Western Trauma Association Critical Decisions in Trauma: Management of rib fractures

Western Trauma Association Critical Decisions in Trauma: Management of rib fractures
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DOI:
10.1097/ta.0000000000001301
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发表时间:
2017-01-01
影响因子:
3.4
通讯作者:
Biffl, Walter L.
Biffl, Walter L.
中科院分区:
医学2区
文献类型:
--
作者:
Brasel, Karen J.;Moore, Ernest E.;Biffl, Walter L.

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这是西方创伤协会推荐的治疗方法,用于治疗成年肋骨骨折患者。由于缺乏已发表的前瞻性随机临床试验,这些试验产生了一级数据,因此这些建议主要基于已发表的观察性研究和西方创伤协会成员的专家意见。算法和附带的评论代表了一种安全合理的方法,可以在大多数创伤中心遵循。我们认识到,可能会有患者、人员、机构和情境因素保证或需要偏离推荐的算法。我们鼓励各机构以此为指导,制定自己的本地协议。版权所有2016威科集团有限公司版权所有。)
This is a recommended management algorithm from the Western Trauma Association addressing the management of adult patients with rib fractures. Because there is a paucity of published prospective randomized clinical trials that have generated Class I data, these recommendations are based primarily on published observational studies and expert opinion of Western Trauma Association members. The algorithm and accompanying comments represent a safe and sensible approach that can be followed at most trauma centers. We recognize that there will be patient, personnel, institutional, and situational factors that may warrant or require deviation from the recommended algorithm. We encourage institutions to use this as a guideline to develop their own local protocols. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.)