NCT04006587

Brief Summary

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.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jun 2014

Typical duration for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2014

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2017

Completed
1 day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2017

Completed
2.1 years until next milestone

First Submitted

Initial submission to the registry

June 27, 2019

Completed
8 days until next milestone

First Posted

Study publicly available on registry

July 5, 2019

Completed
Last Updated

July 5, 2019

Status Verified

June 1, 2019

Enrollment Period

3 years

First QC Date

June 27, 2019

Last Update Submit

July 2, 2019

Conditions

Keywords

incentive spirometerHemothorax; Traumatictraumarib Fractures

Outcome Measures

Primary Outcomes (1)

  • pulmonary complication rate

    atelectasis, pneumonia, hemothorax, and pneumothorax

    2 weeks after trauma

Secondary Outcomes (5)

  • 1st lung function test

    2nd 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

  • 1st Pain score

    1st day of admission

  • 2nd Pain score

    5th day of admission

Study Arms (2)

IS intervention

EXPERIMENTAL

patients were instructed how to use the IS in a seated or semi-seated position, and to maintain sustained maximal inspiration for 3-5 seconds before exhalation, ten times per hour, and for at least eight hours a day.

Device: incentive spirometer

control

NO INTERVENTION

standard care without IS intervention

Interventions

patients were instructed how to use the IS in a seated or semi-seated position, and to maintain sustained maximal inspiration for 3-5 seconds before exhalation, ten times per hour, and for at least eight hours a day.

IS intervention

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • at least one rib fracture as detected by chest X-ray (CXR) or computed tomography scan

You may not qualify if:

  • unconsciousness,
  • history of chronic obstructive pulmonary disease
  • asthma
  • Injury Severity Score (ISS) ≥ 16

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Sum SK, Peng YC, Yin SY, Huang PF, Wang YC, Chen TP, Tung HH, Yeh CH. Using an incentive spirometer reduces pulmonary complications in patients with traumatic rib fractures: a randomized controlled trial. Trials. 2019 Dec 30;20(1):797. doi: 10.1186/s13063-019-3943-x.

MeSH Terms

Conditions

HemothoraxRib FracturesWounds and Injuries

Condition Hierarchy (Ancestors)

Pleural DiseasesRespiratory Tract DiseasesHemorrhagePathologic ProcessesPathological Conditions, Signs and SymptomsFractures, BoneThoracic Injuries

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 27, 2019

First Posted

July 5, 2019

Study Start

June 1, 2014

Primary Completion

May 31, 2017

Study Completion

June 1, 2017

Last Updated

July 5, 2019

Record last verified: 2019-06

Data Sharing

IPD Sharing
Will not share