Semi-quantitative Cough Strength Score (SCSS)

Mechanical Ventilation Clinical Trial

Official title:

Impact of Semi-quantitative Cough Strength Score as a Strong Predictor for Extubation Outcome in Head Trauma Patients: a Prospective Descriptive Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03031860
• Other study ID #: IRB0000871237
• Status: Completed
• Phase: N/A
• First received: January 21, 2017
• Last updated: January 4, 2018
• Start date: September 2016
• Est. completion date: December 2017

Study information

• Verified date: January 2018
• Source: Assiut University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Cough strength score will give true prediction of Extubation outcome

Description:

Head trauma patients were evaluated for readiness to be weaned off mechanical ventilation. If they had completed an Spontaneous Breathing Trial (SBT) before extubation. To measure Semiquantitative Cough Strength Score (SCSS), the investigator will put the patients at 30° to 45°, measure SCSS, first. The investigator enhance the patient to cough with as much effort as, when the investigator disconnect the ventilator. The cough strength was scored from 0 to 5 as follows: 0 = no cough on command, 1 = audible movement of air through the endotracheal tube but no audible cough, 2 = weakly (barely) audible cough, 3 = clearly audible cough, 4 = stronger cough and 5 = multiple sequential strong coughs.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 80
• Est. completion date: December 2017
• Est. primary completion date: December 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• The study included 80 adult male and female patients' their ages between 18-65 years admitted to trauma ICU with head trauma, on mechanical ventilation more than 24 hours and was ready to be weaned off from mechanical ventilation after successful spontaneous breathing trial and Glasgow Coma Scale (GCS) score > 8 before extubation

Exclusion Criteria:

• Patients who had undergone tracheostomy before extubation, GCS = 8, chest trauma (ribs fracture and lung contusion) and patients with chronic chest disease (Chronic obstructive pulmonary disease, tuberculosis and cancer lung) were excluded from the study.

Related Conditions & MeSH terms

• Mechanical Ventilation

Intervention

Other:
• Semiquantitative Cough Strength Score
Evaluate extubation outcome according to degree of evaluated Semiquantitative Cough Strength Score

Locations

Country	Name	City	State
Egypt	Assiut university faculty of medicine	Assiut

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Country where clinical trial is conducted

Egypt, 

References & Publications (1)

White AC. Long-term mechanical ventilation: management strategies. Respir Care. 2012 Jun;57(6):889-97; discussion 898-9. doi: 10.4187/respcare.01850. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Extubation outcome (success or failure), is the patient reintubate again or not and it's correlation with the level of Cough Strength Score	The cough strength was scored from 0 to 5 as follows: 0 = no cough on command, 1 = audible movement of air through the endotracheal tube but no audible cough, 2 = weakly (barely) audible cough, 3 = clearly audible cough, 4 = stronger cough and 5 = multiple sequential strong coughs.	within 6 hours postextubation