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Effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: a randomized controlled trial

OBJECTIVE: This study aimed to evaluate the effectiveness of cryotherapy in elderly patients with rib fractures due to blunt thoracic trauma. METHODS: In this prospective randomized controlled study, geriatric patients were assigned to groups to receive either coolant spray (n=51) or placebo spray (...

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Autores principales: Akbaş, İlker, Dogruyol, Sinem, Kocak, Abdullah Osman, Dogruyol, Talha, Koçak, Meryem Betos, Gur, Sultan Tuna Akgol, Cakir, Zeynep
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Médica Brasileira 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9937612/
https://www.ncbi.nlm.nih.gov/pubmed/36820711
http://dx.doi.org/10.1590/1806-9282.20220048
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author Akbaş, İlker
Dogruyol, Sinem
Kocak, Abdullah Osman
Dogruyol, Talha
Koçak, Meryem Betos
Gur, Sultan Tuna Akgol
Cakir, Zeynep
author_facet Akbaş, İlker
Dogruyol, Sinem
Kocak, Abdullah Osman
Dogruyol, Talha
Koçak, Meryem Betos
Gur, Sultan Tuna Akgol
Cakir, Zeynep
author_sort Akbaş, İlker
collection PubMed
description OBJECTIVE: This study aimed to evaluate the effectiveness of cryotherapy in elderly patients with rib fractures due to blunt thoracic trauma. METHODS: In this prospective randomized controlled study, geriatric patients were assigned to groups to receive either coolant spray (n=51) or placebo spray (n=50). The visual analog scale scores of all patients were recorded before starting spray application (V0), as well as at 10th (V1), 20th (V2), 30th (V3), 60th (V4), 120th (V5), and 360th (V6) minute. The mean decreases in the visual analog scale scores were calculated. RESULTS: The differences between V0 and V1, V0 and V2, V0 and V3, and V0 and V4 mean visual analog scale scores measured in the coolant spray group were found to be significantly higher (p<0.001). In V1, V2, V3, and V4 measurements, the incidence of “clinical effectiveness” in the coolant spray group was significantly higher than in the placebo group (p=0.001). CONCLUSIONS: Coolant spray therapy can be used as a component of multimodal therapy to provide adequate analgesia due to rib fractures in geriatric patients.
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spelling pubmed-99376122023-02-18 Effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: a randomized controlled trial Akbaş, İlker Dogruyol, Sinem Kocak, Abdullah Osman Dogruyol, Talha Koçak, Meryem Betos Gur, Sultan Tuna Akgol Cakir, Zeynep Rev Assoc Med Bras (1992) Original Article OBJECTIVE: This study aimed to evaluate the effectiveness of cryotherapy in elderly patients with rib fractures due to blunt thoracic trauma. METHODS: In this prospective randomized controlled study, geriatric patients were assigned to groups to receive either coolant spray (n=51) or placebo spray (n=50). The visual analog scale scores of all patients were recorded before starting spray application (V0), as well as at 10th (V1), 20th (V2), 30th (V3), 60th (V4), 120th (V5), and 360th (V6) minute. The mean decreases in the visual analog scale scores were calculated. RESULTS: The differences between V0 and V1, V0 and V2, V0 and V3, and V0 and V4 mean visual analog scale scores measured in the coolant spray group were found to be significantly higher (p<0.001). In V1, V2, V3, and V4 measurements, the incidence of “clinical effectiveness” in the coolant spray group was significantly higher than in the placebo group (p=0.001). CONCLUSIONS: Coolant spray therapy can be used as a component of multimodal therapy to provide adequate analgesia due to rib fractures in geriatric patients. Associação Médica Brasileira 2023-02-17 /pmc/articles/PMC9937612/ /pubmed/36820711 http://dx.doi.org/10.1590/1806-9282.20220048 Text en https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Akbaş, İlker
Dogruyol, Sinem
Kocak, Abdullah Osman
Dogruyol, Talha
Koçak, Meryem Betos
Gur, Sultan Tuna Akgol
Cakir, Zeynep
Effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: a randomized controlled trial
title Effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: a randomized controlled trial
title_full Effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: a randomized controlled trial
title_fullStr Effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: a randomized controlled trial
title_full_unstemmed Effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: a randomized controlled trial
title_short Effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: a randomized controlled trial
title_sort effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: a randomized controlled trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9937612/
https://www.ncbi.nlm.nih.gov/pubmed/36820711
http://dx.doi.org/10.1590/1806-9282.20220048
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