None listed
Conditions
Brief summary
ARI in children is a leading cause of hospitalisation and preventable death and repeat episodes in infancy are associated with an increased risk of chronic lung disease. Cough in children, commonly triggered by a viral ARI is a substantial cause of morbidity and associated health and societal economic costs. Chronic wet cough in children implies increased airway secretions and lower airway infection. This novel proposal aims to determine whether a validated evidence-based cough algorithm initiated at the development of chronic cough, defined as >4 weeks duration, following an ARI improves clinical outcomes in Indigenous children compared to standard care.
Interventions
The intervention is an evidence-based cough management algorithm that has been evaluated in children referred to a paediatric respiratory physician with prolonged cough (Chang et al, Pediatrics 2012). Children with cough are reviewed by a paediatrician and enter specific pathways depending on cough type and whether it is a specific or non-specific cough. Relevant investigations are performed (eg haemotology, biochemistry, pertussis serology, chest xray, spirometry) and management is dependent on
The intervention is an evidence-based cough management algorithm that has been evaluated in children referred to a paediatric respiratory physician with prolonged cough (Chang et al, Pediatrics 2012). Children with cough are reviewed by a paediatrician and enter specific pathways depending on cough type and whether it is a specific or non-specific cough. Relevant investigations are performed (eg haemotology, biochemistry, pertussis serology, chest xray, spirometry) and management is dependent on initial diagnoses. Management may include watchful waiting, trials of inhaled corticosteroids or antibiotics, and brief interventions such as smoking education. Children are reviewed again 2 weeks following the initial review. Ongoing management is dependent on the diagnosis.
Sponsors
Queensland University of Technology
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
0 to 14 Years
Healthy volunteers
No
Inclusion criteria
1. Is aged 0 - < 15 years 2. Presents to participating primary health care centre with cough as a symptom 3. Parent/guardian provides written informed consent 4.. If the child is a young person aged 12 - < 15 years, written assent from that person must be obtained
Exclusion criteria
1. Known, doctor diagnosed, chronic lung disease (excluding asthma) 2. Known immunosuppressive condition or on long term immunosuppressant therapy (oral or inhaled steroids in the past 30 days are allowed.
Outcome results
None listed