Holter Monitoring of Critically-ill Childern in PICU at Sohag University Hospital

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05312333

Enrollment

100

Registered

2022-04-05

Start date

2022-03-09

Completion date

2023-03-31

Last updated

2022-04-05

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

Conditions

Critically Ill Childern in PICU

Brief summary

Holter Monitoring is a way to continuously check the electrical activity of the heart . Continuous ECG recording show to be one of the most effective noninvasive clinical tools in the diagnosis of cardiac symptoms prognostic assessment and in the evaluation of many cardiac therapeutic intervention. The clinical utility of ambulatory ECG lies in its ability to examine continuously a patient over an extended period of time, permitting patient ambulatory activity and facilitating the diurnal electrocardiographic examination of a patient in a changing environmental conditions (both physical and psychological) .

Interventions

None listed

Eligibility

Sex/Gender

ALL

Age

1 Months to 12 Years

Healthy volunteers

Inclusion criteria

* 1- children admitted to pediatric department as in : * Pediatric intensive care unit (PICU). * Pediatric critical care unit (PCCU). * Emergency room (ER). 2- Age from 1 month- 12 years. 3- Critical ill child fulfill these criteria: * Persistent convulsions. * Abnormal GCS * Haemodynamic instability * Foreign body inhalation * Sever cardiac problem * Irregular breathing * DKA * Others

Exclusion criteria

1-Neonates 2-End-stage or those with end-organ failure . 3-Whom GCS is below 6. 4-Whom done cardiac catheterization for any purpose . 5-Previously done Holter. 6-Multiple traumatized patient.

Design outcomes

Primary

Measure	Time frame	Description
Abnormalities detecred in Holter monitoring of critically-ill childern	one year	the relation between abnormalities detected in Holter and prognosis of critically-ill childern
The relation between heart rate variability and outcome ,prognosis of illness	one year	Increased illness severity and poor outcomes ,the most common method of objectively assesing autonomic nervous system dysregulation is through measurement of heart rate variability ,which reflect the normal ,physiologic alternation in the intervals in the time between consecutive heart beats that occur when there is balance of sympathetic and parasympathetic inputs on the electrical conduction system of the heart.
Arrhythmia detected in critically-ill childern	one year	arrhythmia detected in Holter of critically ill childern whom have any critical illness

Countries

Egypt

Outcome results