High Flow Nasal Cannula Therapy versus Traditional oxygen therapy on Healthcare resource utilisation in Bronchiolitis
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Bhoomika Ganesh Hegde
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- PICU Resource Utilization Score : We will compare mean and median NEMS scores between
Overview
Brief Summary
Acute respiratory distress is a leading cause of PICU admissions. Bronchiolitis is among the leading
causes of hospitalization for infants and young children worldwide. In India, seasonal outbreaks lead to a
surge of critically ill infants. Studies from tertiary centers in India report that over one-third of
hospitalized bronchiolitis cases requiring Paediatric admission. These critically ill infants frequently need
advanced respiratory support (e.g. non-invasive ventilation or intubation), contributing to prolonged
hospital stays (median ~5–6 days) and notable mortality (~8%) in severe cases1. This substantial disease
burden places significant strain on healthcare resources in resource-limited settings.Low- and middleincome
countries (LMICs) like India face constraints in critical care infrastructure – PICU beds,
ventilators, and trained personnel are limited relative to the paediatric population in need. Optimal
allocation of these resources is crucial.
Study Design
- Study Type
- Observational
Eligibility Criteria
- Ages
- 1.00 Month(s) to 2.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Children 1 month to 2 years of age admitted to Paediatrics department with acute bronchiolitis with Moderate to severe respiratory distress8 indicated by features such as SpO2 less than 92% on room air, persistent increased work of breathing (nasal flaring, intercostal retractions), apnea episodes, or need for frequent monitoring.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
PICU Resource Utilization Score : We will compare mean and median NEMS scores between
Time Frame: 18 months
groups as a quantitative outcome of resource use.
Time Frame: 18 months
Secondary Outcomes
- Duration of Oxygen Therapy Total time the child remained on supplemental(oxygen of any kind. This ends when the child is weaned off O2 completely. A shorter oxygen)
- Adverse events or Complications.Any notable complications related to oxygen therapy.(For HFNC nasal mucosal injury, epistaxis, abdominal distension and vomiting (from high flow), aspiration .)
- Direct cost of treatment (exploratory) we will perform an approximate cost analysis using(hospital accounting data calculating oxygen consumption per patient (liters of Oxygen used, given)
Investigators
Dr Bhoomika Ganesh Hegde
Kmcri Hubli