PACTR201404000706382已完成未知
The use of Assisted Autogenic Drainage in children with acute respiratory disease in a developing country
niversity of Cape Town0 个研究点目标入组 98 人开始时间: 2013年11月15日最近更新:
适应症
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 发起方
- 入组人数
- 98
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- 1 Month(s) 至 8 Year(s)（—）
- 性别
- All
入选标准
- •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)
排除标准
- •-Active tuberculosis (TB),
- •-Bronchiolitis,
- •-Pneumocystis jirovecii pneumonia (suspected or proven),
- •-Pleural effusion,
- •-Recent pneumothorax in last three months,
- •-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
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