NCT01795196

Brief Summary

Integrated pulmonary index (IPI) is a tool that monitors respiratory status. It takes into account four parameters: respiratory rate, end-tidal CO2, heart rate and O2 saturation using a pulse oximeter and specialized sidestream CO2 monitor. The device can continuously monitor and display the patient's ventilatory state as a single digit, 1-10. In addition, trends can be kept and it can provide early indication of changes in respiratory status. IPI has only been studied in pediatric patients who are under sedation; however, more uses for the monitoring tool are a possibility. One of those possibilities is to use IPI to monitor pediatric patients during the weaning and extubation process to determine if a specific number, or less than a specific number, is associated with extubation failure. Therefore, clinicians and physicians would be better able to determine if the patient is ready for extubation.

Trial Health

30
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started May 2011

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2011

Completed
1.8 years until next milestone

First Submitted

Initial submission to the registry

February 13, 2013

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 20, 2013

Completed
4.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 15, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 15, 2017

Completed
Last Updated

December 28, 2022

Status Verified

December 1, 2022

Enrollment Period

6.4 years

First QC Date

February 13, 2013

Last Update Submit

December 23, 2022

Conditions

Keywords

pediatric extubation failureweaningintegrated pulmonary indexmechanical ventilationextubation readinessrespiratory monitoring toolEndotracheal ExtubationPediatric Intensive Care UnitRapid Shallow Breathing IndexPhysiologic Deadspace

Outcome Measures

Primary Outcomes (1)

  • To determine if IPI predicts extubation success.

    The IPI number will be compared to extubation success or failure to evaluate the usefulness of the IPI as a predictor.

    48 hours post extubation

Secondary Outcomes (2)

  • To compare IPI to RSBI and VD/VT.

    Measured prior to extubation

  • To assess is there is a correlation between PaCO2 and PetCO2.

    Measured with each blood gas drawn

Eligibility Criteria

Age1 Year - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Mechanically ventilated pediatric patients undergoing the weaning process.

You may qualify if:

  • Intubated at least 24 hours
  • Less than 18 years of age
  • Greater than 1 year of age
  • Enrollment will be stratified based upon the time a potential subject has received MV.

You may not qualify if:

  • Patients less than 1 year of age
  • Presence of a tracheostomy tube

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Rush University Medical Center- Rush Children's Hospital

Chicago, Illinois, 60612, United States

Location

MeSH Terms

Conditions

Respiratory Insufficiency

Condition Hierarchy (Ancestors)

Respiration DisordersRespiratory Tract Diseases

Study Officials

  • David L Vines, MS

    Chair and Program Director, Department of Respiratory Care

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Chair and Program Director, Department of Respiratory Care

Study Record Dates

First Submitted

February 13, 2013

First Posted

February 20, 2013

Study Start

May 1, 2011

Primary Completion

September 15, 2017

Study Completion

September 15, 2017

Last Updated

December 28, 2022

Record last verified: 2022-12

Locations