- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04909463
Effects of Using the Duracore Splinting Device on Patient Outcomes Related to Chest Trauma
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The purpose of this study is to use the Duracore patient operated torso splinting device for patients with chest trauma, including rib fractures, to improve deep breathing and help with reduced hospital length of stays (LOS). The hypothesis of this study is that the use of the Duracore splinting device will reduce hospital length of stays and improve patient lung capacities over the course of admission following chest trauma.
The study will use a randomized-experimental design and will be randomized via envelope randomization, with experimenters being blinded. A total of 104 patients, 26 in each group, will undergo initial incentive spirometry and forced vital capacity (FVC) and forced expiratory volume at 1 second (FEV1) tests. Number of subjects to be used are 150 to account for withdrawals, incomplete data sets, extraneous results, etc. Groups will consist of a control versus experimental group, stratified into bilateral and unilateral rib fractures. Three days' worth of data will be collected for each of the tests and will also be collected 24 hours prior to discharge. Length of stays will be compared for experimental and control groups, as well as time to ambulation (collected from the first physical therapy assessment). Injury severity score will also be collected to determine any correlation by severity of injury. Patient satisfaction surveys for the device will also be collected to determine if the patients feel a difference with the device.
Little research as been conducted to determine the significance of a splinting device used in patients with chest trauma, and it is still uncertain whether these devices improve overall patient outcomes. Contradicting studies with similar experimental designs show either some significance (p-value) or insignificance in pulmonary function pre- and post-treatment. This gap in current knowledge leaves room for concern in whether the patient truly benefits from a splinting device in this type of injury. Changes in FVC/FEV1 ratio in this patient population are not readily demonstrated in most of these studies, as well as differing length of stays. This study will contribute to this base of knowledge by determining the effects of the Duracore splinting device on this patient population using the objectives.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Colorado
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Colorado Springs, Colorado, United States, 80906
- Penrose Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion:
- Adult patient admitted to the trauma service at Penrose Hospital
- Willing and able to comply with all requirements of the study
- Active diagnosis of rib fractures
- Male or female 18 years and older
- Able to provide written informed consent to participate in the study
- Must be physically able to don and use the splinting device independently without assistance.
Exclusion:
- <18 years old
- History of pulmonary disease, lobectomy, or lung transplant
- Current smoker of tobacco products
- Diagnosis of flail chest
- Pregnant Women
- Prisoners
- Cognitively Impaired; must be alert and oriented x 3
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Unilateral rib fractures only, no device intervention
|
|
Experimental: Unilateral rib fractures, device intervention
Unilateral rib fractures, will receive device intervention
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Those receiving intervention will be given the Duracore chest splint for use throughout the trial.
Other Names:
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No Intervention: Bilateral rib fractures, no device intervention
|
|
Experimental: Bilateral rib fractures, device intervention
Bilateral rib fractures, will receive device intervention
|
Those receiving intervention will be given the Duracore chest splint for use throughout the trial.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
FVC Change
Time Frame: 3 days of consistent measuring and a final measurement 24 hours prior to expected discharge
|
Change in forced vital capacities over time using the device as compared to control groups
|
3 days of consistent measuring and a final measurement 24 hours prior to expected discharge
|
FEV1 Change
Time Frame: 3 days of consistent measuring and a final measurement 24 hours prior to expected discharge
|
Change in forced expiratory volume in one second over hospital duration using the device as compared to control groups
|
3 days of consistent measuring and a final measurement 24 hours prior to expected discharge
|
FEV1 percent Change
Time Frame: 3 days of consistent measuring and a final measurement 24 hours prior to expected discharge
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Change in FEV1/FVC ratio (expressed as FEV1%) over hospital duration using the device as compared to control groups
|
3 days of consistent measuring and a final measurement 24 hours prior to expected discharge
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Vital Capacity measurement via Incentive Spirometry
Time Frame: 3 days of consistent measuring and a final measurement 24 hours prior to expected discharge
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Change in vital capacity values indicating changes in deep breathing over the course of hospitalization while using the Duracore device
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3 days of consistent measuring and a final measurement 24 hours prior to expected discharge
|
Length of Stay
Time Frame: Documented at time of discharge, assessed up to 14 days.
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The length of stay for the entire admission to the time of discharge
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Documented at time of discharge, assessed up to 14 days.
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Time to Ambulation
Time Frame: 0-48 hours after admission.
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The initial time of ambulation documented after admission.
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0-48 hours after admission.
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Injury Severity Score
Time Frame: Documented within 2 weeks of admission date.
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Use of the Injury Severity Score to measure the degree of injury and how it affects outcomes associated with the chest splint.
This is measured on a scale from 1 to 6; 1 being relatively minor and 6 being untreatable.
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Documented within 2 weeks of admission date.
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Day of Admission
Time Frame: Within first 24 hours of admission
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Documenting date and time of admission
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Within first 24 hours of admission
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Trenton Bradbury, BS, Centura Health
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1517921
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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