Academic Journal
Comparison of analgesic interventions for traumatic rib fractures: a systematic review and meta-analysis
| Τίτλος: | Comparison of analgesic interventions for traumatic rib fractures: a systematic review and meta-analysis |
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| Συγγραφείς: | Jesse Peek, Diederik P. J. Smeeing, Falco Hietbrink, Roderick M. Houwert, Marije Marsman, Mirjam B. de Jong |
| Συνεισφορές: | Zorgeenheid Traumatologie, Other research (not in main researchprogram), Medische staf Anesthesiologie |
| Πηγή: | Eur J Trauma Emerg Surg |
| Στοιχεία εκδότη: | Springer Science and Business Media LLC, 2018. |
| Έτος έκδοσης: | 2018 |
| Θεματικοί όροι: | Adult, Adolescent, Critical Care, Rib Fractures, Rib Fractures/complications, Critical Care and Intensive Care Medicine, Nerve Block/statistics & numerical data, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Musculoskeletal Pain, Analgesia, Epidural/statistics & numerical data, Journal Article, Pain Management, Humans, Anesthesia, Orthopedics and Sports Medicine, Comparative Study, Mortality, Musculoskeletal Pain/prevention & control, Aged, Pain Measurement, Analgesics, Critical Care/statistics & numerical data, Nerve Block, Length of Stay, Middle Aged, 3. Good health, Hospitalization, Analgesia, Epidural, Length of Stay/statistics & numerical data, Analgesics/therapeutic use, Emergency Medicine, Surgery, Original Article, Administration, Intravenous, Analgesia, Epidemiologic Methods, Meta-Analysis |
| Περιγραφή: | Many studies report on outcomes of analgesic therapy for (suspected) traumatic rib fractures. However, the literature is inconclusive and diverse regarding the management of pain and its effect on pain relief and associated complications. This systematic review and meta-analysis summarizes and compares reduction of pain for the different treatment modalities and as secondary outcome mortality during hospitalization, length of mechanical ventilation, length of hospital stay, length of intensive care unit stay (ICU) and complications such as respiratory, cardiovascular, and/or analgesia-related complications, for four different types of analgesic therapy: epidural analgesia, intravenous analgesia, paravertebral blocks and intercostal blocks.PubMed, EMBASE and CENTRAL databases were searched to identify comparative studies investigating epidural, intravenous, paravertebral and intercostal interventions for traumatic rib fractures, without restriction for study type. The search strategy included keywords and MeSH or Emtree terms relating blunt chest trauma (including rib fractures), analgesic interventions, pain management and complications.A total of 19 papers met our inclusion criteria and were finally included in this systematic review. Significant differences were found in favor of epidural analgesia for the reduction of pain. No significant differences were observed between epidural analgesia, intravenous analgesia, paravertebral blocks and intercostal blocks, for the secondary outcomes.Results of this study show that epidural analgesia provides better pain relief than the other modalities. No differences were observed for secondary endpoints like length of ICU stay, length of mechanical ventilation or pulmonary complications. However, the quality of the available evidence is low, and therefore, preclude strong recommendations. |
| Τύπος εγγράφου: | Article Other literature type |
| Περιγραφή αρχείου: | application/pdf |
| Γλώσσα: | English |
| ISSN: | 1863-9941 1863-9933 |
| DOI: | 10.1007/s00068-018-0918-7 |
| Σύνδεσμος πρόσβασης: | https://link.springer.com/content/pdf/10.1007%2Fs00068-018-0918-7.pdf https://pubmed.ncbi.nlm.nih.gov/29411048 https://link.springer.com/article/10.1007/s00068-018-0918-7 https://paperity.org/p/86051428/comparison-of-analgesic-interventions-for-traumatic-rib-fractures-a-systematic-review-and https://europepmc.org/article/MED/29411048 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6689037 https://link.springer.com/content/pdf/10.1007%2Fs00068-018-0918-7.pdf https://pubmed.ncbi.nlm.nih.gov/29411048/ https://dspace.library.uu.nl/handle/1874/438718 |
| Rights: | CC BY |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....1c4451f703d2572146ea5a6f7aa86f48 |
| Βάση Δεδομένων: | OpenAIRE |
| ISSN: | 18639941 18639933 |
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| DOI: | 10.1007/s00068-018-0918-7 |