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Effect of bubble-continuous positive airway pressure (CPAP) on outcome of severe childhood pneumonia and neonatal respiratory distress in children in Papua New Guinea and Solomon Islands

Not Applicable
Conditions
Pneumonia in children
Neonatal respiratory distress
Respiratory - Other respiratory disorders / diseases
Infection - Other infectious diseases
Registration Number
ACTRN12612001294842
Lead Sponsor
School of Medicine & Health Sciences, University of Papua New Guinea
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
2800
Inclusion Criteria

Children admitted with pneumonia and hypoxaemia (SpO2<90%, or less than 86% in highlands) or neonates with respiratory distress and hypoxaemia.

Exclusion Criteria

Congenital heart disease
Previous enrollment
Pneumothorax

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Mortality[Hospital discharge]
Secondary Outcome Measures
NameTimeMethod
Clinical failure: at 5 days (or more) after enrollment, the persistance of severe respiratory distress. This will be assessed clinically using the following criteria:<br><br>3 or more of the fllowing signs will constitute severe respiratory distress and fulfil the definition of clinical failure at 5 days or more after commencing treatment:<br><br>1. Tachypnoea (RR >60 for neonates and >50 for older children)<br>2. Tachycardia (HR >180 for neonates and >160 for older children)<br>3. Moderate-severe chest in-drawing<br>4. Tracheal tug, grunting or head nodding<br>5. Cyanosis or hypoxaemia (SpO2<90%, or <86% in highlands)[5 days or more after commencing treatment];Readmission with severe pneumonia within one month of hospital discharge[Up to one month after hospital discharge]
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