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Identifying pre-hospitalisation warning signs in migrant children less than 12 years old living along on the Thailand-Myanmar border

Completed
Conditions
Migrant parent/caregiver and children less than 12 years old attending the outpatient clinic or admitted to the inpatient ward who meet the eligibility criteria will be screened for eligibility for the study.
Hospitalisation risk, paediatrics, tachycardia, outpatient triage
Registration Number
TCTR20230509001
Lead Sponsor
niversity of Oxford
Brief Summary

The findings of this study do not support the use of orthostatic heart rate as a tool to detect children at risk for hospitalization. Longer duration of illness may be a risk factor for hospitalisation. In this study the only social indicator associated with IPD admission was a higher maternal education level.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
80
Inclusion Criteria

1 Migrant parent/caregiver and children age <12 years old
2 Able to communicate in local languages (e.g., Burmese, Karen)
3 Agree to share their clinical data for the study activities

Exclusion Criteria

1 Emergency clinical presentations
2 Chronic disease (e.g., haemoglobinopathies, HIV, tuberculosis)
3 Neonates (ie., less than 28 days old)
4 Unable or unwilling to participate in study activities

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Determine whether orthostatic tachycardia can be used as a physiologic biomarker to identify unwell children less than 12 years old at risk for hospitalisation 30 - 60 Minutes Compare the proportion of participants with an orthostatic elevation in heart rate
Secondary Outcome Measures
NameTimeMethod
Determine the pre-hospitalisation biophysiological markers associated with hospitalisation in unwell children less than 12 years old 30 - 60 Minutes Compare the proportion of participants with abnormal vital signs, physical examination and laboratory test results from clinical samples ,Determine the social markers associated with hospitalisation in unwell children less than 12 years old 30 - 60 Minutes Compare the presence of social indicators
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