Quality of life and clinical outcomes of operatively treated patients with flail chest injuries: A multicentre prospective cohort study

on behalf of the NEXT study group; Ruben J. Hoepelman; Fabrizio Minervini; Frank J.P. Beeres; Bas van Wageningen; Frank F. IJpma; Nicole M. van Veelen; Koen W.W. Lansink; Jochem M. Hoogendoorn; Mark C.P. van Baal; Rolf H.H. Groenwold; Roderick M. Houwert

doi:10.3389/fsurg.2023.1156489

Quality of life and clinical outcomes of operatively treated patients with flail chest injuries: A multicentre prospective cohort study

on behalf of the NEXT study group, Ruben J. Hoepelman, Fabrizio Minervini^*, Frank J.P. Beeres, Bas van Wageningen, Frank F. IJpma, Nicole M. van Veelen, Koen W.W. Lansink, Jochem M. Hoogendoorn, Mark C.P. van Baal, Rolf H.H. Groenwold, Roderick M. Houwert

^*Corresponding author for this work

Basic and Translational Research and Imaging Methodology Development in Groningen (BRIDGE)

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Introduction: Most studies about rib fractures focus on mortality and morbidity. Literature is scarce on long term and quality of life (QoL) outcomes. Therefore, we report QoL and long-term outcomes after rib fixation in flail chest patients. Methods: A prospective cohort study of clinical flail chest patients admitted to six level 1 trauma centres in the Netherlands and Switzerland between January 2018 and March 2021. Outcomes included in-hospital outcomes and long-term outcomes, such as QoL measurements 12 months after hospitalization using the EuroQoL five dimensions (EQ-5D) questionnaire. Results: Sixty-one operatively treated flail chest patients were included. Median hospital length of stay was 15 days and intensive care length of stay was 8 days. Sixteen (26%) patients developed pneumonia and two (3%) died. One year after hospitalization the mean EQ5D score was 0.78. Complication rates were low and included hemothorax (6%) pleural effusion (5%) and two revisions of the implant (3%). Implant related irritation was commonly reported by patients (n = 15, 25%). Conclusions: Rib fixation for flail chest injuries can be considered a safe procedure and with low mortality rates. Future studies should focus on quality of life rather than solely short-term outcomes. Trial registration: Registered in the Netherlands Trial Register NTR6833 on 13/11/2017 and the Swiss Ethics Committees Registration Number 2019-00668.

Original language	English
Article number	1156489
Number of pages	7
Journal	Frontiers in surgery
Volume	10
Early online date	2023
DOIs	https://doi.org/10.3389/fsurg.2023.1156489
Publication status	Published - 2023

Keywords

flail chest
quality of life
rib fixation
rib fracture
thoracic trauma

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on behalf of the NEXT study group, Hoepelman, R. J., Minervini, F., Beeres, F. J. P., van Wageningen, B., IJpma, F. F., van Veelen, N. M., Lansink, K. W. W., Hoogendoorn, J. M., van Baal, M. C. P., Groenwold, R. H. H., & Houwert, R. M. (2023). Quality of life and clinical outcomes of operatively treated patients with flail chest injuries: A multicentre prospective cohort study. Frontiers in surgery, 10, Article 1156489. https://doi.org/10.3389/fsurg.2023.1156489

@article{ad873ab2cc9b4a22a2a936f1dc2eb4aa,

title = "Quality of life and clinical outcomes of operatively treated patients with flail chest injuries: A multicentre prospective cohort study",

abstract = "Introduction: Most studies about rib fractures focus on mortality and morbidity. Literature is scarce on long term and quality of life (QoL) outcomes. Therefore, we report QoL and long-term outcomes after rib fixation in flail chest patients. Methods: A prospective cohort study of clinical flail chest patients admitted to six level 1 trauma centres in the Netherlands and Switzerland between January 2018 and March 2021. Outcomes included in-hospital outcomes and long-term outcomes, such as QoL measurements 12 months after hospitalization using the EuroQoL five dimensions (EQ-5D) questionnaire. Results: Sixty-one operatively treated flail chest patients were included. Median hospital length of stay was 15 days and intensive care length of stay was 8 days. Sixteen (26%) patients developed pneumonia and two (3%) died. One year after hospitalization the mean EQ5D score was 0.78. Complication rates were low and included hemothorax (6%) pleural effusion (5%) and two revisions of the implant (3%). Implant related irritation was commonly reported by patients (n = 15, 25%). Conclusions: Rib fixation for flail chest injuries can be considered a safe procedure and with low mortality rates. Future studies should focus on quality of life rather than solely short-term outcomes. Trial registration: Registered in the Netherlands Trial Register NTR6833 on 13/11/2017 and the Swiss Ethics Committees Registration Number 2019-00668.",

keywords = "flail chest, quality of life, rib fixation, rib fracture, thoracic trauma",

author = "{on behalf of the NEXT study group} and Hoepelman, {Ruben J.} and Fabrizio Minervini and Beeres, {Frank J.P.} and {van Wageningen}, Bas and IJpma, {Frank F.} and {van Veelen}, {Nicole M.} and Lansink, {Koen W.W.} and Hoogendoorn, {Jochem M.} and {van Baal}, {Mark C.P.} and Groenwold, {Rolf H.H.} and Houwert, {Roderick M.}",

