Rib fracture Thoracic injury
Conditions
Interventions
One group will use the BREAZY-app, the other group will not.
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
16 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1) Age 16 years or older 2) Admitted to the hospital with one or more rib fractures 3) Blunt force trauma 4) Hospital presentation <72h after trauma 5) Eligible to use the Breazy app in the judgment of the attending physician 6) Provision of informed consent by patient
Exclusion criteria
Exclusion criteria: 1) Planned transfer to other hospital <24 hours after admission 2) Rib fractures due to cardiopulmonary resuscitation 3) Previous rib fractures or pulmonary problems, requiring continuous oxygen use at home pre-trauma 4) Congenital thoracic deformity (pectus excavatum, pectus carinatum, severe scoliosis or kyphosis) 5) Inhalation trauma or severe burns close to or inside mouth or neck 6) Insufficient comprehension of Dutch or English language to understand the study documents, physical therapy instructions, and Breazy app instructions (only in 2nd study group) in the judgment of the attending physician 7) Unable to use Breazy app (only in 2nd study group) 8) Participation in another surgical intervention or drug study that might influence any of the outcome parameters
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HLOS | — |
Secondary
| Measure | Time frame |
|---|---|
| All patients: 1) Occurrence of pneumonia within 30 days after trauma 2) pulmonary function 3) SCARF score 4) level of thoracic pain and analgesics use 5) ICU admission 6) ICU LOS 7) mechanical ventilation 8) mechanical ventilation duration 9) mechanical ventilation-free days 10) patient satisfaction with pulmonary exercise support. Additional for the Breazy group: 1) time per day that patients use the app during admission 2) to what degree patients think the Breazy app helped them improve their respiratory status. | — |
Countries
Netherlands
Outcome results
None listed