Acupuncture combined with multidisciplinary care for recovery after traumatic multiple rib fractures: a prospective feasibility cohort study

Author:

Kim Kun Hyung12,Lee Chan Kyu3,Cho Hyun Min4,Kim Youngwoong5,Kim Seon Hee3,Shin Myung Jun6ORCID,Kim Jung Eun7,Shin Yu Kyung7,Lee Soo Jin8,Seok Junepill9,Choi Ju Hee10,Kim Minkyung10,Kim Young Hee10

Affiliation:

1. School of Korean Medicine, Pusan National University, Yangsan, South Korea

2. Department of Korean Medicine, Pusan National University Hospital, Busan, South Korea

3. Department of Trauma Surgery, Pusan National University Hospital, Busan, South Korea

4. Department of Trauma & Surgical Critical care, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, South Korea

5. Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea

6. Department of Rehabilitation Medicine, Pusan National University Hospital, Busan, South Korea

7. Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea

8. Department of Quality Management, Pusan National University Hospital, Busan, South Korea

9. Department of Trauma and Acute care Surgery, Chungbuk National University Hospital, Cheongju, South Korea

10. Department of Nursing, Pusan National University Hospital, Busan, South Korea

Abstract

Introduction: Acute pain significantly delays early physiological recovery and results in chronic functional disability in patients with traumatic multiple rib fractures (MRFs). This prospective cohort study aimed to investigate the feasibility of acupuncture combined with multidisciplinary care during recovery in patients with traumatic MRFs. Methods: Twenty patients with traumatic MRFs who were admitted to a regional trauma centre in South Korea were enrolled. A combination of acupuncture and multidisciplinary inpatient ward management was provided at the trauma ward. Patients were permitted to continue acupuncture treatments at outpatient clinics for 3 months after the traumatic events. Clinical outcomes, including pain, acute physiological recovery, quality of life, patient satisfaction with the care provided, respiratory function and use of opioids, were evaluated up to 6 months after trauma. Results: Seventeen (85%) participants completed the 6-month follow-up. One patient withdrew consent during admission due to discomfort after three sessions of acupuncture. The proportion of patients with above-moderate level of pain decreased from 95% at baseline to 41% at 6 months. Quality of life appeared to deteriorate consistently throughout the study period. Around 80% of respondents expressed satisfaction with the acupuncture treatments and stated that they found acupuncture to be acceptable. Over 94% of respondents reported slight or considerable improvement. Conclusion: The provision of acupuncture combined with multidisciplinary care for recovery in patients with traumatic MRFs was feasible in a regional trauma centre in South Korea. Randomised trials are needed to investigate the role of acupuncture combined with multidisciplinary care in the future. Trial registration number: KCT0002911 (Clinical Research Information Service)

Funder

Biomedical Research Institute Grant, Pusan National University Hospital

Publisher

SAGE Publications

Subject

Neurology (clinical),Complementary and alternative medicine,General Medicine

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