A commentary on “Clinical efficacy of surgical versus conservative treatment for multiple rib fractures: A meta-analysis of randomized controlled trials.” (Int J Surg. 2020 Nov;83:79–88. doi: 10.1016/j.ijsu.2020.09.010)

2020 ◽  
Vol 84 ◽  
pp. 125-126
Author(s):  
Jie Deng ◽  
Mingcheng Yuan ◽  
Hongchen He
Keyword(s):  
Conservative Treatment ◽  
Randomized Controlled Trials ◽  
Clinical Efficacy ◽  
Meta Analysis ◽  
Rib Fractures ◽  
Controlled Trials ◽  
Multiple Rib Fractures ◽  
Randomized Controlled

scholarly journals Meta-Analysis on Comparison of Therapeutic Effects of Different Treatment Methods on Multiple Rib Fractures

2020 ◽  
Author(s):  
Hao Zhang ◽  
Ting Feng ◽  
Jie zhi Pei
Keyword(s):  
Length Of Stay ◽  
Conservative Treatment ◽  
Pulmonary Infection ◽  
Meta Analysis ◽  
Rib Fractures ◽  
Controlled Trials ◽  
Multiple Rib Fractures ◽  
Randomized Controlled ◽  
Stay Time ◽  
Support Time

Abstract Objective The treatment of multiple rib fractures is worthy of consideration. A Meta-analysis on the surgical and conservative treatment of multiple rib fractures was carried out in this paper to explore the curative effect of these methods and provide some medical evidence. Methods Articles about randomized controlled trials (RCT) on the surgical and conservative treatment of multiple rib fractures were retrieved from the PubMed, Embase and Cochrane library databases, and were screened then to extract the data. The results were displayed by forest plots. Results This study included 5 articles and 337 cases which were divided into the surgical group (161 cases) and conservative group (176 cases). The Meta-analysis showed that differences between the two groups in respirator support time, intensive care unit (ICU) stay time, length of stay, and the incidence of pulmonary infection, chest wall deformity, chest tightness and breathlessness on exertion were statistically significant, and the differences between the two groups in the rate of tracheotomy and in-hospital mortality were not statistically significant. Conclusion The surgical treatment of multiple rib fractures can shorten the respirator support time, ICU stay time and length of stay, and reduce the incidence of pulmonary infection and chest disability, but this should be verified further by more randomized controlled trials. Key words: rib fractures; flail chest; surgical intervention; conservative treatment; Meta-analysis

scholarly journals Comparison of Clinical Efficacy and Safety between Indacaterol and Tiotropium in COPD: Meta-Analysis of Randomized Controlled Trials

PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0119948 ◽  
Author(s):  
Jung Soo Kim ◽  
Jinkyeong Park ◽  
Seong Yong Lim ◽  
Yeon-Mok Oh ◽  
Kwang Ha Yoo ◽  
...  
Keyword(s):  
Randomized Controlled Trials ◽  
Clinical Efficacy ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Efficacy And Safety ◽  
Randomized Controlled
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