EQ-5D as a Tool to Evaluate Quality of Life of Rib Osteosynthesis

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Published: Mar 1, 2025
DOI: https://doi.org/10.55720/respirar.17.1.3
Keywords:
rib fixation multiple rib fractures long-term quality flail chest EuroQol 5D

Main Article Content

Miguel Alejandro Kees
Hospital Ángel C Padilla, Servicio de cirugía de tórax, San Miguel de Tucumán, Tucumán, Argentina.
https://orcid.org/0009-0003-9275-8424
Gregorio Kohan
Hospital Ángel C Padilla, Servicio de cirugía de tórax, San Miguel de Tucumán, Tucumán, Argentina.
https://orcid.org/0009-0003-4662-9891
Gonzalo Fernandez Sily
Hospital Ángel C Padilla, Servicio de cirugía de tórax, San Miguel de Tucumán, Tucumán, Argentina.
https://orcid.org/0009-0007-0786-0328
Pedro Antonio Bollea
Hospital Ángel C Padilla, Servicio de cirugía de tórax, San Miguel de Tucumán, Tucumán, Argentina.
https://orcid.org/0009-0007-6100-5971
Ivanna Giselle Chalfoun
Hospital Ángel C Padilla, Servicio de cirugía de tórax, San Miguel de Tucumán, Tucumán, Argentina.
https://orcid.org/0009-0008-5618-1783
Hector Eduardo Roldan
Hospital Ángel C Padilla, Servicio de cirugía de tórax, San Miguel de Tucumán, Tucumán, Argentina.
Juan Jose Anastasio
Hospital Ángel C Padilla, Servicio de cirugía de tórax, San Miguel de Tucumán, Tucumán, Argentina.
https://orcid.org/0009-0005-7999-2544

Abstract

Objective: Rib fixation for flail chest has been shown to improve in-hospital outcome, but little is known about the treatment of multiple rib fractures and long-term outcome is poor. The objective of this study was to describe the safety and long-term quality of life after rib fixation.


Methods: A prospective study was conducted that included all adult patients with blunt chest trauma who underwent rib fixation for flail chest or multiple rib fractures between March 2021 and March 2024 in the chest surgery service.


Results: Of the 140 patients admitted with multiple rib fractures or flail chest, 69 (49.2%) underwent rib fixation; 14 patients with unstable chest (rib volet) and 55 patients with multiple rib fractures with an ISS of 29 and 22, respectively; 71 (50.7%) patients remained in the control group. The EQ-5D of the operated group was 0.87 compared to the control group, which was 0.71. Three (4.3%) patients had implant-related complications and 3 (4.3%) had their prosthesis removed.


Conclusions: We demonstrated that rib fixation is a safe procedure and that patients reported a higher long-term quality of life in the operated group compared to the control.

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Kees, M. A., Kohan, G., Fernandez Sily, G., Bollea, P. A., Chalfoun, I. G., Roldan, H. E., & Anastasio, J. J. (2025). EQ-5D as a Tool to Evaluate Quality of Life of Rib Osteosynthesis. Respirar, 17(1), 39–52. https://doi.org/10.55720/respirar.17.1.3
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Vol. 17 No. 1 (2025): March
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Artículos Originales
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This work is licensed under a Creative Commons Attribution 4.0 International License.

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