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Administration of Bronchodilators Based on Astma score

Conditions
Asthma
Registration Number
NL-OMON29161
Lead Sponsor
Martini Hospital Groningen, The Netherlands
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Other
Sex
Not specified
Target Recruitment
130
Inclusion Criteria

children 2-18 years of age admitted for acute asthma
-treatment for acute asthma according to current dutch guideline
-supplemental oxygen use, low flow or high flow

Exclusion Criteria

-severe acute asthma for which intravenous albuterol is indicated
-unstable heart disease
-cystic fbrosis or other chronich or congenital lung disease
-any neurological disease
-any muscular disease

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Difference in admission time for children with acute asthma who are treated according to the current nurse-driven pathway or the new pathway with adjusted treatment thresholds for patients who need supplemental oxygen.
Secondary Outcome Measures
NameTimeMethod
-number of bronchodilator adminstrations per patient, <br>-the number of deviations from the pathway; administration of bronchodilators when not indicated or when bronchodilators were indicated but not administered. <br>-number or assessments by attending physician<br>-number of patients excluded because they needed treatment with intravenous albuterol <br>-number of re-admission within one week <br>-association between heart rate and the total CAS en individual items of CAS<br>-difference between groups in administration of intravenous magensiumsulphate<br>-difference between groups in transfer to pediatric intensive care unit
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