Analysis of the Status, Treatment and Outcomes of Rib Fractures

Study Overview
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Brief Summary
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A retrospective analysis of all patient presenting with multiple rib fractures to the emergency room of Penn State Hershey Medical Center between 2010-2012. Patient demographics, cause of fracture, outcomes, chronic medical conditions, vital signs, length of stay, pain levels and treatment, and sequelae will be recorded and analyzed.

Detailed Description
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This is a retrospective chart review with follow-up phone calls. The initial part of the study will be a retrospective chart review. For this chart review study, the following data elements will be entered for each participant. The investigators will perform a retrospective study of patients who have been treated for rib fractures at Penn State Hershey Medical Center (PSHMC). The time period of review will be 1/10/10 - 1/10/12 until 1500 cases have been reviewed. Data collected will be: Patient Medical Record Number (MRN) Name Phone number length of stay (admit and discharge date) Number of rib fractures per patient Cause of rib fracture Characteristics of the fracture (unilateral versus bilateral and multiple versus single) Pain management used for the rib fracture including pain interventions, medications and all pain scores Complications attributable to the rib fracture, including: Shortness of Breath (SOB) Hemothorax, Pneumothorax Flail chest Intubation required Mechanical ventilation required Opioids required for pain Chest tube placement required Sequelae of rib fracture, including: Acute Respiratory Deficiency Syndrome (ARDS) Pneumonia Death chronic pain delayed subclavian vessel thrombosis aortic aneurysm tracheobronchial fistula thoracic outlet syndrome Horner's syndrome Clinical history of Rib fractures Other fractures Osteoporosis Chronic Obstructive Pulmonary Disease (COPD) Cancer Myocardial Infarction (MI) / Coronary Artery Disease (CAD) Arthritis Parkinson's disease Patient characteristics: Age Gender Race Body Mass Index (BMI) Alcohol use Smoking status Marital status Education Initial blood pressure 7.2.2 Follow-up phone calls The investigators will then attempt to call the patients for follow-up information using a summary explanation of research phone script to obtain the following information: pain score quality of life via the EuroQol's quality of life survey :EQ-5D-3L questionnaire pain meds

Official Title
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Analysis of the Status, Treatment and Outcomes of Rib Fractures

Conditions
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Trauma, Rib Fracture

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: must have above and be notated in our medical record Exclusion Criteria: missing data

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Types and treatment of Rib Fractures | Characteristics of the fracture (unilateral versus bilateral and multiple versus single) Pain management used for the rib fracture including pain interventions, medications and all pain scores | Past 4 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| sequelae and complications from rib fractures | sequelae and complications in patients presenting with rib fractures: •Complications attributable to the rib fracture, including: Shortness of Breath (SOB) Hemothorax, Pneumothorax Flail chest Intubation required Mechanical ventilation required Opioids required for pain Chest tube placement required | Past 4 years | 
| Pain levels |  | Past 4 years | 
| Patient Characteristics | Clinical history of Rib fractures Other fractures Osteoporosis Chronic Obstructive Pulmonary Disease (COPD) Cancer Myocardial Infarction (MI) / Coronary Artery Disease (CAD) Arthritis Parkinson's disease Patient characteristics: Age Gender Race Body Mass Index (BMI) Alcohol use Smoking status Marital status Education Initial blood pressure | past 4 years | 
| Current patient quality of life as assessed by telephone survey | Follow-up phone calls The investigators will then attempt to call the patients for follow-up information using a summary explanation of research phone script to obtain the following information: pain score quality of life via the EuroQol's quality of life survey :EQ-5D-3L questionnaire pain meds | past 4 years |