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Randomized controlled trial of surgical rib fixation to nonoperative management in severe chest wall injury

6 December 2023
Randomized clinical trials
Meyer DE, Harvin JA, Vincent L, Motley K, Wandling MW, Puzio TJ et al.

Ann Surg 2023; 278: 357-365.

Surgical rib stabilization compared to conservative treatment did not affect length of ICU stay or number of days on a ventilator, or reduce overall duration of hospital stay: relative risk 1.48, 95 per cent confidence interval 1.17 to 1.88. Nor did it improve quality of life up to six months.

Comment: Good study reaffirming that surgery doesn’t have a role here.

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rct063
Randomized clinical trials
Randomized clinical trials
Randomized controlled trial of surgical rib fixation to nonoperative management in severe chest wall injury
Meyer DE, Harvin JA, Vincent L, Motley K, Wandling MW, Puzio TJ et al.
06122023
Ann Surg 2023; 278: 357-365.
Surgical rib stabilization compared to conservative treatment did not affect length of ICU stay or number of days on a ventilator, or reduce overall duration of hospital stay: relative risk 1.48, 95 per cent confidence interval 1.17 to 1.88. Nor did it improve quality of life up to six months.
Comment: Good study reaffirming that surgery doesn’t have a role here.
Published on: 6 December 2023
Article ID: rct063

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