The Feasibility and Efficiency of Remote Spirometry System on the Pulmonary Function for Multiple Ribs Fracture Patients

Background: Multiple rib fractures is a common chest trauma with a significant and sustained impact on pulmonary function and quality of life. Continuous monitoring of the pulmonary function parameter was necessary to adjust the therapeutic goals in these patients. We developed an internet-based rem...

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Autores principales: Chien-An Liao, Tai-Horng Young, Chi-Tung Cheng, Ling-Wei Kuo, Chih-Yuan Fu, Chih-Po Hsu, Szu-An Chen, Yu-San Tee, Chih-Hsun Hsieh, Chih-Chi Chen, Chien-Hung Liao
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/8ad37539e1ee40a3a832363185b08b23
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spelling oai:doaj.org-article:8ad37539e1ee40a3a832363185b08b232021-11-25T18:06:51ZThe Feasibility and Efficiency of Remote Spirometry System on the Pulmonary Function for Multiple Ribs Fracture Patients10.3390/jpm111110672075-4426https://doaj.org/article/8ad37539e1ee40a3a832363185b08b232021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1067https://doaj.org/toc/2075-4426Background: Multiple rib fractures is a common chest trauma with a significant and sustained impact on pulmonary function and quality of life. Continuous monitoring of the pulmonary function parameter was necessary to adjust the therapeutic goals in these patients. We developed an internet-based remote system for lung function monitoring with a remote spirometry and smart device application to follow up these patients consecutively. Method: From Jan 2021 to April 2021, we conducted a prospective study that applied an intelligent spirometry system for patients with multiple rib fractures. With informed consent, we collected clinical data from them and introduced the remote spirometry system. We followed up with these patients for 12 weeks after trauma and compared the recovery of pulmonary function parameters and clinical outcomes. Result: A total of 21 patients were enrolled in our study. We divided them into two groups by the compliance to this remote spirometry system. The improvement of forced vital capacity was better in the good compliance group than the poor compliance group (110% versus 21%, <i>p</i> value 0.049). Moreover, the complication rate was also lower in the good compliance group than the poor compliance group (10% versus 66.7% <i>p</i> value 0.017). Conclusions: Remote spirometry system is a novel system that can help in lung rehabilitation in patients with multiple rib fractures. Patients that cooperate well with this system presented superior lung function improvement and inferior complication rate.Chien-An LiaoTai-Horng YoungChi-Tung ChengLing-Wei KuoChih-Yuan FuChih-Po HsuSzu-An ChenYu-San TeeChih-Hsun HsiehChih-Chi ChenChien-Hung LiaoMDPI AGarticlemultiple rib fractureslung functionremote spirometry systemMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1067, p 1067 (2021)
institution DOAJ
collection DOAJ
language EN
topic multiple rib fractures
lung function
remote spirometry system
Medicine
R
spellingShingle multiple rib fractures
lung function
remote spirometry system
Medicine
R
Chien-An Liao
Tai-Horng Young
Chi-Tung Cheng
Ling-Wei Kuo
Chih-Yuan Fu
Chih-Po Hsu
Szu-An Chen
Yu-San Tee
Chih-Hsun Hsieh
Chih-Chi Chen
Chien-Hung Liao
The Feasibility and Efficiency of Remote Spirometry System on the Pulmonary Function for Multiple Ribs Fracture Patients
description Background: Multiple rib fractures is a common chest trauma with a significant and sustained impact on pulmonary function and quality of life. Continuous monitoring of the pulmonary function parameter was necessary to adjust the therapeutic goals in these patients. We developed an internet-based remote system for lung function monitoring with a remote spirometry and smart device application to follow up these patients consecutively. Method: From Jan 2021 to April 2021, we conducted a prospective study that applied an intelligent spirometry system for patients with multiple rib fractures. With informed consent, we collected clinical data from them and introduced the remote spirometry system. We followed up with these patients for 12 weeks after trauma and compared the recovery of pulmonary function parameters and clinical outcomes. Result: A total of 21 patients were enrolled in our study. We divided them into two groups by the compliance to this remote spirometry system. The improvement of forced vital capacity was better in the good compliance group than the poor compliance group (110% versus 21%, <i>p</i> value 0.049). Moreover, the complication rate was also lower in the good compliance group than the poor compliance group (10% versus 66.7% <i>p</i> value 0.017). Conclusions: Remote spirometry system is a novel system that can help in lung rehabilitation in patients with multiple rib fractures. Patients that cooperate well with this system presented superior lung function improvement and inferior complication rate.
format article
author Chien-An Liao
Tai-Horng Young
Chi-Tung Cheng
Ling-Wei Kuo
Chih-Yuan Fu
Chih-Po Hsu
Szu-An Chen
Yu-San Tee
Chih-Hsun Hsieh
Chih-Chi Chen
Chien-Hung Liao
author_facet Chien-An Liao
Tai-Horng Young
Chi-Tung Cheng
Ling-Wei Kuo
Chih-Yuan Fu
Chih-Po Hsu
Szu-An Chen
Yu-San Tee
Chih-Hsun Hsieh
Chih-Chi Chen
Chien-Hung Liao
author_sort Chien-An Liao
title The Feasibility and Efficiency of Remote Spirometry System on the Pulmonary Function for Multiple Ribs Fracture Patients
title_short The Feasibility and Efficiency of Remote Spirometry System on the Pulmonary Function for Multiple Ribs Fracture Patients
title_full The Feasibility and Efficiency of Remote Spirometry System on the Pulmonary Function for Multiple Ribs Fracture Patients
title_fullStr The Feasibility and Efficiency of Remote Spirometry System on the Pulmonary Function for Multiple Ribs Fracture Patients
title_full_unstemmed The Feasibility and Efficiency of Remote Spirometry System on the Pulmonary Function for Multiple Ribs Fracture Patients
title_sort feasibility and efficiency of remote spirometry system on the pulmonary function for multiple ribs fracture patients
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/8ad37539e1ee40a3a832363185b08b23
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