Date of Award


Degree Type

Internship Practicum Report

Degree Name

Master of Science

Field of Study

Clinical Research Management


Graduate School of Biomedical Sciences

First Advisor

Patricia A. Gwirtz

Second Advisor

Stephen O. Mathew

Third Advisor

Hriday K. Das


Standard of care of patients with rib fracture is still largely misunderstood and lacking in consensus. Texas Health Harris Methodist Hospital Fort Worth recently implemented a new rib fracture protocol that included the PIC score. The objective was a feasibility study to determine if there was a potential difference in the Intensive Care Unit length of stay, hospital length of stay, and incidence of negative respiratory outcomes between the patients who were exposed to the protocol and patients who were not. A retrospective chart review was performed and descriptive and statistical analyses were conducted using the data collected. Results showed a potential difference in the length of stay and incidence of negative respiratory outcomes once the alpha was adjusted. To show statistical significance without an adjustment in alpha would need a larger sample size. This demonstrates the need for a future study with a larger sample size.


Chang, Amy, Feasibility of Pain Incentive Spirometry, Cough (PIC) Score. Master of Science (Clinical Research Management), November, 2016. 148 pp., 3 tables, 12 figures, references, 7 titles.