Pneumonia Hospital Acquired Clinical Trial
Official title:
Effect of Breather on Hospital Stay in Patients With Acquired Pneumonia
Verified date | September 2023 |
Source | Cairo University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Acquired pneumonia is a sever medical condition that addressed as life-threatening issue require intensive care. Medical Breather device permits activating and strengthening of both inspiratory and expiratory musculatures; thus, it could be useful for pneumatic patients. The aim of the study is to investigate breather effect on hospital stay in pneumatic patients.
Status | Completed |
Enrollment | 60 |
Est. completion date | April 30, 2023 |
Est. primary completion date | October 30, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 30 Years to 40 Years |
Eligibility | Inclusion Criteria: 1. Sixty patients of both sexes from intensive care unit, Cairo University Hospitals. 2. Their age ranged from 30 to 40 years old. 3. Their BMI were from 25 - 29.9 Kg/m2. 4. Their oxygen saturation 90 - 95% (mild hypoxemia) conscious level. Exclusion Criteria: 1. Patient with a history of any malignant tumors. 2. Patients with hearing impairment or mental disorder. 3. Patients with auto-immune diseases. 4. Patients with a history of any surgical transplantation. 5. Patients with hemo-dynamically unstable patients. 6. Patients with rib fracture. 7. Patients with history of neuromuscular disease. 8. Patients with spinal injuries. 9. Patients with BMI > 30 Kg/m2. 10. Patients receiving mechanical ventilation. - |
Country | Name | City | State |
---|---|---|---|
Egypt | Faculty of Physical Therapy - Cairo University | Cairo |
Lead Sponsor | Collaborator |
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Cairo University |
Egypt,
Klompas M. Prevention of Intensive Care Unit-Acquired Pneumonia. Semin Respir Crit Care Med. 2019 Aug;40(4):548-557. doi: 10.1055/s-0039-1695783. Epub 2019 Oct 4. — View Citation
Lanks CW, Musani AI, Hsia DW. Community-acquired Pneumonia and Hospital-acquired Pneumonia. Med Clin North Am. 2019 May;103(3):487-501. doi: 10.1016/j.mcna.2018.12.008. Epub 2019 Mar 7. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | arterial blood gases (ABG) | potential of hydrogen( pH )(7.35-7.45).
the partial pressure of carbon dioxide in arterial blood.(PaCO2 )(35-45 mmHg). Bicarbonate (HCO3)(22-28 meq/L). arterial oxygen saturation (SaO2) (95-100%). pH (7.35-7.45). PaCO2 (35-45 mmHg). HCO3 (22-28 meq/L). SaO2 (95-100%). . Sample was taken from the radial artery to measure the following parameters6: 7.35-7.45 PH, 35-45 mmHg PaCO2, 22-28 meq/L HCO3, and 95-100% SaO2. |
Pre and post treatment after 2 weeks | |
Primary | Diaphragmatic excursion | measured diaphragmatic movement for each subject by using the Diaphragmatic ultrasound at 3.5-5MHz probe that aimed at midclavicular line under rib cage aiming posterior 3rd of hemi diaphragm. | Pre and post treatment after 2 weeks | |
Primary | Respiratory distress observation scale (RDOS) | evaluate severity and discomfort experienced by patients who are unable to communicate their dyspnea levels during monitoring for palliative sedation therapy .
RDOS score of less than 3 indicates that the patient is breathing comfortably, d) an RDOS value =3 means respiratory distress that require palliative measures, and e) higher RDOS scores indicate a worsening of the patient's condition. |
Pre and post treatment after 2 weeks | |
Primary | The National Early Warning Score 2 (NEWS2) | ) scoring system for evaluating hospital discharge. It measures six physiological items; respiration and pulse rates, O2 saturation, systolic blood pressure, consciousness level or recent onset confusion, also temperature 9. Each parameter is allocated a score of 0, 1, 2, or 3, elevated values indicate that is far away from normal values.
Low risk (aggregate score of 1-4). Low to moderate '3 in a single item' risk. Moderate risk (aggregate score of 5-6). Maximum risk (=7 value). Critical team of care should perform an emergency assessment, often advice transfer case to a higher dependency unit, and a NEWS2 = 0 i.e., no change, warrants a minimum twice daily check that be a routine monitoring. |
Pre and post treatment after 2 weeks | |
Primary | Body mass index (BMI ) | Ranged from 25 to 29.9 Kg/m2. | Pre and post treatment after 2 weeks |
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT03121690 -
The Applicability of Different Scoring Systems and Use of Steroids in the Treatment of Hospital Acquired Pneumonia
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Phase 4 |