Acute Viral Bronchiolitis
Conditions
Keywords
Food intake, Chest physiotherapy, Sleep, Respiratory Distress
Brief summary
The purpose of this study is to determine wether a single chest physiotherapy session with slow expiratory technique (SET) improves infants with viral bronchiolitis quality of life (food intake and sleep) on the next 24 hours.
Detailed description
Bronchiolitis is the most common lower respiratory viral infection in infants. Nowadays bronchiolitis is the first reason of children hospitalisation worldwide. Symptoms are based on airway inflammation associated to an increased mucus production and cell necrosis leading to a multifactorial airway obstruction. Recommended treatments are supportive care based on oxygenation and rehydration. Airway clearance techniques represented by chest physiotherapy remain controversial. Considering that bronchiolitis impacts respiratory condition in young infants feeding and sleep may be reduced. Evaluating quality of life represented by feeding and sleep in hospitalized infants may be an important outcome in this population. The investigators hypothesized that chest physiotherapy with SET will improve children's quality of life, especially 24 hours food intake and sleep.
Interventions
OTHERChest physiotherapy with SET
Chest physiotherapy with SET, and standard treatment (medical treatment, health education, nasopharyngeal clearance, advice)
OTHERStandard Treatment
Standard pharmacological and non-pharmacological treatments (medical treatment, health education, rhinopharyngeal clearance, advices)
Sponsors
Groupe Hospitalier du Havre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
1 Months to 12 Months
Healthy volunteers
No
Inclusion criteria
* children under 12 months * hospitalized for bronchiolitis * chest physiotherapy prescription * bronchial obstruction confirmed by physician and respiratory physiotherapist Non-inclusion Criteria : * children more than 1 year * exclusive breastfeeding or enteral feeding * prematurity (gestational age \< 35 weeks) * cardiac, neurological and pulmonary comorbidity * continuous oxygen supplementation or ventilatory support * chest physiotherapy contraindications
Exclusion criteria
* side effects during chest physiotherapy : bradycardia \<100 bpm, oxygen saturation\<90%, general state alteration * outing, oxygen supplementation or parenteral nutrition less than 24 hours after randomization * chest physiotherapy cessation according to family request
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Food ingestion | 24 hours following intervention | Total Food ingestion within 24 hours after intervention measured by nurses or parents |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sleep quality | 24 hours following intervention | Total Sleep Time |
| Oxygen saturation | Before intervention ; 5 minutes, 30 minutes and 24 hours after intervention | Pulse oximetry monitoring |
| Respiratory rate | Before intervention ; 5 minutes, 30 minutes and 24 hours after intervention | Pulse oximetry monitoring |
| Heart Rate | Before intervention ; 5 minutes, 30 minutes and 24 hours after intervention | Pulse oximetry monitoring |
| Respiratory Distress | Before intervention ; 5 minutes, 30 minutes and 24 hours after intervention | Bronchiolitis Severity Score (described by Gajdos et al. as mentioned in the references). The Bronchiolitis Severity Score involves the calculation and addition of three subscores (age-based respiratory rate scale, score of 1-3; retractions, and wheeze scales, both running from 0 to 3). Total score ranges from 1 to 9, with higher scores indicating greater respiratory distress. |
Countries
France
Outcome results
None listed