Discussion
pneumonia, Rib fracture, blood loss, fracture, atelectasis, rib fracture, dislocation, pain, infection, fractures, hyperinflammation
PNEUMONIA, POSTOPERATIVE COMPLICATIONS, BLOOD LOSS, SURGICAL SITE INFECTION, ATELECTASIS, INFECTION, INFLAMMATORY RESPONSE
According to the findings of the current investigation, early rib fracture fixation may greatly decrease the length of stay in the intensive care unit, overall hospital stays, and ventilation days, and it can also reduce the hospitalization cost in MRF patients. The timing of rib fracture fixation does not influence the surgical procedure time, operative blood loss, 30-day all-cause mortality, or surgical site infection. Additionally, we also found that early rib fracture fixation can protect against hyperinflammation and improve infection. Moreover, it can also decrease the incidence of pneumonia and atelectasis after surgery. Iqbal [Rib fracture fixation treatment Multiple rib fractures have been used for hundreds of years to rebuild the chest wall and restore proper breathing mechanics, as well as to significantly reduce pain. However, recent clinical studies and meta-analyses have provided evidence of a potentially positive effect on mortality, ICU length of stay, and total hospital length of stay and a better outcome for patients with rib fracture fixation compared to a nonoperative treatment [The timing of rib fracture fixation surgery is also controversial. One of the major reasons why only a limited number of studies have been conducted on the time point of surgery is that most studies focus on operative versus nonoperative treatment. Majak [In the present study, we also evaluated inflammatory cytokine levels and serum infection marker levels. We also found that early rib fracture fixation surgery can decrease the inflammatory response and protect against infection. The probable reason may be that early completion of rib fracture fixation improved pain and other stress responses. Additionally, we also evaluated postoperative complications, such as surgical site infection, pneumonia, and atelectasis. There was no significant difference between the two groups in terms of surgical site infection, with few potential advantages in the early rib fracture fixation surgery group. The incidence of pneumonia and atelectasis decreased significantly in the early rib fracture fixation surgery group. These data were similar to the results of a previous retrospective study [The following were some of the study's limitations: Patients were not called back for study visits for a full evaluation of their quality of life in the context of activities of daily living (ADL); The morphology of the rib fractures, especially the amount of dislocation, was crucial for indicating rib fracture fixation, which was one of the major limitations of this study; The present research should have examined clinical parameters, including pain and subjective sleep quality.