Trial Outcomes & Findings for Nebulized 3% Hypertonic Saline Solution Treatment of Bronchiolitis in Infants (NCT NCT02233985)

NCT ID: NCT02233985

Last Updated: 2017-06-21

Results Overview

It is a validated clinical scale, sufficiently reliable measure of Severity of the respiratory distress. It consists of the summation score of the sibilance / crackling parameters (the largest of them), respiratory effort, pulmonary air inlet, oxygen saturation, heart rate and breathing rate. It is stratified into 3 levels of severity: mild from 0 to 5 points, moderate from 6 to 10 and severe from 10 to 16.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

64 participants

Primary outcome timeframe

Basal, 30 minutes after the end of the first 3 continuous nebulization sessions, at 4 hours, 8 hours and every 24 hours during the entire hospital stay

Results posted on

2017-06-21

Participant Flow

Participant milestones

Participant milestones
Measure
Nebulized 0.9% Sodium Chloride
Salbutamol 100 micrograms / kg / dose administered 0.9 % saline solution (4ml) nebulized for 3 initial sessions lasting 20 minutes each and every 4 hours during the entire hospital stay. 0.9% Sodium Chloride: Salbutamol 100 micrograms / kg / dose administered 0.9% saline solution (4ml) nebulized for 3 initial sessions lasting 20 minutes each and every 4 hours during the entire hospital stay.
Nebulized 3% Sodium Chloride
Salbutamol 100 micrograms / kg / dose administered 3 % saline solution (4ml) nebulized for 3 initial sessions lasting 20 minutes each and every 4 hours during the entire hospital stay. 3% Sodium Chloride: Salbutamol 100 micrograms / kg / dose administered 3 % saline solution (4ml) nebulized for 3 initial sessions lasting 20 minutes each and every 4 hours during the entire hospital stay.
Overall Study
STARTED
33
31
Overall Study
COMPLETED
33
31
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nebulized 3% Hypertonic Saline Solution Treatment of Bronchiolitis in Infants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nebulized 0.9% Sodium Chloride
n=33 Participants
Salbutamol 100 micrograms / kg / dose administered 0.9 % saline solution (4ml) nebulized for 3 initial sessions lasting 20 minutes each and every 4 hours during the entire hospital stay. 0.9% Sodium Chloride: Salbutamol 100 micrograms / kg / dose administered 0.9% saline solution (4ml) nebulized for 3 initial sessions lasting 20 minutes each and every 4 hours during the entire hospital stay.
Nebulized 3% Sodium Chloride
n=31 Participants
Salbutamol 100 micrograms / kg / dose administered 3 % saline solution (4ml) nebulized for 3 initial sessions lasting 20 minutes each and every 4 hours during the entire hospital stay. 3% Sodium Chloride: Salbutamol 100 micrograms / kg / dose administered 3 % saline solution (4ml) nebulized for 3 initial sessions lasting 20 minutes each and every 4 hours during the entire hospital stay.
Total
n=64 Participants
Total of all reporting groups
Age, Continuous
7.7 months
STANDARD_DEVIATION 5.7 • n=5 Participants
8.8 months
STANDARD_DEVIATION 5.7 • n=7 Participants
8.2 months
STANDARD_DEVIATION 5.5 • n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
11 Participants
n=7 Participants
28 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
20 Participants
n=7 Participants
36 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
33 Participants
n=5 Participants
31 Participants
n=7 Participants
64 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Mexico
33 Participants
n=5 Participants
31 Participants
n=7 Participants
64 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Basal, 30 minutes after the end of the first 3 continuous nebulization sessions, at 4 hours, 8 hours and every 24 hours during the entire hospital stay

Population: All patients with respiratory distress in moderate to severe stage until a stage of mild respiratory distress or difficulty breathing submitted.

It is a validated clinical scale, sufficiently reliable measure of Severity of the respiratory distress. It consists of the summation score of the sibilance / crackling parameters (the largest of them), respiratory effort, pulmonary air inlet, oxygen saturation, heart rate and breathing rate. It is stratified into 3 levels of severity: mild from 0 to 5 points, moderate from 6 to 10 and severe from 10 to 16.

