PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

Comparison of the effectiveness in pain reduction and pulmonary function between a rib splint constructed in the ER and a manufactured rib splint.

Abstract In the treatment of patients with rib fractures (RFs), pain reduction is the most important consideration. Various studies have examined the effectiveness of treatments administered to RF patients, such as lidocaine patches, IV drugs, nerve blockers, and surgery. In this study, we evaluated the difference in the effectiveness in pain reduction between 2 groups of RF patients: 1 group who received a rib splint constructed in the ER (ER splint) and another group who received a Chrisofix Chest Orthosis (CCO) manufactured rib splint.
PMID
Related Publications

Posterior paramedian subrhomboidal analgesia versus thoracic epidural analgesia for pain control in patients with multiple rib fractures.

Effectiveness of adjustable dorsiflexion night splint in combination with accommodative foot orthosis on plantar fasciitis.

Continuous intercostal nerve blockade for rib fractures: ready for primetime?

A crossover trial of custom-made and commercially available wrist splints in adults with inflammatory arthritis.

Randomized, double-blind, placebo-controlled trial using lidocaine patch 5% in traumatic rib fractures.

Authors

Mayor MeshTerms

Orthotic Devices

Splints

Keywords
Journal Title medicine
Publication Year Start




PMID- 29794759
OWN - NLM
STAT- MEDLINE
DCOM- 20180612
LR  - 20180612
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 21
DP  - 2018 May
TI  - Comparison of the effectiveness in pain reduction and pulmonary function between 
      a rib splint constructed in the ER and a manufactured rib splint.
PG  - e10779
LID - 10.1097/MD.0000000000010779 [doi]
AB  - BACKGROUND: In the treatment of patients with rib fractures (RFs), pain reduction
      is the most important consideration. Various studies have examined the
      effectiveness of treatments administered to RF patients, such as lidocaine
      patches, IV drugs, nerve blockers, and surgery. In this study, we evaluated the
      difference in the effectiveness in pain reduction between 2 groups of RF
      patients: 1 group who received a rib splint constructed in the ER (ER splint) and
      another group who received a Chrisofix Chest Orthosis (CCO) manufactured rib
      splint. METHODS: A pilot study for a prospective randomized clinical trial was
      conducted to compare subjects using the CCO (Group A) with those using the ER
      splint (Group B) before and after the intervention. The primary outcome was
      difference in the level of pain based on the visual analogue scale (VAS) and the 
      pulmonary function (PF) variables between before and after intervention in each
      group during forceful and resting respiration. RESULTS: A total of 24 subjects
      were enrolled in this study. The VAS results showed that the intervention was
      significantly effective in each group (before vs after: Group A resting: 8.50 +/-
      1.05 vs 4.17 +/- 1.33, P < .001; Group A forceful: 9.83 +/- 0.41 vs 7.17 +/-
      0.75, P < .001; Group B resting: 8.83 +/- 1.60 vs 4.50 +/- 1.38, P < .001; and
      Group B forceful: 9.67 +/- 0.82 vs 7.33 +/- 1.51, P = .003). The PF variables
      showed that the intervention was significantly effective in each group (before vs
      after: Group A, FVC: 2.74 +/- 0.92 vs 3.35 +/- 0.99, P < .001; FEV1: 2.16 +/-
      0.74 vs 2.57 +/- 0.78, P = .001; PEF: 235.30 +/- 43.06 vs 319.00 +/- 51.58, P =
      .004; and Group B, FVC: 2.02 +/- 0.49 vs 2.72 +/- 0.62, P < .001; FEV1: 1.27 +/- 
      0.25 vs 1.91 +/- 0.37, P < .001; PEF: 216.67 +/- 67.49 vs 300.33 +/- 87.79, P =
      .003). CONCLUSION: Applying either the CCO or the ER splint to RF patients
      effectively reduced pain, and no significant differences in pain level were
      observed between these 2 techniques.
FAU - Lee, Yoonje
AU  - Lee Y
AD  - Department of Emergency Medicine, Seoul Hospital, Hanyang University,
      Gyeonggi-do.
FAU - Lee, Sang-Hyun
AU  - Lee SH
AD  - Department of Emergency Medicine, Hangang Sacred Heart Hospital, Hallym
      University, Gangwon-do.
FAU - Kim, Changsun
AU  - Kim C
AD  - Department of Emergency Medicine, Guri Hospital, Hanyang University, Gyeonggi-do,
      Korea.
FAU - Choi, Hyuk Joong
AU  - Choi HJ
AD  - Department of Emergency Medicine, Guri Hospital, Hanyang University, Gyeonggi-do,
      Korea.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Chest Pain/*therapy
MH  - Emergency Service, Hospital
MH  - Female
MH  - Humans
MH  - Lung/physiopathology
MH  - Male
MH  - Middle Aged
MH  - *Orthotic Devices
MH  - Pain Management/methods
MH  - Pain Measurement/methods
MH  - Pilot Projects
MH  - Prospective Studies
MH  - Rib Fractures/*therapy
MH  - Spirometry/*methods
MH  - *Splints
MH  - Treatment Outcome
EDAT- 2018/05/26 06:00
MHDA- 2018/06/13 06:00
CRDT- 2018/05/26 06:00
PHST- 2018/05/26 06:00 [entrez]
PHST- 2018/05/26 06:00 [pubmed]
PHST- 2018/06/13 06:00 [medline]
AID - 10.1097/MD.0000000000010779 [doi]
AID - 00005792-201805250-00035 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(21):e10779. doi: 10.1097/MD.0000000000010779.