Secondary chronic lung disease in children with severe underlying neurological diseases.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Diagnosis of a severe neurological disease (defined as CNS or neuromuscular disorder with severe motor/cognitive impairment) - Assignable to one of three study groups: (1) Tracheostomy, (2) Dysphagia, (3) No Dysphagia - Written informed consent obtained from patient and/or legal guardians
Exclusion criteria
Exclusion criteria: - Known primary pulmonary disease - Acute severe illness - Pregnancy - Increased individual susceptibility to ionizing radiation - Lack of informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| WHAT: Prevalence and severity of chronic structural lung abnormalities (defined as bronchiectasis, bronchial wall thickening, consolidations). WHEN: At a single time point upon enrollment (cross-sectional design). HOW: Performance of an ultra-low-dose photon-counting computed tomography (PCCT) of the chest in inspiration. Assessment is performed in a blinded manner by three experienced radiologists using standardized criteria. | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinical characteristics and respiratory disease burden: Assessment of infection frequency, antibiotic use, hospitalizations, and respiratory symptoms via standardized questionnaire and medical record review. Bulbar function and aspiration risk: Assessment of swallowing safety using the Pediatric Functional Oral Intake Scale (p-FOIS) and drooling severity using the Drooling Frequency and Severity Scale (DFSF), alongside logopedic evaluation (at enrollment). Microbiology: Detection of bacterial airway colonization (e.g., Pseudomonas aeruginosa) via throat swab or sputum analysis (at enrollment). Pulmonary function: Measurement of FVC, FEV1, and Peak Cough Flow (PCF) in cooperative patients (at enrollment). Correlation: Investigation of the association between radiological PCCT findings and the clinical/functional parameters listed above. | — |
Countries
Germany
Contacts
Universitätsklinikum Essen