Empowering recovery: a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fracture
Background Multiple rib fractures commonly result from blunt chest trauma. These fractures can lead to prolonged impairment in pulmonary function and often require long-term rehabilitation. This pilot study aimed to evaluate the feasibility of a remote spirometry device for continuous monitoring of...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2025-02-01
|
| Series: | Trauma Surgery & Acute Care Open |
| Online Access: | https://tsaco.bmj.com/content/10/1/e001309.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823864918134226944 |
|---|---|
| author | Ling-wei Kuo Chih-Yuan Fu Chien-An Liao Chien-Hung Liao Chi-Tung Cheng Tai-Horng Young Shih-Ching Kang Szu-An Chen Yu-San Tee |
| author_facet | Ling-wei Kuo Chih-Yuan Fu Chien-An Liao Chien-Hung Liao Chi-Tung Cheng Tai-Horng Young Shih-Ching Kang Szu-An Chen Yu-San Tee |
| author_sort | Ling-wei Kuo |
| collection | DOAJ |
| description | Background Multiple rib fractures commonly result from blunt chest trauma. These fractures can lead to prolonged impairment in pulmonary function and often require long-term rehabilitation. This pilot study aimed to evaluate the feasibility of a remote spirometry device for continuous monitoring of lung function in patients with multiple rib fractures.Methods Between January 2021 and April 2021, we implemented a remote spirometry system for adult patients with multiple rib fractures and collected their clinical data. We used a Restart system to monitor the respiratory parameters of patients. This system included a wireless spirometer and a Healthy Lung mobile application. A portable spirometer was used to measure forced vital capacity (FVC), peak expiratory flow (PEF), and forced expiratory volume in 1 second.Result In total, 21 patients were included in this study. We categorized the participants into two age groups: those older and those younger than 65 years. No significant differences were observed between the two groups regarding demographic characteristics or device adoption rates. However, we observed that patients under 65 years demonstrated more remarkable improvement in pulmonary function than their older counterparts, with significant differences in FVC (110% vs 10%, p=0.032) and PEF (64.2% vs 11.9%, p=0.003).Conclusion The adoption of the remote spirometry device is similar between older and younger patients with rib fractures. However, the device improves pulmonary function more in patients in a younger age group. This tool may be effective as a real-time, continuous pulmonary function monitoring system for patients with multiple rib fractures.Level of evidence Level IV. |
| format | Article |
| id | doaj-art-b9fdaf6573ff40c89107cb6b206100f8 |
| institution | Kabale University |
| issn | 2397-5776 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Trauma Surgery & Acute Care Open |
| spelling | doaj-art-b9fdaf6573ff40c89107cb6b206100f82025-02-08T18:00:09ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762025-02-0110110.1136/tsaco-2023-001309Empowering recovery: a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fractureLing-wei Kuo0Chih-Yuan Fu1Chien-An Liao2Chien-Hung Liao3Chi-Tung Cheng4Tai-Horng Young5Shih-Ching Kang6Szu-An Chen7Yu-San Tee8Chang Gung University, Taoyuan, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, TaiwanTrauma and Critical Care Center, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan, TaiwanMedicine, Chang Gung University, Taoyuan, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, TaiwanInstitute of Biomedical Engineering, College of Medicine and College of Engineering, National Taiwan University, Taipei, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital Linkou, Taoyuan, TaiwanTrauma and Emergency Surgery, Chang Gung Memorial Hospital Linkou, Taoyuan, TaiwanTrauma and Emergency Surgery, Chang Gung Memorial Hospital Linkou, Taoyuan, TaiwanBackground Multiple rib fractures commonly result from blunt chest trauma. These fractures can lead to prolonged impairment in pulmonary function and often require long-term rehabilitation. This pilot study aimed to evaluate the feasibility of a remote spirometry device for continuous monitoring of lung function in patients with multiple rib fractures.Methods Between January 2021 and April 2021, we implemented a remote spirometry system for adult patients with multiple rib fractures and collected their clinical data. We used a Restart system to monitor the respiratory parameters of patients. This system included a wireless spirometer and a Healthy Lung mobile application. A portable spirometer was used to measure forced vital capacity (FVC), peak expiratory flow (PEF), and forced expiratory volume in 1 second.Result In total, 21 patients were included in this study. We categorized the participants into two age groups: those older and those younger than 65 years. No significant differences were observed between the two groups regarding demographic characteristics or device adoption rates. However, we observed that patients under 65 years demonstrated more remarkable improvement in pulmonary function than their older counterparts, with significant differences in FVC (110% vs 10%, p=0.032) and PEF (64.2% vs 11.9%, p=0.003).Conclusion The adoption of the remote spirometry device is similar between older and younger patients with rib fractures. However, the device improves pulmonary function more in patients in a younger age group. This tool may be effective as a real-time, continuous pulmonary function monitoring system for patients with multiple rib fractures.Level of evidence Level IV.https://tsaco.bmj.com/content/10/1/e001309.full |
| spellingShingle | Ling-wei Kuo Chih-Yuan Fu Chien-An Liao Chien-Hung Liao Chi-Tung Cheng Tai-Horng Young Shih-Ching Kang Szu-An Chen Yu-San Tee Empowering recovery: a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fracture Trauma Surgery & Acute Care Open |
| title | Empowering recovery: a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fracture |
| title_full | Empowering recovery: a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fracture |
| title_fullStr | Empowering recovery: a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fracture |
| title_full_unstemmed | Empowering recovery: a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fracture |
| title_short | Empowering recovery: a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fracture |
| title_sort | empowering recovery a remote spirometry system and mobile app for monitoring and promoting pulmonary rehabilitation in patients with rib fracture |
| url | https://tsaco.bmj.com/content/10/1/e001309.full |
| work_keys_str_mv | AT lingweikuo empoweringrecoveryaremotespirometrysystemandmobileappformonitoringandpromotingpulmonaryrehabilitationinpatientswithribfracture AT chihyuanfu empoweringrecoveryaremotespirometrysystemandmobileappformonitoringandpromotingpulmonaryrehabilitationinpatientswithribfracture AT chienanliao empoweringrecoveryaremotespirometrysystemandmobileappformonitoringandpromotingpulmonaryrehabilitationinpatientswithribfracture AT chienhungliao empoweringrecoveryaremotespirometrysystemandmobileappformonitoringandpromotingpulmonaryrehabilitationinpatientswithribfracture AT chitungcheng empoweringrecoveryaremotespirometrysystemandmobileappformonitoringandpromotingpulmonaryrehabilitationinpatientswithribfracture AT taihorngyoung empoweringrecoveryaremotespirometrysystemandmobileappformonitoringandpromotingpulmonaryrehabilitationinpatientswithribfracture AT shihchingkang empoweringrecoveryaremotespirometrysystemandmobileappformonitoringandpromotingpulmonaryrehabilitationinpatientswithribfracture AT szuanchen empoweringrecoveryaremotespirometrysystemandmobileappformonitoringandpromotingpulmonaryrehabilitationinpatientswithribfracture AT yusantee empoweringrecoveryaremotespirometrysystemandmobileappformonitoringandpromotingpulmonaryrehabilitationinpatientswithribfracture |