Feasibility of the Gamification of Incentive Spirometry in Trauma Patients
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 入组人数
- 20
- 主要终点
- Number screened and eligible compared to patient that consented to project
研究概览
简要总结
Gamification may be one solution that can increase the compliance in the use of devices like incentive spirometry.
详细描述
Recently, there has been much interest in the gamification of healthcare, such as virtual incentive spirometry gaming. Several studies have examined the addition of gamification e.g. virtual incentive spirometry devices. There is a paucity of data regarding the gamification of incentive spirometry, and there is no data involving trauma patients. Previous studies have enrolled either healthy volunteers or patients with specific lung pathology. This study to assess the safety, feasibility and efficacy of respiratory interventions in chest trauma patients using a therapeutic gamification platform.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
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
- •Patients will be included if informed consent can be obtained from patient themselves and first session of incentive spirometry gamification can be performed within 48 hours of Trauma Intensive Care Unit (TICU) admission
- •Adult patients (≥ 18 years of age) in the TICU with rib fractures or flail segment or a sternal fracture
排除标准
- •Trauma patients in the TICU who are mechanically ventilated or requiring bilevel positive airway pressure (BiPAP)
- •Glasgow Coma Scale (GCS) < 15, at the time of enrollment
- •Facial fractures precluding the use of incentive spirometry
- •Any organ injury that precludes use of respiratory therapies in the clinical judgement of the clinical team
- •Patients who are expected to be transferred out of the TICU or discharged from the TICU in the next 24 hours based on treating physicians judgment
- •Patients who are transitioning to palliative care or expected to die in the next 48 hours based on treating physician's judgment will not be included
- •Patients unable to consent for themselves
- •Patients unable to use the mouthpiece of the Omniflow system, and those who have visual or hearing impairments that could limit their ability to evaluate the games
结局指标
主要结局
Number screened and eligible compared to patient that consented to project
时间窗: up to 6 months
Number screened and eligible compared to patient that consented to project
Number of sessions attempted, completed and aborted including the time spent in successful intervention
时间窗: up to 6 months
Number of sessions attempted, completed and aborted including the time spent in successful intervention
Number of Subjects readmitted to the ICU for pulmonary complications
时间窗: up to 6 months
Number of Subjects readmitted to the ICU for pulmonary complications
Number of days spent in Intensive Care Unit (ICU)
时间窗: up to 6 months
Number of days spent in Intensive Care Unit (ICU)
Reasons for aborting a session related to patient factors, staffing factors, technology factors
时间窗: up to 6 months
Enter the results according to the reason The Session will be terminated if one or more of the following occurs: * Sustained Pain Score \>8/10 * Increase in oxygen requirements by more than 2L/min or hypoxia to less than 92% during the intervention or need for escalation of an oxygen supplementation device * Sustained Heart Rate \>110 beats per minute, new cardiac arrhythmia or respiratory rate \>30 per minute * Cyanosis, pallor, or new onset confusion * Refusal to continue by choice, reduced engagement in game, adverse symptoms related to dyspnea, pain or discomfort related to the intervention * These safety measures are vital sign derangements or signs/symptoms that predict threat to the patient's health * Sessions unable to be performed after enrollment due to lack of personnel * Failure of intervention device to work, failure of accompanying gamification platform to work
次要结局
未报告次要终点