Assessment of an analgesia protocol using a novel modified rib fracture scorein patients with blunt chest trauma at a level 1 trauma center in South India
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- selection of an analgesia plan
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 90.00 Year(s)（—）
- 性别
- All
入选标准
- •radiologically proven rib fracture blunt mechanism admitted in ward.
排除标准
- •admitted in ICU or intubated penetrating mechanism refusal of consent pregnant women head injury or major distracting injury precluding assessment.
结局指标
主要结局
selection of an analgesia plan
时间窗: 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
时间窗: 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
次要结局
- Patient outcomes: length of hospital stay, in-hospital pneumonia rates, ICU transfer rate(and discharge)