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A comparison of the effects of two m...

Jedlicka, Diane Schwede.

A comparison of the effects of two methods of spinal immobilization on respiratory effort in the older adult.

紀錄類型:	書目-電子資源 : 單行本
正題名/作者:	A comparison of the effects of two methods of spinal immobilization on respiratory effort in the older adult./
作者:	Jedlicka, Diane Schwede.
面頁冊數:	144 p.
附註:	Source: Dissertation Abstracts International, Volume: 58-05, Section: B, page: 2354.
Contained By:	Dissertation Abstracts International58-05B.
標題:	Gerontology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9731645
ISBN:	9780591412383

A comparison of the effects of two methods of spinal immobilization on respiratory effort in the older adult.
Jedlicka, Diane Schwede.

A comparison of the effects of two methods of spinal immobilization on respiratory effort in the older adult. - 144 p.

Source: Dissertation Abstracts International, Volume: 58-05, Section: B, page: 2354.

Thesis (Ph.D.)--The Ohio State University, 1997.

Injury in older adults often results in increased mortality and morbidity compared to younger adults. The first hour after injury is critical for older adults since the longer substantive care is delayed, the more likely that complications or mortality will result. The care delivered during this crucial first hour most often occurs in the prehospital setting which incorporates care delivered at the scene of the accident and during transport to the hospital. One measure commonly used in the prehospital setting is immobilization of the spine. The effect that spinal immobilization may have on respiratory status in the older adult has not been determined.

ISBN: 9780591412383Subjects--Topical Terms:

168436
Gerontology.

A comparison of the effects of two methods of spinal immobilization on respiratory effort in the older adult.
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100 1 $a Jedlicka, Diane Schwede. $3 1000006437
245 1 2 $a A comparison of the effects of two methods of spinal immobilization on respiratory effort in the older adult.
300 $a 144 p.
500 $a Source: Dissertation Abstracts International, Volume: 58-05, Section: B, page: 2354.
500 $a Adviser: Kathleen Stone.
502 $a Thesis (Ph.D.)--The Ohio State University, 1997.
520 $a Injury in older adults often results in increased mortality and morbidity compared to younger adults. The first hour after injury is critical for older adults since the longer substantive care is delayed, the more likely that complications or mortality will result. The care delivered during this crucial first hour most often occurs in the prehospital setting which incorporates care delivered at the scene of the accident and during transport to the hospital. One measure commonly used in the prehospital setting is immobilization of the spine. The effect that spinal immobilization may have on respiratory status in the older adult has not been determined.
520 $a The specific research question for this study was, "What is the effect of two different types of spinal immobilization on respiratory effort in older adults, aged 65-75?". The two different types of spinal immobilization apparatus were the traditional full length wooden backboard and a vacuum immobilizer device. The sample consisted of 57 noninstitutionalized older adult volunteers from the central Ohio area, with an age range of 65 to 75 years. A counterbalanced design was used with subjects randomized to the order in which they were placed on the device. The subjects remained on each device for 30 minutes. Respiratory effort was measured by respiratory inductance plethysmography. Physiologic indices of respiratory effort included rate, tidal volume, inspiratory time, percent rib cage contribution to tidal volume, total compartment displacement volume/tidal volume ratio and inspiratory flow. Subjective indices of respiratory effort included subject's rank ordering of difficulty breathing and visual analogue scores.
520 $a Chi square analysis was used to analyze demographic data and revealed no significant differences between the order groups for age, sex or race ($p > .05)$. Repeated measures analysis of covariance, controlling for baseline values of respiratory indices, was used to compare respiratory effort on the two devices. Results revealed a significant difference ($p < .05)$ between the two devices for all indices of respiratory effort. Mean values tended to increase over time for the backboard, suggesting that the longer the subject remained on the backboard, the more respiratory effort was required to breathe.
590 $a School code: 0168.
650 4 $a Gerontology. $3 168436
650 4 $a Health Sciences, Medicine and Surgery. $3 1000006136
650 4 $a Health Sciences, Nursing. $3 1000006001
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710 2 $a The Ohio State University. $3 170954
773 0 $t Dissertation Abstracts International $g 58-05B.
790 1 0 $a Stone, Kathleen, $e advisor
790 $a 0168
791 $a Ph.D.
792 $a 1997
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9731645

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