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An exploration of clinical predictors of failure of respiratory support with high-flow nasal cannula oxygen therapy in children

An exploration of clinical predictors of failure of respiratory support with high-flow nasal cannula oxygen therapy in children

Status
Active, not recruiting
Phases
Early Phase 1
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2400081421
Enrollment
Unknown
Registered
2024-02-29
Start date
2024-03-01
Completion date
Unknown
Last updated
2024-03-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Respiratory disease in children

Interventions

Sponsors

Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine
Lead Sponsor

Eligibility

Sex/Gender
All
Age
No minimum to 18 Years

Inclusion criteria

Inclusion criteria: 1) Male or female children aged 29 days to 18 years; 2) Hospitalized in the Respiratory Department of Shanghai Children's Medical Centre from March 2024 to February 2025; 3) Clinical diagnosis of lower respiratory tract infection including bronchitis, bronchiolitis or pneumonia; 4) Acute respiratory distress (acute respiratory distress is defined as shortness of breath (< 2 months: = 60 breaths/min; 2-12 months: = 50 breaths/min; 1-5 years: = 40 breaths/min; = 5 years: = 30 breaths/min) with assisted respiratory muscle movements, including a positive triple-concave sign), with oxygen administered through nasal cannula (2 L/min) or mask (5 L/min), and still having respiratory distress, and the patients were considered to be in need of HFNC treatment by a physician of respiratory speciality or above; 5) Informed consent for the study was obtained from the legal guardians of the children (children over 8 years of age were also required to give their informed consent).

Exclusion criteria

Exclusion criteria: 1) Cardiac or respiratory arrest; 2) Glasgow score of 50 mmHg); 5) Imaging suggests the presence of pneumothorax and airway foreign body signs; 6) The child is unable to co-operate with HFNC treatment; 7) The investigator considers the subject to be potentially at risk or has any other factor that interferes with the subject's ability to participate in the trial.

Design outcomes

Primary

MeasureTime frame
HFNC treatment failure;

Secondary

MeasureTime frame
Clinical respiratory score, CRS;Pediatric early warning score,PEWS;

Countries

China

Contacts

Public ContactJing Zhang

Department of Respiratory, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine

zhangjing@scmc.com.cn+86 139 1713 9575

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026