Work of Breathing Assessment in Triage Scale

NCT05479929 | Active Not Recruiting

• 1 other identifier: 2020-195
• Study Type: observational
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

The proposed research study will be a prospective observational study designed to validate the Canadian Triage Assessment Scale (CTAS) in regard to work of breathing in patients in the emergency department. The investigators will assess inter-rater agreement between nurses \& emergency physicians for assessment of work of breathing.

Conditions

Shortness of Breath; Respiratory Symptoms; Cough; Difficulty Breathing; Hypoxemia

Keywords

Emergency Room; Respiratory Assessment; Work of Breathing

Outcome Measures

Primary Outcomes (1)

• Inter-rater agreement between nurses and emergency physicians for the respiratory component of the Canadian Assessment Scale (CTAS)

  The CTAS is utilized to qualitatively define work of breathing as severe, moderate, or mild. Kappa will be calculated to assess inter-rater reliability

  24 months

Study Arms (1)

Patients with Respiratory Symptoms

The Canadian Triage Assessment Scale (CTAS) will be assessed via patient survey form and electronic chart review.

Other: Canadian Triage Assessment Scale (CTAS)

Interventions

Canadian Triage Assessment Scale (CTAS) OTHER

The CTAS incorporates work of breathing into a subjective measurement in its assessment of patients and triaged.

Patients with Respiratory Symptoms

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Study subjects include any adult patients who present to the emergency department at Christus Spohn Hospital - Shoreline

You may qualify if:

• years of age of older
• Presenting to the emergency department with a chief complaint of any type of respiratory symptom.

You may not qualify if:

• Under 18 years of age
• Refusal to consent to study
• Incarcerated patients
• Pregnant patients
• Unable to complete survey due to clinical instability, severe pain, or disorientation determined by a study physician.

Sponsors & Collaborators

• CHRISTUS Health: lead

Study Sites (1)

CHRISTUS Spohn Hospital

Corpus Christi, Texas, 78405, United States

Location

Related Publications (9)

• Rui P, Kang K, Albert M. National Hospital Ambulatory Medical Care Survey: 2013 Emergency Department Summary Tables. Available from: http://www.cdc.gov/nchs/data/ahcd/nhamcs_emergency/2013_ed_web_tables.pdf.

  BACKGROUND

• Hutchinson A, Pickering A, Williams P, Bland JM, Johnson MJ. Breathlessness and presentation to the emergency department: a survey and clinical record review. BMC Pulm Med. 2017 Mar 20;17(1):53. doi: 10.1186/s12890-017-0396-4.

  PMID: 28320369 BACKGROUND

• Murray M, Bullard M, Grafstein E; CTAS Natioanal Working Group; CEDIS National Working Group. Revisions to the Canadian Emergency Department Triage and Acuity Scale implementation guidelines. CJEM. 2004 Nov;6(6):421-7. No abstract available.

  PMID: 17378961 BACKGROUND

• Horeczko T, Enriquez B, McGrath NE, Gausche-Hill M, Lewis RJ. The Pediatric Assessment Triangle: accuracy of its application by nurses in the triage of children. J Emerg Nurs. 2013 Mar;39(2):182-9. doi: 10.1016/j.jen.2011.12.020. Epub 2012 Jul 24.

  PMID: 22831826 BACKGROUND

• Jimenez JG, Murray MJ, Beveridge R, Pons JP, Cortes EA, Garrigos JB, Ferre MB. Implementation of the Canadian Emergency Department Triage and Acuity Scale (CTAS) in the Principality of Andorra: Can triage parameters serve as emergency department quality indicators? CJEM. 2003 Sep;5(5):315-22.

  PMID: 17466139 BACKGROUND

• Alquraini M, Awad E, Hijazi R. Reliability of Canadian Emergency Department Triage and Acuity Scale (CTAS) in Saudi Arabia. Int J Emerg Med. 2015 Dec;8(1):80. doi: 10.1186/s12245-015-0080-5. Epub 2015 Aug 7.

  PMID: 26251308 BACKGROUND

• Paniagua N, Elosegi A, Duo I, Fernandez A, Mojica E, Martinez-Indart L, Mintegi S, Benito J. Initial Asthma Severity Assessment Tools as Predictors of Hospitalization. J Emerg Med. 2017 Jul;53(1):10-17. doi: 10.1016/j.jemermed.2017.03.021. Epub 2017 Apr 14.

  PMID: 28416251 BACKGROUND

• Roussos C, Koutsoukou A. Respiratory failure. Eur Respir J Suppl. 2003 Nov;47:3s-14s. doi: 10.1183/09031936.03.00038503.

  PMID: 14621112 BACKGROUND

• Beveridge R, Ducharme J, Janes L, Beaulieu S, Walter S. Reliability of the Canadian emergency department triage and acuity scale: interrater agreement. Ann Emerg Med. 1999 Aug;34(2):155-9. doi: 10.1016/s0196-0644(99)70223-4.

  PMID: 10424915 BACKGROUND

MeSH Terms

Conditions

Dyspnea; Signs and Symptoms, Respiratory; Cough; Hypoxia; Emergencies

Condition Hierarchy (Ancestors)

Respiration Disorders; Respiratory Tract Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Disease Attributes; Pathologic Processes

Study Officials

• Christopher Durand, DO

  CHRISTUS Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: July 21, 2022
• First Posted: July 29, 2022
• Study Start: October 30, 2020
• Primary Completion: June 1, 2025
• Study Completion: October 1, 2025
• Last Updated: March 6, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF
• Time Frame: 24 months

Locations

US (1)