None listed
Conditions
Interventions
None listed
Sponsors
Kunkuk University Chungju Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Our hospitalization criteria for rib fractures include patients with severe injuries, such as involvement of more than three ribs, concurrent traumatic pneumothorax and/or hemothorax, multiple displaced fractures, or flail chest, as well as those exhibiting signs of significant respiratory compromise or those at risk of developing such compromise, whether they require general ward or ICU care. These criteria also encompass patients with inadequate pain control or respiratory issues, as evidenced by incentive spirometer (IS) volumes = 8 mL/kg of ideal body weight (IBW), oxygen requirements = 5 L/min via nasal cannula, a flail chest pattern, or those needing invasive or non-invasive positive pressure ventilation (NIPPV). For this study, the inclusion criteria comprised individuals aged 20 years or older who were admitted to the hospital with multiple rib fractures occurring within the previous seven days.
Exclusion criteria
Exclusion criteria: The main exclusion criteria included individuals under 20 years of age and/or those with multiple rib fractures that had progressed beyond the acute phase (i.e., more than seven days post-injury). Furthermore, the primary exclusion criteria included patients who had undergone closed thoracostomy drainage for conditions such as traumatic hemothorax and/or pneumothorax. These patients were excluded to reduce bias resulting from secondary pain caused by chest tube insertion. Additionally, individuals requiring surgical interventions, such as rib fixation or thoracotomy exploration, were excluded to eliminate confounding variables associated with postoperative pain.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain at the time of the initial hospital visit/Pain just prior to the first LIPUS treatment/Pain just prior to the second LIPUS treatment/Pain just prior to the third LIPUS treatment/Pain just prior to the fourth LIPUS treatment/Pain just prior to the fifth LIPUS treatment/Pain just prior to the sixth LIPUS treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| chest trauma score; thorax trauma severity score; Total number of multiple rib fractures: Number of anterior rib fractures; Number of lateral rib fractures; Number of posterior rib fractures | — |
Countries
Korea, Republic of
Contacts
Public ContactWooSurng Lee
Kunkuk University Chungju Hospital
Outcome results
None listed