Clinical trial NCT02487264: Analysis of the Status, Treatment and Outcomes of Rib Fractures
Official title: Analysis of the Status, Treatment and Outcomes of Rib Fractures
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Rib Fracture
Trauma
Lead sponsor: Milton S. Hershey Medical Center
Sponsor class: OTHER
First posted: 2015-07-01
Enrollment: 921
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All patients presenting during 2010-2012 with multiple rib fractures to PSHMC emergency department

Brief summary: 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: 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:

  1. Shortness of Breath (SOB)
  2. Hemothorax,
  3. Pneumothorax
  4. Flail chest
  5. Intubation required
  6. Mechanical ventilation required
  7. Opioids required for pain
  8. Chest tube placement required
* Sequelae of rib fracture, including:

  1. Acute Respiratory Deficiency Syndrome (ARDS)
  2. Pneumonia
  3. Death
  4. chronic pain
  5. delayed subclavian vessel thrombosis
  6. aortic aneurysm
  7. tracheobronchial fistula
  8. thoracic outlet syndrome
  9. Horner's syndrome
* Clinical history of

  1. Rib fractures
  2. Other fractures
  3. Osteoporosis
  4. Chronic Obstructive Pulmonary Disease (COPD)
  5. Cancer
  6. Myocardial Infarction (MI) / Coronary Artery Disease (CAD)
  7. Arthritis
  8. Parkinson's disease
* Patient characteristics:

  1. Age
  2. Gender
  3. Race
  4. Body Mass Index (BMI)
  5. Alcohol use
  6. Smoking status
  7. Marital status
  8. Education
  9. 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:

1. pain score
2. quality of life via the EuroQol's quality of life survey :EQ-5D-3L questionnaire
3. pain meds

Eligibility criteria: Inclusion Criteria:

* must have above and be notated in our medical record

Exclusion Criteria:

* missing data

Primary outcomes:
measure: Types and treatment of Rib Fractures
timeFrame: Past 4 years
Secondary outcomes:
measure: sequelae and complications from rib fractures
timeFrame: Past 4 years
measure: Pain levels
timeFrame: Past 4 years
measure: Patient Characteristics
timeFrame: past 4 years
measure: Current patient quality of life as assessed by telephone survey
timeFrame: past 4 years
Other outcomes:
Locations:
Study officials:
References: