Subgroup Analysis | Mortality | HLOS | ILOS | ||||||
---|---|---|---|---|---|---|---|---|---|
RR (95% CI) | P | n | MD/SMD (95% CI) | P | n | MD/SMD (95% CI) | P | n | |
Fracture Type | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Non-flail | 0.52 [0.32, 0.84] | 0.007 | 11 | 1.15[−0.33 2.62] | 0.13 | 23 | 0.17[−0.04, 0.37] | 0.11 | 23 |
Flail | 0.39 [0.24, 0.63] | 0.001 | 9 | 1.07[−2.20, 4.35] | 0.52 | 12 | −0.37[−0.73,0.01] | 0.04 | 10 |
Age | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Mixed age | 0.49 [0.35, 0.67] | 0.0001 | 18 | 1.12[−0.04, 2.27] | 0.06 | 37 | 0.52 [−0.42, 1.47] | 0.28 | 36 |
 ≥ 60 y | 0.72 [0.55, 0.94] | 0.01 | 6 | 5.82 [3.20, 8.44] |  < 0.0001 | 6 | 3.77 [0.82, 6.73] | 0.01 | 5 |
Timing of fixation | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Timing < 72 h | 0.92 [0.61, 1.39] | 0.69 | 8 | −2.14[−4.03, −0.25] | 0.03 | 10 | −0.04[−0.43,0.36] | 0.86 | 12 |
Timing by doctor | 0.43 [0.32, 0.59] | 0.00001 | 20 | 2.88 [1.59, 4.17] | 0.0001 | 25 | 0.21 [0.03, 0.40] | 0.02 | 24 |
Study design | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Prospective | 0.68 [0.28, 1.64] | 0.39 | 8 | −0.72 [−2.86, 1.42] | 0.51 | 11 | 0.34 [−0.16, 0.84] | 0.18 | 10 |
Retrospective | 0.50 [0.36, 0.70] | 0.0001 | 23 | 2.50 [1.27, 3.72] | 0.0001 | 31 | 0.15 [−0.21, 0.52] | 0.41 | 30 |
Subgroup Analysis | DMV | Pneumonia | Tracheostomy | ||||||
---|---|---|---|---|---|---|---|---|---|
MD/SMD (95% CI) | P | n | RR (95% CI) | P | n | RR (95% CI) | P | n | |
Fracture Type | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Non-fail | −0.03[−0.26,0.20] | 0.81 | 18 | 0.81 [0.60, 1.09] | 0.16 | 15 | 1.24 [0.77, 2.00] | 0.38 | 9 |
Flail | −0.26[−0.47,0.04] | 0.02 | 10 | 0.79 [0.64, 0.98] | 0.03 | 9 | 1.06 [0.68, 1.65] | 0.79 | 8 |
Age | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Mixed age | −0.76[−1.21, −0.31] | 0.0009 | 30 | 0.92 [0.74, 1.16] | 0.49 | 26 | 1.27[0.77, 2.10] | 0.35 | 12 |
 ≥ 60 y | 3.13 [0.35, 5.91] | 0.03 | 5 | 3.43[1.34, 8.76] | 0.01 | 3 | 5.31[3.98, 7.08] | 0.00001 | 3 |
Timing of fixation | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Timing < 72 h | −0.27[−0.51, −0.03] | 0.03 | 7 | 0.88 [0.66, 1.16] | 0.37 | 10 | 0.81 [0.30, 2.16] | 0.67 | 4 |
Timing by doctor | −0.02 [−0.35, 0.31] | 0.92 | 22 | 0.89 [0.64, 1.23] | 0.48 | 15 | 1.43 [1.05, 1.94] | 0.02 | 14 |
Study design | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Prospective | −0.11 [−0.45, 0.24] | 0.53 | 7 | 0.91 [0.65, 1.28] | 0.60 | 8 | 0.93 [0.51, 1.70] | 0.83 | 6 |
Retrospective | 0.05 [−0.22, 0.32] | 0.70 | 27 | 1.06 [0.80, 1.42] | 0.68 | 22 | 1.64 [1.06, 2.54] | 0.03 | 16 |