Incentive Spirometer Device Reduces Pulmonary Complications in Patients With Traumatic Rib Fractures
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 主要终点
- pulmonary complication rate
研究概览
简要总结
The incentive spirometer (IS) is a mechanical device that helps lung expansion. It is commonly used to prevent postoperative lung atelectasis and decreased pulmonary complications in patients who received cardiac, lung, or abdomen surgery.This study aimed to explore the effect of the IS on the improvement of lung function and decrease in pulmonary complication rate in rib fractures patients.
详细描述
Adult patients (>18 years old) seen at our institution between June, 2014 until May, 2017 with traumatic rib fractures were included. For inclusion, a patient had to have at least one rib fracture as detected by chest X-ray (CXR) or computed tomography scan. We excluded patients with unconsciousness, history of chronic obstructive pulmonary disease, asthma, or an Injury Severity Score (ISS) ≥ 16. Patients were divided into two groups using a randomized envelope technique: in the study group, patients were advised to use the IS and in the control group patients did not received the IS. All patients were managed with the same oral analgesic protocol. A CXR was obtained on the 1st and 5th day of admission and performed by a radiologist. The Pulmonary Function Test (PFT) was administered on the 2nd and 7th day of admission and performed by a pulmonologist. A numeric rating scale (NRS) was used to define the severity of chest pain on the 1st and 5th day of admission.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •at least one rib fracture as detected by chest X-ray (CXR) or computed tomography scan
排除标准
- •unconsciousness,
- •history of chronic obstructive pulmonary disease
- •Injury Severity Score (ISS) ≥ 16
结局指标
主要结局
pulmonary complication rate
时间窗: 2 weeks after trauma
atelectasis, pneumonia, hemothorax, and pneumothorax
次要结局
- 1st lung function test(2nd day of admission)
- 1st Pain score(1st day of admission)
- 2nd Pain score(5th day of admission)
- 2nd lung function test(7th day of admission)
- length of hospital stay(total hospital stay days up to 2 months after admission)