A study to assess pain treatments prescribed with the help of amodified rib fracture severity scoring system in chest trauma patients

Not yet recruiting

Conditions: Injury, poisoning and certain other consequences of external causes,

Brief Summary: Rib fractures, a common occurrence among patients who sustain blunt chest trauma, carry a

significant health burden in terms of morbidity and mortality. The primary pathophysiology is

hypoventilation due to pain. As the literature supports, adequate pain management reduces

pulmonary complications. However, choosing an appropriate pain plan through one of the various

available scoring systems requires further study. We believe that the currently available pain

management algorithms for multiple rib fractures do not adequately address the analgesia needs

of our patients. Therefore, we intend to modify an existing scoring system and then assess the new

score’s efficacy.

To understand what modifications are needed, we conducted Delphi survey among experts in

anesthesiology, trauma surgery, and emergency medicine. Based on their insights and a review of

the literature, we developed an updated scoring system for this study. We aim to evaluate the use

of this novel, indigenously modified rib fracture score in implementing a stratified analgesia

protocol. The effectiveness of this protocol will be assessed using PIC (Pain, Incentive spirometry

volume, cough) score. Additionally, we will assess the rate of common complications of rib

fractures such as pneumonia rates, ICU admissions and length of hospital stay.

Recruitment & Eligibility

Inclusion Criteria

radiologically proven rib fracture blunt mechanism admitted in ward.

Exclusion Criteria

admitted in ICU or intubated penetrating mechanism refusal of consent pregnant women head injury or major distracting injury precluding assessment.

Primary Outcome Measures

Name	Time	Method
selection of an analgesia plan	patient will be assessed by using PIC score which will look at P-Pain , I-Incentive spirometry,C- Cough which will be monitored daily till the patient discharged , and will be later looking at the trend of the score and assessment will be made
to assess the efficacy of the novel modified rib fracture score in	patient will be assessed by using PIC score which will look at P-Pain , I-Incentive spirometry,C- Cough which will be monitored daily till the patient discharged , and will be later looking at the trend of the score and assessment will be made

Secondary Outcome Measures

Name	Time	Method
Patient outcomes: length of hospital stay, in-hospital pneumonia rates, ICU transfer rate	and discharge

Locations (1): Christian Medical College
🇮🇳
Vellore, TAMIL NADU, India
Christian Medical College
🇮🇳Vellore, TAMIL NADU, India
Dr Inba Idhaya
Principal investigator
09003622607
idhayainba@gmail.com