Assessment of Asthma Exacerbation in Children by Modified Pulmonary Index Score
Assessment of the Severity of Acute Asthma Exacerbation in Children Attending the Emergency Departments to Predict Outcomes by Modified Pulmonary Index Score
1 other identifier
observational
1
0 countries
N/A
Brief Summary
Asthma is a heterogeneous disease, usually characterized by chronic airway inflammation. It is defined by the history of respiratory symptoms such as wheeze, shortness of breath, chest tightness and cough that vary over time and in intensity, together with variable expiatory airflow limitation. This definition was reached by consensus, based on consideration of the characteristics that are typical of asthma and that distinguish it from other respiratory conditions . Asthma is a problem worldwide, with an estimated 300 million affected individuals .It appears that the global prevalence of asthma ranges from 1% to 18% of the population in different countries .
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Nov 2017
Shorter than P25 for all trials
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 10, 2017
CompletedFirst Posted
Study publicly available on registry
June 19, 2017
CompletedStudy Start
First participant enrolled
November 11, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 22, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
October 20, 2018
CompletedJune 19, 2017
June 1, 2017
1 month
June 10, 2017
June 15, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
ICU admission according to oxygen saturation <81%, respiratory rate <6years old = >60 ≥6years old = >50 and heart rate <3 years old = >160 ≥3 years old= >140
Adequate evaluation of the severity of asthma exacerbation is important for the initial management of patients,using clinical parameters to decide ICU admission :oxygen saturation ,heart rate,respiratory rate and Degree of agitation and conscious level.
within 15 minute
Secondary Outcomes (1)
hospital stay
within one week
Eligibility Criteria
all patient admitted to emergency department of assiut university within three months of winter of anticipated number 60
You may qualify if:
- children with acute asthma exacerbation
- children with acute asthma aged 1-17 years old
- background history of asthma
- this study will deal with the protocols applied in Assiut university children hospital
You may not qualify if:
- children below age of 1 year and more than 17 years old
- Known Tuberculosis exposure
- concurrent stridor
- use of oral corticosteroids in the previous four weeks
- Significant co-morbid disease : lung ,cardiac ,immune , liver , endocrine ,neurological or psychiatric
- children with other causes of respiratory distress
- Children with mild or controlled asthma.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (6)
Becker AB, Nelson NA, Simons FE. The pulmonary index. Assessment of a clinical score for asthma. Am J Dis Child. 1984 Jun;138(6):574-6. doi: 10.1001/archpedi.1984.02140440058015.
PMID: 6720644RESULTGorelick MH, Stevens MW, Schultz TR, Scribano PV. Performance of a novel clinical score, the Pediatric Asthma Severity Score (PASS), in the evaluation of acute asthma. Acad Emerg Med. 2004 Jan;11(1):10-8. doi: 10.1197/j.aem.2003.07.015.
PMID: 14709423RESULTMasoli M, Fabian D, Holt S, Beasley R; Global Initiative for Asthma (GINA) Program. The global burden of asthma: executive summary of the GINA Dissemination Committee report. Allergy. 2004 May;59(5):469-78. doi: 10.1111/j.1398-9995.2004.00526.x. No abstract available.
PMID: 15080825RESULTSmith SR, Baty JD, Hodge D 3rd. Validation of the pulmonary score: an asthma severity score for children. Acad Emerg Med. 2002 Feb;9(2):99-104. doi: 10.1111/j.1553-2712.2002.tb00223.x.
PMID: 11825832RESULTvan der Windt D. Promises and pitfalls in the evaluation of pediatric asthma scores. J Pediatr. 2000 Dec;137(6):744-6. doi: 10.1067/mpd.2000.111458. No abstract available.
PMID: 11113827RESULTWeiss KB, Wagener DK. Changing patterns of asthma mortality. Identifying target populations at high risk. JAMA. 1990 Oct 3;264(13):1683-7.
PMID: 2398607RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- prinicpal investigator
Study Record Dates
First Submitted
June 10, 2017
First Posted
June 19, 2017
Study Start
November 11, 2017
Primary Completion
December 22, 2017
Study Completion
October 20, 2018
Last Updated
June 19, 2017
Record last verified: 2017-06
Data Sharing
- IPD Sharing
- Will share