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Acupuncture for Subacute and Chronic Post-thoracotomy Pain in Patients with Traumatic Multiple Rib Fractures: A Study Protocol for a Randomised-controlled, Two-arm, Parallel Design, Pilot Trial

  • Kim, Kun Hyung (School of Korean Medicine, Pusan National University) ;
  • Cho, Hyun Min (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Lee, Chan Kyu (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Seok, JunePill (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Seon Hee (Department of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Jung-Eun (Biomedical Research Institute, Pusan National University Hospital) ;
  • Shin, Yu Kyung (Biomedical Research Institute, Pusan National University Hospital) ;
  • Kim, Min Kyung (Department of Nursing, Pusan National University Hospital)
  • Received : 2018.04.25
  • Accepted : 2018.05.04
  • Published : 2018.05.30

Abstract

Background: The aim of this study is to assess the feasibility of acupuncture treatment for the management of subacute and chronic post-thoracotomy pain in patients with traumatic multiple rib fractures. Methods: A total of 30 participants who have undergone thoracotomy after traumatic multiple rib fractures will be recruited. Participants will be invited and equally randomised into acupuncture plus usual care and usual care alone groups. A computer-generated random number sequence will be used and concealed using opaque, sealed, sequentially numbered envelopes. Twelve sessions of manual and electrical acupuncture performed by Korean medicine doctors will be provided over a span of 3 months to participants allocated to the acupuncture group. Participants in the usual care group will continue pain medication, exercise and physical therapy as required. Study feasibility will be measured based on the proportion of patients who complete the measurement of pain at 12 or 24 weeks after baseline. The clinical outcomes will include; the average pain intensity over the recent week at rest, movement and cough, quality of life, patient's global assessment of recovery, respiratory function measured by the pulmonary function test and use of pain medication at 4, 8, 12 and 24 weeks after enrolment. Adverse events will be recorded for all participants. Written informed consent will be obtained from all participants. The local ethics committee has approved the study. This pilot trial will inform further studies investigating the potential role of acupuncture for subacute and chronic post-thoracotomy pain in patients with traumatic multiple rib fractures.

Keywords

References

  1. Romero A, Garcia JE, Joshi GP. The state of the art in preventing postthoracotomy pain. Semin Thorac Cardiovasc Surg 2013;25:116-124. https://doi.org/10.1053/j.semtcvs.2013.04.002
  2. Caragounis EC, Fagevik Olsen M, Pazooki D, Granhed H. Surgical treatment of multiple rib fractures and flail chest in trauma: a one-year follow-up study. World J Emerg Surg 2016;11:27. https://doi.org/10.1186/s13017-016-0085-2
  3. Fagevik Olsen M, Slobo M, Klarin L, Caragounis EC, Pazooki D, Granhed H. Physical function and pain after surgical or conservative management of multiple rib fractures - a follow-up study. Scand J Trauma Resusc Emerg Med 2016;24:128. https://doi.org/10.1186/s13049-016-0322-4
  4. Vickers AJ, Vertosick EA, Lewith G, MacPherson H, Foster NE, Sherman KJ et al. Acupuncture for Chronic Pain: Update of an Individual Patient Data Meta-Analysis. J Pain 2018;19:455-474. https://doi.org/10.1016/j.jpain.2017.11.005
  5. Filshie J, White A, Cummings M. Medical acupuncture: a Western scientific approach. 2nd ed. China: Elsevier;2016. p.22-58.
  6. Kim KH, Cho HM. Acupuncture for chronic post-thoracotomy pain in a patient with major chest trauma: A case report. J Acupunct Res 2017;34:81-87. https://doi.org/10.13045/acupunct.2017077
  7. Busan statistics [Internet]. Busan Metropolitan City. [cited 1 Mar 2018]. Available from: http://www.busan.go.kr/bhlook01.
  8. Kim SH, Jo MW, Ahn J, Ock M, Shin S, Park J. Assessment of psychometric properties of the Korean SF-12 v2 in the general population. BMC Public Health 2014;4:1086.
  9. Lee A, Chan SK, Fan LT. Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting. Cochrane Database Syst Rev 2015;11:CD003281.
  10. Witt CM, Pach D, Brinkhaus B, Wruck K, Tag B, Mank S et al. Safety of acupuncture: results of a prospective observational study with 229,230 patients and introduction of a medical information and consent form. Forsch Komplementmed 2009;16:91-97.