blunt chest injury Blunt chest trauma
Conditions
Interventions
All patients from both groups will receive care according to existing
guidelines (Guideline: *thoraxwandletsels*). Similarly, pain management will be
according to the standardized Radboudumc guideli
Sponsors
Radboud Universitair Medisch Centrum
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: - Admitted to the trauma ward with sustained blunt chest trauma - Age>=16 - Patient is willing and able to comply with the study protocol
Exclusion criteria
Exclusion criteria: - Neurotrauma with GCS
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| mean daily inspiration volume in mL, measured with an incentive spirometer (Voldyne). | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient mobility:Time spent lying, sitting and moving measured with a wearable activity monitor (ActivPal/Activ8). Clinical outcomes: Length of hospital stay in days, pulmonary complications during admission, transfer to ICU, readmission within 30 days Pain: VAS score during breathing exercise, analgesic use (paracetamol, NSAIDs, opioids), use of add-on/escape medication Activities of daily livin: Powerlessness in Daily Living questionnaire (PDL) Patient reported outcomes: Quality of Recovery-15 questionnaire, treatment satisfaction questionnaire Safety outcomes: Reasons for withdrawal, adverse events during VR therapy incl. virtual reality sickness questionnaire (VRSQ) Barriers to implementation: Treatment adherence, measured by the number of times pulmonary and physical exercise are performed, technical problems, feedback on apps. | — |
Countries
Netherlands
Outcome results
None listed