Orthopaedics and Trauma Group

OCTS: Outcomes after chest trauma score

The OCTS Study aims to evaluate patient reported outcome measures (PROMs) for rib fracture alongside the NIHR funded ORIF study.


Key facts

Who are the team members for this study? 

What does this research involve?

We have completed a systematic review of the available patient reported outcomes that have been used in previously reported rib fracture studies.

The review demonstrated poor evidence for recommending any PROM. No rib fracture specific PROMS were identified.

We will conduct semi structured interviews and focus groups with up to 50 survivors of rib fracture. The participants will develop a new rib fracture specific PROM. A three round Delphi with Rasch analysis will be used to generate consensus as to which items to include in the new score.

The new score will be field tested in 250 new rib fracture patients to calculate reliability, responsiveness and MCID. The PROM will be compared to the SF-12 and EQ-5D-5L. By the end of the study, we will hopefully have developed a new disease specific PROM with good psychometric evidence for clinical use.

Who is funding this research?


This project has been kindly funded by a research grant from AOUK&I.

Study publications

  1. Surgical stabilisation improves 30-day mortality in patients with traumatic flail chest: A comparative case series at a Major Trauma Centre (2018). Walters S, Craxford S, et al. J orthop trauma [e pub ahead of print]
  2. Systematic review of patient-reported outcome measures in patients with chest wall trauma (2018), Craxford S, Mynt Y, Forward D, Ollivere B. PROSPERO 2018 CRD42018096365  

Orthopaedics and Trauma Group

School of Medicine
The University of Nottingham
C Floor, West Block, Queen's Medical Centre
Nottingham, NG7 2UH

telephone: +44 (0) 115 823 1115