Clinical Trials Logo

Clinical Trial 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.


Clinical Trial 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 ;


Study Design


Related Conditions & MeSH terms


NCT number NCT02487264
Study type Observational
Source Milton S. Hershey Medical Center
Contact
Status Completed
Phase
Start date June 2013
Completion date December 14, 2017

See also
  Status Clinical Trial Phase
Recruiting NCT04848376 - Post-Market Clinical Follow-up Study of A-SPINE's Products
Terminated NCT03781817 - Intranasal Versus Intravenous Ketamine for Procedural Sedation in Children With Non-operative Fractures Phase 4
Completed NCT04342416 - Using a Brief Visuospatial Interference Intervention to Reduce Intrusive Memories Among Trauma Exposed Women N/A
Recruiting NCT04856449 - DBT Skills Plus EMDR for BPD and Trauma N/A
Completed NCT04356963 - Adjunct VR Pain Management in Acute Brain Injury N/A
Completed NCT05669313 - The Effects of Hypothermia and Acidosis on Coagulation During Treatment With Rivaroxaban Measured With ROTEM
Active, not recruiting NCT03622632 - Pilot Study to Measure Uric Acid in Traumatized Patients: Determinants and Prognostic Association
Recruiting NCT04725721 - Testing FIRST in Youth Outpatient Psychotherapy N/A
Active, not recruiting NCT05530642 - An Augmented Training Program for Preventing Post-Traumatic Stress Injuries Among Diverse Public Safety Personnel N/A
Not yet recruiting NCT05649891 - Checklists Resuscitation Emergency Department N/A
Not yet recruiting NCT03696563 - FreeO2 PreHospital - Automated Oxygen Titration vs Manual Titration According to the BLS-PCS N/A
Withdrawn NCT03249129 - Identification of Autoantibodies and Autoantigens in the Cerebrospinal Fluid of Patients With Spinal Cord Trauma
Completed NCT02240732 - Surgical Tourniquets and Cerebral Emboli N/A
Completed NCT02227979 - Effects of PURPLE Cry Intervention N/A
Withdrawn NCT01169025 - Fentanyl vs. Low-Dose Ketamine for the Relief of Moderate to Severe Pain in Aeromedical Patients N/A
Recruiting NCT01812941 - Evaluation of Mitochondrial Dysfunction in Severe Burn and Trauma Patients N/A
Completed NCT03112304 - Child STEPS for Youth Mental Health in Maine Sustainability N/A
Completed NCT01475344 - Fibrinogen Concentrate (FGTW) in Trauma Patients, Presumed to Bleed (FI in TIC) Phase 1/Phase 2
Completed NCT01210417 - Trauma Heart to Arm Time N/A
Completed NCT01201863 - Neuroendocrine Dysfunction in Traumatic Brain Injury: Effects of Testosterone Therapy Phase 4