note = "Funding Information: This work was financially supported by the DePuy Synthes (grant number DPS-TCMF-2017-036). The organization was not involved in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. All researchers are independent from the funder. All authors had full access to all of the data (including statistical reports and tables) in the study and can take responsibility for the integrity of the data and the accuracy of the data analysis. Acknowledgments Publisher Copyright: 2023 Hoepelman, Minervini, Beeres, van Wageningen, IJpma, van Veelen, Lansink, Hoogendoorn, van Baal, Groenwold and Houwert.",

year = "2023",

doi = "10.3389/fsurg.2023.1156489",

language = "English",

volume = "10",

journal = "Frontiers in surgery",

issn = "2296-875X",

publisher = "Frontiers Media S.A.",

}

on behalf of the NEXT study group, Hoepelman, RJ, Minervini, F, Beeres, FJP, van Wageningen, B, IJpma, FF, van Veelen, NM, Lansink, KWW, Hoogendoorn, JM, van Baal, MCP, Groenwold, RHH & Houwert, RM 2023, 'Quality of life and clinical outcomes of operatively treated patients with flail chest injuries: A multicentre prospective cohort study', Frontiers in surgery, vol. 10, 1156489. https://doi.org/10.3389/fsurg.2023.1156489

TY - JOUR

T1 - Quality of life and clinical outcomes of operatively treated patients with flail chest injuries

T2 - A multicentre prospective cohort study

AU - on behalf of the NEXT study group

AU - Hoepelman, Ruben J.

AU - Minervini, Fabrizio

AU - Beeres, Frank J.P.

AU - van Wageningen, Bas

AU - IJpma, Frank F.

AU - van Veelen, Nicole M.

AU - Lansink, Koen W.W.

AU - Hoogendoorn, Jochem M.

AU - van Baal, Mark C.P.

AU - Groenwold, Rolf H.H.

AU - Houwert, Roderick M.

N1 - Funding Information: This work was financially supported by the DePuy Synthes (grant number DPS-TCMF-2017-036). The organization was not involved in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. All researchers are independent from the funder. All authors had full access to all of the data (including statistical reports and tables) in the study and can take responsibility for the integrity of the data and the accuracy of the data analysis. Acknowledgments Publisher Copyright: 2023 Hoepelman, Minervini, Beeres, van Wageningen, IJpma, van Veelen, Lansink, Hoogendoorn, van Baal, Groenwold and Houwert.

PY - 2023

Y1 - 2023

N2 - Introduction: Most studies about rib fractures focus on mortality and morbidity. Literature is scarce on long term and quality of life (QoL) outcomes. Therefore, we report QoL and long-term outcomes after rib fixation in flail chest patients. Methods: A prospective cohort study of clinical flail chest patients admitted to six level 1 trauma centres in the Netherlands and Switzerland between January 2018 and March 2021. Outcomes included in-hospital outcomes and long-term outcomes, such as QoL measurements 12 months after hospitalization using the EuroQoL five dimensions (EQ-5D) questionnaire. Results: Sixty-one operatively treated flail chest patients were included. Median hospital length of stay was 15 days and intensive care length of stay was 8 days. Sixteen (26%) patients developed pneumonia and two (3%) died. One year after hospitalization the mean EQ5D score was 0.78. Complication rates were low and included hemothorax (6%) pleural effusion (5%) and two revisions of the implant (3%). Implant related irritation was commonly reported by patients (n = 15, 25%). Conclusions: Rib fixation for flail chest injuries can be considered a safe procedure and with low mortality rates. Future studies should focus on quality of life rather than solely short-term outcomes. Trial registration: Registered in the Netherlands Trial Register NTR6833 on 13/11/2017 and the Swiss Ethics Committees Registration Number 2019-00668.

AB - Introduction: Most studies about rib fractures focus on mortality and morbidity. Literature is scarce on long term and quality of life (QoL) outcomes. Therefore, we report QoL and long-term outcomes after rib fixation in flail chest patients. Methods: A prospective cohort study of clinical flail chest patients admitted to six level 1 trauma centres in the Netherlands and Switzerland between January 2018 and March 2021. Outcomes included in-hospital outcomes and long-term outcomes, such as QoL measurements 12 months after hospitalization using the EuroQoL five dimensions (EQ-5D) questionnaire. Results: Sixty-one operatively treated flail chest patients were included. Median hospital length of stay was 15 days and intensive care length of stay was 8 days. Sixteen (26%) patients developed pneumonia and two (3%) died. One year after hospitalization the mean EQ5D score was 0.78. Complication rates were low and included hemothorax (6%) pleural effusion (5%) and two revisions of the implant (3%). Implant related irritation was commonly reported by patients (n = 15, 25%). Conclusions: Rib fixation for flail chest injuries can be considered a safe procedure and with low mortality rates. Future studies should focus on quality of life rather than solely short-term outcomes. Trial registration: Registered in the Netherlands Trial Register NTR6833 on 13/11/2017 and the Swiss Ethics Committees Registration Number 2019-00668.

KW - flail chest

KW - quality of life

KW - rib fixation

KW - rib fracture

KW - thoracic trauma

U2 - 10.3389/fsurg.2023.1156489

DO - 10.3389/fsurg.2023.1156489

M3 - Article

AN - SCOPUS:85151329622

SN - 2296-875X

VL - 10

JO - Frontiers in surgery

JF - Frontiers in surgery

M1 - 1156489

ER -

Quality of life and clinical outcomes of operatively treated patients with flail chest injuries: A multicentre prospective cohort study

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