multiple rib fracture
Conditions
Interventions
None listed
Sponsors
Department of Acute Critical Care and Disaster Medicine, Institute of Science Tokyo
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients meeting all of the following criteria will be included in the study: 1. Individuals with three or more rib fractures requiring hospitalization. 2. Individuals aged 65 years or older at the time of enrollment. 3. Individuals requiring oxygen therapy or presenting with a respiratory rate >20 breaths per minute at the time of admission.
Exclusion criteria
Exclusion criteria: Patients meeting any of the following criteria will be excluded from the study: 1. Individuals with contraindications to HFNC (e.g., severe facial fractures that prevent HFNC placement, basilar skull fractures, untreated pneumothorax, tracheal injuries, bronchial injuries, or esophageal injuries). 2. Individuals using NIPPV at the time of admission. 3. Individuals who are intubated at the time of admission. 4. Individuals whose survival is not expected to exceed 24 hours at the time of admission. 5. Individuals who refuse to participate in this study. 6. Individuals deemed unsuitable for participation in this study by the attending physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence rate of hospital-acquired pneumonia | — |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of deaths at discharge 30-day mortality rate after admission Length of hospital stay Ventilator use rate Subjective evaluation of dyspnea Length of ICU stay Changes in the Clinical Frailty Scale Incidence rate of adverse events, including those related to HFNC | — |
Countries
Japan
Contacts
Public ContactHoshi Hiromasa
Tsuchiura Kyodo General Hospital Department of Acute Critical Care Medicine
Outcome results
None listed