{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T11:28:41Z","timestamp":1747999721998,"version":"3.37.3"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003This study aimed to compare the clinical outcomes of early and late surgical stabilization of rib fractures (SSRFs) in patients with flail chest.<\/jats:p><jats:p>\n          Methods\u2003A retrospective analysis was performed on patients with flail chest according to surgical stabilization time of rib fractures (early [\u2264 72\u2009hours] and late [&gt;72\u2009hours]). Outcome measures included duration of mechanical ventilation, intensive care unit (ICU) stay, hospital stay, and morbidity and mortality rates. A correlation analysis was performed between the time from trauma to stabilization and the clinical outcomes after stabilization.<\/jats:p><jats:p>\n          Results\u2003A total of 70 patients were evaluated (36 and 34 in the early and late groups, respectively). The demographics and indicators of injury severity were comparable in both groups. The early group had significantly shorter duration of mechanical ventilation (23.7 vs. 165.6\u2009hours; p\u2009=\u20090.003), ICU stay (6.5 vs. 19.7 days; p\u2009=\u20090.003), hospital stay (9 vs. 22.5 days; p\u2009=\u20090.001), and lower rate of atelectasis (11 vs. 58%; p\u2009=\u20090.01), pneumonia (8.8 vs. 50%; p\u2009=\u20090.001), and empyema (2.8 vs. 20.6%; p\u2009=\u20090.019). According to the correlation analysis, it was found that early surgical stabilization had a positive significant effect on clinical outcomes after stabilization.<\/jats:p><jats:p>\n          Conclusion\u2003Early SSRFs in patients with flail chest results in more favorable clinical outcomes. It should be performed as soon as possible in the presence of indication and if feasible.<\/jats:p>","DOI":"10.1055\/s-0040-1713661","type":"journal-article","created":{"date-parts":[[2020,7,7]],"date-time":"2020-07-07T22:45:15Z","timestamp":1594161915000},"page":"743-751","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of Surgical Stabilization Time in Patients with Flail Chest"],"prefix":"10.1055","volume":"68","author":[{"given":"H\u00fcseyin Ula\u015f","family":"\u00c7\u0131nar","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Medicana International Samsun Hospital, Samsun, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7620-4497","authenticated-orcid":false,"given":"Bur\u00e7in","family":"\u00c7elik","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Medical School, Ondokuz May\u0131s University, Samsun, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,7,7]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1053\/j.semtcvs.2008.01.004","article-title":"Flail chest and pulmonary contusion","volume":"20","author":"R Bastos","year":"2008","journal-title":"Semin Thorac Cardiovasc Surg"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1097\/00005373-199001000-00015","article-title":"Mortality prognostic factors in chest injury","volume":"30","author":"M Gaillard","year":"1990","journal-title":"J Trauma"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1097\/TA.0000000000000086","article-title":"Flail chest injuries: a review of outcomes and treatment practices from the National Trauma Data Bank","volume":"76","author":"N Dehghan","year":"2014","journal-title":"J Trauma Acute Care Surg"},{"issue":"04","key":"ref4","first-page":"193","article-title":"Pathophysiology and management of the flail chest","volume":"70","author":"K Davignon","year":"2004","journal-title":"Minerva Anestesiol"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1510\/icvts.2005.111807","article-title":"Surgical versus conservative treatment of flail chest. 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A prospective randomized study of management of severe flail chest patients","volume":"52","author":"H Tanaka","year":"2002","journal-title":"J Trauma"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.1016\/S0022-5223(95)70030-7","article-title":"Management of flail chest injury: internal fixation versus endotracheal intubation and ventilation","volume":"110","author":"Z Ahmed","year":"1995","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"e0216170","DOI":"10.1371\/journal.pone.0216170","article-title":"Early versus late surgical stabilization of severe rib fractures in patients with respiratory failure: a retrospective study","volume":"14","author":"Y H Su","year":"2019","journal-title":"PLoS One"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/TA.0000000000001729","article-title":"A multicenter evaluation of the optimal timing of surgical 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