Addressing barriers to the implementation of an Acute Pain Service rib fracture pathway: effect on quality and outcomes of care for trauma patients
Authors' conclusion
The implementation of an Acute Pain Service rib fracture analgesic pathway at a tertiary care trauma center did not substantially increase the proportion of patients who received a regional catheter for analgesia or lead to improvements in clinical outcomes.
Study context
- Population
- High-risk rib fracture patients (Rib Fracture Score ≥6), tertiary care trauma center, July 2018–June 2023
- Exposure
- Post-pathway vs pre-pathway
- Outcome
- Delivery of regional analgesia (truncal block or epidural)
Methodological detailssingle-centre, run charts, pre-post comparison
- Single-centre
- Run charts
- Pre-post comparison
Main finding
As reported in the abstract
Use of regional analgesia
P = 0.195
Observational data: associations, not effects.
Further findings
Acute Pain Service consult rates
- Acute Pain Service consult rates increased from 46.7% to 49.6% after pathway implementation
- p=0.37
Clinical outcomes
- No improvements in clinical outcomes
Original publication
Addressing barriers to the implementation of an Acute Pain Service rib fracture pathway: effect on quality and outcomes of care for trauma patients. Reg Anesth Pain Med. Published 29 April 2025. doi:10.
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