Determination of the Factors Causing Treatment Failure in Children Receiving Oxygen Therapy With High-flow Nasal Cannula Due to Moderate and Severe Respiratory Distress
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 201
- 试验地点
- 1
- 主要终点
- HFNC treatment outcome (failure or success)
研究概览
简要总结
The goal of this observational study is to identify the variables that predict treatment failure in order to identify the patients in which HFNC treatment may fail and not delay the transition to advanced respiratory support treatments in these patients.
The main questions it aims to answer are:
- What factors contribute to the failure of HFNC treatment in these children?
- What is the frequency of HFNC treatment failure in children with moderate and severe respiratory distress? Researchers will compare the group whose HFNC treatment was successful with the group whose HFNC treatment failed to identify factors that cause treatment failure.
详细描述
Oxygen therapy with a high-flow nasal cannula (HFNC) is a well-tolerated, relatively new, non-invasive alternative ventilation treatment modality. On the other hand, HFNC failure delays advanced respirator supportive treatments, prolongs hospitalization in the intensive care unit, and emergency department, and causes a significant increase in morbidity and mortality with hypoxemia, neurological impairment, and/or hemodynamic instability. The investigators aimed to identify the variables that predict treatment failure in order to identify the patients in which HFNC treatment may fail and not delay the transition to advanced respiratory support treatments in these patients.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 1 Month 至 18 Years(Child, Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Moderate to severe respiratory distress
- •Oxygen therapy with high-flow nasal cannula
排除标准
- •Chronic lung disease (those with CO2 retention or hypoxia in their daily life)
- •Cyanotic congenital heart disease
- •Craniofacial malformation
- •Trauma patients
- •Hypotonic patients
- •Cases with tracheostomy
- •Patients using HFNC therapy for respiratory support after extubation
结局指标
主要结局
HFNC treatment outcome (failure or success)
时间窗: 30 days
Whether advanced respiratory support treatments (invasive and noninvasive mechanical ventilation) are needed
次要结局
未报告次要终点
研究者
Derşan Onur
Principal Investigator
Dr. Behcet Uz Children's Hospital
