Holter Monitoring of Critically-ill Childern in PICU at Sohag University Hospital
试验速览
- 阶段
- 不适用
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Abnormalities detecred in Holter monitoring of critically-ill childern
研究概览
简要总结
Holter Monitoring is a way to continuously check the electrical activity of the heart .
Continuous ECG recording show to be one of the most effective noninvasive clinical tools in the diagnosis of cardiac symptoms prognostic assessment and in the evaluation of many cardiac therapeutic intervention.
The clinical utility of ambulatory ECG lies in its ability to examine continuously a patient over an extended period of time, permitting patient ambulatory activity and facilitating the diurnal electrocardiographic examination of a patient in a changing environmental conditions (both physical and psychological) .
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 1 Month 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1- children admitted to pediatric department as in :
- •Pediatric intensive care unit (PICU).
- •Pediatric critical care unit (PCCU).
- •Emergency room (ER). 2- Age from 1 month- 12 years. 3- Critical ill child fulfill these criteria:
- •Persistent convulsions.
- •Abnormal GCS
- •Haemodynamic instability
- •Foreign body inhalation
- •Sever cardiac problem
- •Irregular breathing
排除标准
- •1-Neonates 2-End-stage or those with end-organ failure . 3-Whom GCS is below
- •4-Whom done cardiac catheterization for any purpose . 5-Previously done Holter. 6-Multiple traumatized patient.
结局指标
主要结局
Abnormalities detecred in Holter monitoring of critically-ill childern
时间窗: one year
the relation between abnormalities detected in Holter and prognosis of critically-ill childern
Arrhythmia detected in critically-ill childern
时间窗: one year
arrhythmia detected in Holter of critically ill childern whom have any critical illness
The relation between heart rate variability and outcome ,prognosis of illness
时间窗: one year
Increased illness severity and poor outcomes ,the most common method of objectively assesing autonomic nervous system dysregulation is through measurement of heart rate variability ,which reflect the normal ,physiologic alternation in the intervals in the time between consecutive heart beats that occur when there is balance of sympathetic and parasympathetic inputs on the electrical conduction system of the heart.
次要结局
未报告次要终点
研究者
Nourhan Ahmed Mohamed
resident doctor at pediateric department sohag university hospital
Sohag University