Validation of the POGO Score for Classification of Videolaryngoscopy in Children - Post-hoc Analysis of the PeDiAC Study

NCT07115407 | Active Not Recruiting

• 1 other identifier: 2025-300614-WF
• Study Type: observational
• Target: 809
• Locations: 1 country
• Sites: 1

Brief Summary

It has been assumed that the percentage of glottic opening (POGO) score might enhance the classification of videolaryngoscopic tracheal intubation by offering a more objective rating of glottic exposure but studies in children are lacking. This post hoc analysis of the prospective observational PeDiAC study aims to investigate, if classifying difficult videolaryngoscopic tracheal intubation with the POGO score is superior to a subjective rating of the quality of the glottic view on visual analogue scales (VAS). Post hoc video analysis will be performed by multiple independent raters. A secondary aim is to determine the diagnostic performance of the POGO and VAS for the prediction of relevant user- and patient-centered outcomes and to assess the inter-rater reliability of the POGO score.

Conditions

Intubation, Pediatric; Intubation; Difficult or Failed; Airway Management; Airway Complication of Anesthesia

Keywords

POGO score; Pediatric airway management; Videolaryngoscopic intubation

Outcome Measures

Primary Outcomes (1)

• Difficult videolaryngoscopic intubation

  Defined as a difficult airway alert issued by the airway operator following videolaryngoscopy

  1 hour

Secondary Outcomes (10)

• Multiple laryngoscopy attempts

  1 hour

• Multiple tracheal intubation attempts

  1 hour

• First attempt success rate

  1 hour

• Percentage of glottic opening (POGO) score

  1 hour

• Quality of glottic visualization

  1 hour

Eligibility Criteria

• Age: Up to 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Consecutive sampling: Pediatric patients undergoing general anesthesia with videolaryngoscopic tracheal intubation in the study center

You may qualify if:

• Pediatric patients undergoing general anesthesia with tracheal intubation in the study center
• Informed consent obtained
• Age \< 18 years

You may not qualify if:

• Anesthetist prefers conventional laryngoscopy
• Indication for intubation via a bronchoscope or awake intubation

Sponsors & Collaborators

• Universitätsklinikum Hamburg-Eppendorf: lead

Study Sites (1)

Department of Anesthesiology, Center for Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf

Hamburg, 20246, Germany

Location

Study Officials

• Martin Petzoldt, MD

  Universitätsklinikum Hamburg-Eppendorf

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 3, 2025
• First Posted: August 11, 2025
• Study Start: April 12, 2021
• Primary Completion: August 3, 2022
• Study Completion: August 1, 2025
• Last Updated: August 11, 2025

Record last verified: 2025-08

Locations

DE (1)