RESOLVE

  • Research type

    Research Study

  • Full title

    Randomised Evaluation of incentive Spirometry in OLder adults with rib fractures to preVEnt pulmonary complications: RESOLVE

  • IRAS ID

    349783

  • Contact name

    Katherine Coates

  • Contact email

    Katherine.coates@nbt.nhs.uk

  • Sponsor organisation

    North Bristol NHS Trust

  • ISRCTN Number

    ISRCTN14365105

  • Duration of Study in the UK

    1 years, 6 months, 30 days

  • Research summary

    We will aim to see whether a device that helps with breathing exercises can improve recovery for older people when taken to hospital with broken ribs.
    Broken ribs are painful and can make it harder to take a deep breath or cough. Over half of older people with broken ribs then develop problems, like chest infections. We think that a device called an ‘incentive spirometer’ (IS) which helps people take a deeper breath, may help to prevent these problems. These devices are already given to some patients who have had an operation, but we don’t know whether they help with recovery from broken ribs.
    We will ask 276 older patients in hospital with broken ribs to participate. We will split them into two groups by chance. Both groups will be treated in the normal way whilst in hospital, but one group will also be given an IS. We will ask this group to use the IS regularly for at least the first 3 days. We will ask permission from patients (or carers) to collect information from hospital notes about their recovery. We will look to see whether people who use the device get fewer problems, like chest infections, in the first 5 days after they came into hospital. We will also ask everyone to complete questionnaires to monitor recovery.
    We have listened to older patients who have had broken ribs and taken part in research. We have tried the IS with older patients who enjoyed using it and tell us it doesn’t make the pain from their broken ribs worse. We also have an active patient group who will work with us.
    We will write up the results and publish them in journals. We will also share the results at healthcare conferences and also let patients know about the results.

  • REC name

    Yorkshire & The Humber - Bradford Leeds Research Ethics Committee

  • REC reference

    26/YH/0013

  • Date of REC Opinion

    28 Jan 2026

  • REC opinion

    Favourable Opinion