July 2019. Patients who underwent SSRF were compared to those managed nonoperatively. The primary outcome was mechanical ventilation-free days. Secondary outcomes were intensive care unit length of stay and hospital length of stay, tracheostomy, occurrence of complications, neurologic outcome, and mortality. Patients were further stratified into moderate (GCS score, 9-12) and severe (GCS score, ≤8) TBI.The study cohort consisted of 456 patients of which 111 (24.3%) underwent SSRF. The SSRF was performed at a median of 3 days, and SSRF-related complication rate was 3.6%. In multivariable analyses, there was no difference in mechanical ventilation-free days between the SSRF and nonoperative groups. The odds of developing pneumonia (odds ratio [OR], 0.59; 95% confidence interval [95% CI], 0.38-0.98; p = 0.043) and 30-day mortality (OR, 0.32; 95% CI, 0.11-0.91; p = 0.032) were significantly lower in the SSRF group. Patients with moderate TBI had similar outcome in both groups. In patients with severe TBI, the odds of 30-day mortality was significantly lower after SSRF (OR, 0.19; 95% CI, 0.04-0.88; p = 0.034).In patients with multiple rib fractures and TBI, the mechanical ventilation-free days did not differ between the two treatment groups. In addition, SSRF was associated with a significantly lower risk of pneumonia and 30-day mortality. In patients with moderate TBI, outcome was similar. In patients with severe TBI a lower 30-day mortality was observed. There was a low SSRF-related complication risk. These data suggest a potential role for SSRF in select patients with TBI.Therapeutic, level IV." @default.
- W3094216335 created "2020-10-29" @default.
- W3094216335 creator A5004641229 @default.
- W3094216335 creator A5004785534 @default.
- W3094216335 creator A5005242103 @default.
- W3094216335 creator A5011671799 @default.
- W3094216335 creator A5012703753 @default.
- W3094216335 creator A5016899423 @default.
- W3094216335 creator A5017778265 @default.
- W3094216335 creator A5023222706 @default.
- W3094216335 creator A5025324690 @default.
- W3094216335 creator A5034401546 @default.
- W3094216335 creator A5037458318 @default.
- W3094216335 creator A5038007641 @default.
- W3094216335 creator A5038360192 @default.
- W3094216335 creator A5039629354 @default.
- W3094216335 creator A5042621489 @default.
- W3094216335 creator A5044940600 @default.
- W3094216335 creator A5047217573 @default.
- W3094216335 creator A5049315966 @default.
- W3094216335 creator A5050728233 @default.
- W3094216335 creator A5051966533 @default.
- W3094216335 creator A5052153708 @default.
- W3094216335 creator A5054176177 @default.
- W3094216335 creator A5061384822 @default.
- W3094216335 creator A5061551739 @default.
- W3094216335 creator A5062305448 @default.
- W3094216335 creator A5063643517 @default.
- W3094216335 creator A5065296998 @default.
- W3094216335 creator A5068855097 @default.
- W3094216335 creator A5072933357 @default.
- W3094216335 creator A5073351539 @default.
- W3094216335 creator A5074945127 @default.
- W3094216335 creator A5082167995 @default.
- W3094216335 creator A5088907153 @default.
- W3094216335 date "2020-10-22" @default.
- W3094216335 modified "2023-09-27" @default.
- W3094216335 title "Outcome after surgical stabilization of rib fractures versus nonoperative treatment in patients with multiple rib fractures and moderate to severe traumatic brain injury (CWIS-TBI)" @default.
- W3094216335 cites W1972982581 @default.
- W3094216335 cites W1978817172 @default.
- W3094216335 cites W1984429967 @default.
- W3094216335 cites W1987298263 @default.
- W3094216335 cites W2022378767 @default.
- W3094216335 cites W2024384638 @default.
- W3094216335 cites W2039765905 @default.
- W3094216335 cites W2044552544 @default.
- W3094216335 cites W2047897061 @default.
- W3094216335 cites W2054258745 @default.
- W3094216335 cites W2054876503 @default.
- W3094216335 cites W2088652020 @default.
- W3094216335 cites W2093187636 @default.
- W3094216335 cites W2106449742 @default.
- W3094216335 cites W2121895757 @default.
- W3094216335 cites W2142936521 @default.
- W3094216335 cites W2160489028 @default.
- W3094216335 cites W2198285356 @default.
- W3094216335 cites W2497003251 @default.
- W3094216335 cites W2559198425 @default.
- W3094216335 cites W2567430512 @default.
- W3094216335 cites W2605870998 @default.
- W3094216335 cites W2735058199 @default.
- W3094216335 cites W2750694842 @default.
- W3094216335 cites W2765248830 @default.
- W3094216335 cites W2886666901 @default.
- W3094216335 cites W2917353890 @default.
- W3094216335 cites W2953965293 @default.
- W3094216335 cites W3023677858 @default.
- W3094216335 doi "https://doi.org/10.1097/ta.0000000000002994" @default.
- W3094216335 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33093293" @default.
- W3094216335 hasPublicationYear "2020" @default.
- W3094216335 type Work @default.
- W3094216335 sameAs 3094216335 @default.
- W3094216335 citedByCount "25" @default.
- W3094216335 countsByYear W30942163352021 @default.
- W3094216335 countsByYear W30942163352022 @default.
- W3094216335 countsByYear W30942163352023 @default.
- W3094216335 crossrefType "journal-article" @default.
- W3094216335 hasAuthorship W3094216335A5004641229 @default.
- W3094216335 hasAuthorship W3094216335A5004785534 @default.
- W3094216335 hasAuthorship W3094216335A5005242103 @default.
- W3094216335 hasAuthorship W3094216335A5011671799 @default.
- W3094216335 hasAuthorship W3094216335A5012703753 @default.
- W3094216335 hasAuthorship W3094216335A5016899423 @default.
- W3094216335 hasAuthorship W3094216335A5017778265 @default.
- W3094216335 hasAuthorship W3094216335A5023222706 @default.
- W3094216335 hasAuthorship W3094216335A5025324690 @default.
- W3094216335 hasAuthorship W3094216335A5034401546 @default.
- W3094216335 hasAuthorship W3094216335A5037458318 @default.
- W3094216335 hasAuthorship W3094216335A5038007641 @default.
- W3094216335 hasAuthorship W3094216335A5038360192 @default.
- W3094216335 hasAuthorship W3094216335A5039629354 @default.
- W3094216335 hasAuthorship W3094216335A5042621489 @default.
- W3094216335 hasAuthorship W3094216335A5044940600 @default.
- W3094216335 hasAuthorship W3094216335A5047217573 @default.
- W3094216335 hasAuthorship W3094216335A5049315966 @default.
- W3094216335 hasAuthorship W3094216335A5050728233 @default.
- W3094216335 hasAuthorship W3094216335A5051966533 @default.
- W3094216335 hasAuthorship W3094216335A5052153708 @default.