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:

    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
  • <
    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:

      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
    • Pain levels [ Time Frame: Past 4 years ]
    • Patient Characteristics [ Time Frame: past 4 years ]

      • 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
    • 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:

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