Asthma Clinical Trial
Phenotype characterization of shortness of breath of pediatric emergency room patients by objective wheeze and cough monitoring improves diagnostic and severity assessment accuracy and correlates with overall patient outcomes.
Status | Not yet recruiting |
Enrollment | 45 |
Est. completion date | September 2012 |
Est. primary completion date | March 2012 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A to 15 Years |
Eligibility |
Inclusion Criteria: - patient is admitted to the ER with shortness of breath - patient management is according to standardized protocols used in Hadassah Mt. Scopus pediatric emergency department including: - asthma management protocol - bronchiolitis management protocol - ages 0 - 15 - patient's parent/guardian is able to comprehend and give informed consent for participating in the study Exclusion Criteria: - patient has received any dose of inhaled bronchodilators in the hour prior to enrollment - patient has received oral or IV steroids in a time window of 30 minutes to 5 hours prior to enrollment - ventilated patients, while ventilated - chest skin lesions - cystic fibrosis - hemodynamic instability - patient's parent/guardian objects to the study protocol - concurrent participation in any other clinical study - physician objection |
Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
Israel | Hadassah Medical Center Mt. Scopus | Jerusalem |
Lead Sponsor | Collaborator |
---|---|
KarmelSonix Ltd. | Hadassah Medical Organization |
Israel,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | increase or decrease of WheezeRate (the proportion of wheezing in the respiratory cycle) | Characterize the dynamic pattern of wheeze rate (increase or decrease by 50% or unchanged) within 30 minutes of onset of therapy, and to correlate pattern to clinical diagnoses, severity assessment (accessory muscle use, oxygen saturation, inspiratory/expiratory ratio, severity of wheezing), and outcome (admission versus discharge). | Duration (from beginning to end) of emergency department stay. On average, 3 hours. | No |
Secondary | cough count (increase or decrease by more then 1 cough event or unchanged) in response to treatment | cough count (increase or decrease by more then 1 cough event or unchanged) in response to treatment and to correlate pattern to clinical diagnoses, severity assessment (accessory muscle use, oxygen saturation, inspiratory/expiratory ratio, severity of wheezing), and outcome (admission versus discharge). | Duration (from beginning to end) of emergency department stay. On average, 3 hours. | No |
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