Comparing Use of Incentive Spirometry With and Without Reminder

Study Overview
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Brief Summary
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This study is designed to determine if patients using an incentive spirometer with visual and auditory signals will increase their use of the incentive spirometer and prevent lung complications.

Detailed Description
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The purpose of this study is to determine if the frequency of patients' use of physician ordered incentive spirometry increases with visual and auditory electronic encouragement (signals) compared to the no signal cohort. Secondarily this study will correlate short term outcomes of study patients to known short term outcome data from the study site and published data to determine if there is a relationship between frequency of use and positive or outcomes or complications, as cited by peer reviewed literature.

Official Title
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Comparing Post Operative Utilization of Incentive Spirometry With and Without Electronic Patient Reminder

Conditions
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Post Operative

Intervention / Treatment
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* Device: Signal On


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients must meet all the following Inclusion criteria to be eligible for participation in the study: Patient has undergone a qualifying surgical procedure. Patient is aged 18 years or over. Patient has incentive spirometry ordered or incentive spirometry must be part of the study site's standard of care which is implemented by hospital staff. Patient is able to comply with all study required incentive spirometry instructions. Patient is without severe hearing or impaired visual acuity deficiency such that they cannot hear or see the audible and visual signal for the InSee monitor. Exclusion Criteria: Patients meeting any of the following exclusion criteria at baseline will be excluded from study participation: Vulnerable Populations (Pregnant, minors, prisoners, those with significantly reduced mental acuity). Patients where incentive spirometry is inappropriate (patients with Tractotomy, patients who are hemodynamically unstable, patients in reverse isolation due to infection). Patients with a history of prior non-compliance or the presence or history of psychiatric condition (including drug or alcohol addiction), or cognitive issue which would in the opinion of the investigator, make it difficult for the patient to comply with the study procedures or follow the investigators instructions. Any medical condition that, in the opinion of the investigator, would place the patient at increased risk if they participated. Any Physician determination that the patient should not participate.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Signal On<br>Patient Signals ON | Device: Signal On<br>* InSee monitor patient signals are on.<br>|
| Signal Off<br>Patient Signals Off | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of successful inspiratory breaths attempts per day. | successful inspiratory breaths is defined as achieving the goal tidal volume | through hospitalization an average of 5 days | 
| Total number of inspiratory breaths achieved per day. | Inspiratory breaths while using the incentive spirometer | throughout hospitalization an average of 5 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time to achieve goal tidal volume. | Time in to achieve prescribed goal inspiratory tidal volume. | throughout hospitalization an average of 5 days | 
| Post operative length of O2 use. | Length of time from surgery until 02 is discontinued. | throughout hospitalization an average of 5 days | 
| Change in 02 flow rate. | Change in 02 flow rate delivered to the patient. | throughout hospitalization an average of 5 days | 
| inpatient Pulmonary complication rates. | Pulmonary complications during hospitalization | throughout hospitalization an average of 5 days | 
| Hospital discharge on O2. | If a study patient is discharged on 02. | throughout hospitalization an average of 5 days | 
| Changes in Inspiratory volume. | Changes (- or +) in the inspiratory volume a patient is able to achieve. | throughout hospitalization an average of 5 days | 
| Change in Inspiratory volume. | Postoperative change in inspiratory volume | throughout hospitalization an average of 5 days | 
| Readmission for pulmonary complication | Readmission for pulmonary complication up to 30 days after hospital discharge | 30 days after discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Incentive spirometry, Post Operative, compliance