Chest Wall Repair of Rib Fractures After Trauma

NCT ID: NCT00926991

Last Updated: 2011-03-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-08-31

Study Completion Date

2010-09-30

Brief Summary

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This is a prospective, observational trial of 50 patients who have multiple, severe rib fractures following trauma. The investigators will follow their hospital stay for outcomes (infections, length of stay and medical care) as well as their early post-hospital course.

Detailed Description

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Hypothesis:

Rib fracture repair utilizing open reduction and internal fixation with commercially available rib plating systems improves outcomes (i.e., infectious complications), decreases hospital stay and mortality.

Study Design:

This is a prospective, observational study of 50 patients who, due to their injury pattern, are operative candidates for open reduction and internal fixation with commercial available rib plating systems for one of the following indications:

1. Flail chest with/without failure to wean from the ventilator
2. Significantly displaced rib fractures with/without lung impalement
3. Symptomatic multiple rib fractures - Failure of pain control

Outcome measures to be evaluated include:

1. Hospital Mortality
2. Ventilator free days
3. Need for tracheotomy
4. Infectious Complications (pneumonia, bacteremia, UTI, empyema)
5. Hospital \& ICU Days
6. Disposition following discharge

Conditions

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Rib Fractures

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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traumatic rib fractures

No intervention

Intervention Type OTHER

No intervention; observation only

Interventions

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No intervention

No intervention; observation only

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Subjects must be at least \>18 years of age
* Subjects must have one of the following clinical indications:
* \>3 rib flail segments with paradoxical chest wall movement
* Non-repair of defect may result in pulmonary hernia
* Minimal associated injuries
* Severely displaced fractures are significantly impeding lung expansion.
* Failure of narcotics or epidural pain catheter to control pain

Exclusion Criteria

* Significant pulmonary contusion
* Significant brain injury (AIS 4 and/or ICP monitoring)
* Severe associated injuries which, in the opinion of the surgeon will preclude operative chest wall stabilization
* Subjects not expected to survive the 90-day follow-up period
* Known pregnancy
* Prisoners
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vanderbilt University

OTHER

Sponsor Role lead

Responsible Party

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Vanderbilt University Medical Center

Principal Investigators

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Jose J Diaz, MD

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University Medical Center

Locations

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Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Countries

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United States

Other Identifiers

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Acute chest wall injuries

Identifier Type: -

Identifier Source: org_study_id

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