Evaluating the Effectiveness of Incentive Spirometry
| Status: | Completed |
|---|---|
| Conditions: | Pneumonia, Pulmonary |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 8/9/2018 |
| Start Date: | August 2016 |
| End Date: | January 2018 |
Post-operative pulmonary complications (PPCs) have a major impact on patients and healthcare
expenses. The goal of perioperative respiratory therapy is to improve airway clearance,
increase lung volume, and mitigate atelectasis. Incentive spirometers (IS) are ubiquitously
used to prevent atelectasis and PPCs—implementation of which requires substantial provider
time and healthcare expenses. However, meta-analyses have demonstrated that the effectiveness
of ISs is unclear due to poor patient compliance in past studies.
The goal of this investigation is evaluate the effectiveness of IS on post-operative clinical
outcomes. The aims of this investigation are to evaluate 1) if IS use compliance can be
improved by adding a use-recording patient reminder alarm, and 2) the clinical outcomes of
the more compliant IS users vs. the less-compliant IS users.
expenses. The goal of perioperative respiratory therapy is to improve airway clearance,
increase lung volume, and mitigate atelectasis. Incentive spirometers (IS) are ubiquitously
used to prevent atelectasis and PPCs—implementation of which requires substantial provider
time and healthcare expenses. However, meta-analyses have demonstrated that the effectiveness
of ISs is unclear due to poor patient compliance in past studies.
The goal of this investigation is evaluate the effectiveness of IS on post-operative clinical
outcomes. The aims of this investigation are to evaluate 1) if IS use compliance can be
improved by adding a use-recording patient reminder alarm, and 2) the clinical outcomes of
the more compliant IS users vs. the less-compliant IS users.
Inclusion Criteria:
- Undergoes any cardiothoracic surgery
- Is transferred to the cardiothoracic surgery intermediate (step-down) unit at Rhode
Island Hospital
- Already prescribed an incentive spirometer as standard-of-care
- Followed by any healthcare provider
- Ability to sign informed consent and comply with all study procedures including
follow-up for up to 1 year
Exclusion Criteria:
- <18 years of age
- Vulnerable population who in the judgment of the investigator is unable to give
Informed Consent for reasons of incapacity, immaturity, adverse personal circumstances
or lack of autonomy.
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Rhode Island Hospital Founded in 1863, Rhode Island Hospital in Providence, RI, is a private,...
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