Outcome measures

Outcome measures
Measure
Hypertonic Saline Solution 3% (HSS 3%) Group
n=31 Participants
Patients with moderate stages (6 to 10 points) and severe (11 to 16 points) were selected, performing subsequent measurements always 30 minutes after nebulization corresponding.
Saline Solution 0.9% (SS 0.9%) Group
n=33 Participants
Patients with moderate stages (6 to 10 points) and severe (11 to 16 points) were selected, performing subsequent measurements always 30 minutes after nebulization corresponding.
Score Respiratory Distress
144 hours
0 units on a scale
Interval 0.0 to 0.0
6 units on a scale
Interval 6.0 to 6.0
Score Respiratory Distress
Basal
8 units on a scale
Interval 7.0 to 10.0
8 units on a scale
Interval 8.0 to 10.0
Score Respiratory Distress
30 minutes
6 units on a scale
Interval 5.0 to 7.0
8 units on a scale
Interval 8.0 to 9.0
Score Respiratory Distress
4 hours
5 units on a scale
Interval 3.0 to 6.0
8 units on a scale
Interval 7.0 to 9.0
Score Respiratory Distress
8 hours
3 units on a scale
Interval 3.0 to 5.0
8 units on a scale
Interval 6.0 to 9.0
Score Respiratory Distress
12 hours
3 units on a scale
Interval 2.0 to 7.0
7 units on a scale
Interval 6.0 to 9.0
Score Respiratory Distress
24 hours
0 units on a scale
Interval 0.0 to 0.0
7 units on a scale
Interval 6.0 to 9.0
Score Respiratory Distress
48 hours
0 units on a scale
Interval 0.0 to 0.0
7 units on a scale
Interval 6.0 to 9.0
Score Respiratory Distress
72 hours
0 units on a scale
Interval 0.0 to 0.0
6 units on a scale
Interval 3.0 to 7.0
Score Respiratory Distress
96 hours
0 units on a scale
Interval 0.0 to 0.0
5 units on a scale
Interval 4.0 to 9.0
Score Respiratory Distress
120 hours
0 units on a scale
Interval 0.0 to 0.0
3 units on a scale
Interval 3.0 to 3.0
Score Respiratory Distress
196 hours
0 units on a scale
Interval 0.0 to 0.0
4 units on a scale
Interval 4.0 to 4.0

PRIMARY outcome

Timeframe: Throughout the stay for each patient until discharge. Follow-up will be continued for a period of 30 days in which they may present readmissions, complications or adverse effects.

Population: All patients included in the study, underwent measurement of hours of hospital stay from admission to pediatric emergencies to hospital discharge.

Each patient record the time of entry and measured the total hospital stay time in hours, recording the time of discharge to determine the total stay in hours. The hospital stay will be evaluated in hours. Staying hospitalized until they had mild respiratory stage scale scores for at least 2 hrs.

Outcome measures

Outcome measures
Measure
Hypertonic Saline Solution 3% (HSS 3%) Group
n=31 Participants
Patients with moderate stages (6 to 10 points) and severe (11 to 16 points) were selected, performing subsequent measurements always 30 minutes after nebulization corresponding.
Saline Solution 0.9% (SS 0.9%) Group
n=33 Participants
Patients with moderate stages (6 to 10 points) and severe (11 to 16 points) were selected, performing subsequent measurements always 30 minutes after nebulization corresponding.
Hours of Hospital Stay
8 hours
Interval 5.4 to 9.0
39.3 hours
Interval 23.9 to 61.6

SECONDARY outcome

Timeframe: Throughout the stay for each patient until discharge. Follow-up will be continued for a period of 30 days in which they may present readmissions, complications or adverse effects.

After the first admission of each patient will be evaluated during the next 30 days, if a patient is readmitted for any respiratory disease, respiratory distress, pneumonia or bronchiolitis. Considering as non-serious risks that do not compromise life, tachycardia, tremor, increased access to cough immediately to the inhalation, as well as the ardor of nasal mucosa, all these with limited characteristics, however, these do not put at risk The health of the patient, so they were not measured.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Throughout the stay for each patient until discharge. Follow-up will be continued for a period of 30 days in which they may present readmissions, complications or adverse effects.

The presence or absence of clinical data to warrant dehydration of hydration, infected by bacteria, pneumothorax, interstitial emphysema and subcutaneous be evaluated.

Outcome measures

Outcome data not reported

Adverse Events

Nebulized 0.9% Sodium Chloride

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Nebulized 3% Sodium Chloride

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Gloria Patricia Sosa-Bustamante

Instituto Mexicano del Seguro Social

Phone: 01 52 4777174800

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place