The use of chest physiotherapy in children hospitalised with pneumonia

Not Applicable

• Conditions: Respiratory; Paediatrics; pneumonia

• Registration Number: PACTR201404000706382
• Lead Sponsor: niversity of Cape Town

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2013-11-15
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 98

Inclusion Criteria

Children with
¿acute bacterial lobar or bronchial pneumonia,
¿aged between one month and eight years
¿hospitalised in Red Cross War Memorial Children¿s Hospital, Cape Town
¿tachypnoea (RR ¿ 20 breaths per minute (bpm) in children > five years, ¿ 40 bpm in children between one and five years, ¿ 50 bpm in children between two and 12 months, and ¿60 bpm in children < two months)
¿fever and/or cough
¿radiological confirmation of pneumonia
¿clinically stable (unstable = on mechanical ventilation, on positive pressure ventilation, tachycardia (<1year = 160 beats/min, 1-2year = 150 beats/min, 3-4year = 140 beats/min, 5-12years = 120 beats/min) or inadequate blood pressure, altered mental status, oxygen saturation <90% on oxygen support; when a child has none of these symptoms, then he/she is considered clinically stable)

Exclusion Criteria

-Active tuberculosis (TB),
-Bronchiolitis,
-Pneumocystis jirovecii pneumonia (suspected or proven),
-Pleural effusion,
-Recent pneumothorax in last three months,
-Asthma,
-Increased intracranial pressure,
-Chest deformities,
-Osteoporosis,
-Severe hypoxia or distress (oxygen saturation < 90% on oxygen and clinical signs: cyanosis, weak cry, feeding problems and head nodding, nasal flaring). If the child has more than 3 signs of severe distress or hypoxia, it will be excluded. If the child has 3 or less signs it will be included if the child is clinically stable.
-Cystic fibrosis (these children are standardly hospitalised for two weeks which influences the duration of hospitalisation),
-Other chronic respiratory disease which require daily physiotherapy
-Presence of an intercostal drain,
-Currently receiving mechanical ventilation,
-Thoracic or abdominal surgery in the preceding six months,
-Severe heart defect
-Premature: < 30 weeks of gestation,
-Hospitalised for less than 2 days

Study & Design

• Study Type: Interventional
• Study Design: Not specified