Clinical Trial: Analysis of the Status, Treatment and Outcomes of Rib Fractures
Study Status: Active, not recruiting
Recruit Status: Active, not recruiting
Study Type: Observational
Official Title: Analysis of the Status, Treatment and Outcomes of Rib Fractures
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 Summary:
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
- <
Sponsor: Milton S. Hershey Medical Center
Current Primary Outcome: Types and treatment of Rib Fractures [ Time Frame: Past 4 years ]
- 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
Original Primary Outcome: Same as current
Current Secondary Outcome:
- sequelae and complications from rib fractures [ Time Frame: Past 4 years ]
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
- Pain levels [ Time Frame: Past 4 years ]
- Patient Characteristics [ Time Frame: past 4 years ]
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
- Current patient quality of life as assessed by telephone survey [ Time Frame: past 4 years ]
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
Original Secondary Outcome: Same as current
Information By: Milton S. Hershey Medical Center
Dates:
Date Received: April 5, 2015
Date Started: June 2013
Date Completion:
Last Updated: March 17, 2016
Last Verified: March 2016