Trial reportTrials2019
Using an incentive spirometer reduces pulmonary complications in patients with traumatic rib fractures: a randomized controlled trial.
Trial report in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Incentive Spirometer Device Reduces Pulmonary Complications in Patients With Traumatic Rib Fractures
The Effectiveness of The "I Cough" Care Program to Dyspnea, Respiratory Parameters, Mobility and Pain After Major Abdominal Surgery.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.
- The effect of incentive spirometry in perioperative patients with lung cancer-a systematic review and meta-analysis.BMC pulmonary medicine · 2024Pooled it
- Pulmonary ventilation distribution with low-cost and commercial incentive spirometers measured by electrical impedance tomography in a randomized clinical trial.Scientific reports · 2025Trial
- Placebo-controlled randomized double-blind comparison of the analgesic efficacy of lidocaine spray and etofenamate spray in pain control of rib fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Trial
- Effect of management in intermediate care unit versus conventional hospitalization on long-term mortality and autonomy in patients with rib fractures aged 75 years and older: a retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Agreement and Reliability of a Digital Incentive Spirometer Compared with a Volume-Oriented Incentive Spirometry Device Across Different Age Groups.Biosensors · 2026Article
- Incentive Spirometer in COVID-19: A Systematic Review.Journal of clinical medicine · 2026Review
- Effects of incentive spirometer training on dyspnea and functional status in patients with long COVID.PloS one · 2026Article
- Surgical Stabilization of Rib Fractures: Current Evidence and Considerations for Posterior Rib Fractures.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2026Review
- A clinically useful nomogram integrating bedside lung ultrasound and clinical parameters for pulmonary complications after non-thoracic surgery in blunt chest trauma patients.Frontiers in medicine · 2026Article
- Retracted: Gamification of Incentive Spirometry in Trauma Patients: Protocol for a Prospective, Observational Feasibility Study.JMIR research protocols · 2025Article
- Effect of respiratory training intervention on rehabilitation of patients with rib fracture: a meta-analysis.BMC sports science, medicine & rehabilitation · 2025Article
- The Role of Incentive Respiratory Techniques in Enhanced Recovery After Lung Cancer Resection: A Propensity Score-Matched Study.Journal of clinical medicine · 2024Article
- Erector spinae plane block (ESPB) enhances hemodynamic stability decreasing analgesic requirements in surgical stabilization of rib fractures (SSRFs).World journal of emergency surgery : WJES · 2024Article
- Predictive Factors for Onset of Moderate-to-Severe Disability Following Hospital Discharge Due to Rib Fractures.Healthcare (Basel, Switzerland) · 2024Article
- Comparative study of wound outcomes and surgical strategies: Internal fixation versus external stabilization in rib fracture patients with traumatic chest wounds.International wound journal · 2024Article
- A Narrative Review of Impact of Incentive Spirometer Respiratory Training in Long COVID.International journal of general medicine · 2024Review
- Article
- Positive Outcomes of Physiotherapy Intervention in a Wedge Compression Fracture of the L1 Vertebra: A Case Report.Cureus · 2024Article
- Review
- Volume Incentive Spirometry Reduces Pulmonary Complications in Patients After Open Abdominal Surgery: A Randomized Clinical Trial.International journal of general medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundAn incentive spirometer (IS) is a mechanical device that promotes lung expansion. It is commonly used to prevent postoperative lung atelectasis and decrease pulmonary complications after cardiac, lung, or abdominal surgery. This study explored its effect on lung function and pulmonary complication rates in patients with rib fractures.
methodsBetween June 2014 and May 2017, 50 adult patients with traumatic rib fractures were prospectively investigated. Patients who were unconscious, had a history of chronic obstructive pulmonary disease or asthma, or an Injury Severity Score (ISS) ≥ 16 were excluded. Patients were randomly divided into a study group (n = 24), who underwent IS therapy, and a control group (n = 26). All patients received the same analgesic protocol. Chest X-rays and pulmonary function tests (PFTs) were performed on the 5th and 7th days after trauma.
resultsThe groups were considered demographically homogeneous. The mean age was 55.2 years and 68% were male. Mean pretreatment ISSs and mean number of ribs fractured were not significantly different (8.23 vs. 8.08 and 4 vs. 4, respectively). Of 50 patients, 28 (56%) developed pulmonary complications, which were more prevalent in the control group (80.7% vs. 29.2%; p = 0.001). Altogether, 25 patients had delayed hemothorax, which was more prevalent in the control group (69.2% vs. 29.2%; p = 0.005). Two patients in the control group developed atelectasis, one patient developed pneumothorax, and five patients required thoracostomy. PFT results showed decreased forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV
conclusionsIn conclusion, the use of an IS reduced pulmonary complications and improved PFT results in patients with rib fractures. The IS is a cost-effective device for patients with rib fractures and its use has clinical benefits without harmful effects.
trial registrationClinicalTrials.gov, NCT04006587. Registered on 3 July 2019.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.