Nonoperative Vs Operative Management of Chest Trauma with Multiple Rip Fractures: A Meta-Analysis .
A meta-analysis and trial sequential analysis of randomised controlled trials comparing nonoperative and operative management of chest trauma with multiple rib fractures.
World J Emerg Surg . 2024 Mar 19;19(1):11.Nine randomized controlled trials including 862 patients with traumatic multiple rib fractures were included in this systematic review and meta-analysis comparing operative management to nonoperative management. Pooled outcomes of interest included all-cause mortality, incidence of pneumonia, duration of mechanical ventilation, ICU length of stay, and hospital length of stay. The results demonstrated that operative management significantly reduced the duration of mechanical ventilation and the incidence of pneumonia, but did not significantly impact all-cause mortality. The findings suggest that while operative management may improve some clinical outcomes, further research is needed to establish its effect on mortality due to the low certainty of evidence and insufficient sample size.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
0 of 4 monthly FREE articles unlocked
