Work of Breathing Assessment in Triage Scale

NCT ID: NCT05479929

Last Updated: 2025-03-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

39 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-10-30

Study Completion Date

2025-10-31

Brief Summary

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The proposed research study will be a prospective observational study designed to validate the Canadian Triage Assessment Scale (CTAS) in regard to work of breathing in patients in the emergency department. The investigators will assess inter-rater agreement between nurses \& emergency physicians for assessment of work of breathing.

Detailed Description

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Investigators will enroll a convenience sample of consenting patients who present to the emergency department with a chief complaint related to respiratory symptoms, including shortness of breath, cough, difficulty breathing, hypoxemia, or any other respiratory related complaint.

Following consent and in a blinded fashion, the nurse \& emergency physician will be asked to evaluate the patient's work of breathing into three subjective categories: mild, moderate, or severe. The two evaluators will not be aware of the others evaluation of the patient. Evaluators will also be asked to predict the patients likely need for intervention \& disposition.

Subsequently, investigators will perform a chart review to determine the patient's clinical interventions, outcomes, and dispositions, and evaluate the assessment of the patients work of breathing.

Conditions

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Shortness of Breath Respiratory Symptoms Cough Difficulty Breathing Hypoxemia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Patients with Respiratory Symptoms

The Canadian Triage Assessment Scale (CTAS) will be assessed via patient survey form and electronic chart review.

Canadian Triage Assessment Scale (CTAS)

Intervention Type OTHER

The CTAS incorporates work of breathing into a subjective measurement in its assessment of patients and triaged.

Interventions

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Canadian Triage Assessment Scale (CTAS)

The CTAS incorporates work of breathing into a subjective measurement in its assessment of patients and triaged.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 18 years of age of older
* Presenting to the emergency department with a chief complaint of any type of respiratory symptom.

Exclusion Criteria

* Under 18 years of age
* Refusal to consent to study
* Incarcerated patients
* Pregnant patients
* Unable to complete survey due to clinical instability, severe pain, or disorientation determined by a study physician.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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CHRISTUS Health

OTHER

Sponsor Role lead

Responsible Party

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Peter Richman, MD

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christopher Durand, DO

Role: PRINCIPAL_INVESTIGATOR

CHRISTUS Health

Locations

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CHRISTUS Spohn Hospital

Corpus Christi, Texas, United States

Site Status

Countries

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United States

References

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Rui P, Kang K, Albert M. National Hospital Ambulatory Medical Care Survey: 2013 Emergency Department Summary Tables. Available from: http://www.cdc.gov/nchs/data/ahcd/nhamcs_emergency/2013_ed_web_tables.pdf.

Reference Type BACKGROUND

Hutchinson A, Pickering A, Williams P, Bland JM, Johnson MJ. Breathlessness and presentation to the emergency department: a survey and clinical record review. BMC Pulm Med. 2017 Mar 20;17(1):53. doi: 10.1186/s12890-017-0396-4.

Reference Type BACKGROUND
PMID: 28320369 (View on PubMed)

Murray M, Bullard M, Grafstein E; CTAS Natioanal Working Group; CEDIS National Working Group. Revisions to the Canadian Emergency Department Triage and Acuity Scale implementation guidelines. CJEM. 2004 Nov;6(6):421-7. No abstract available.

Reference Type BACKGROUND
PMID: 17378961 (View on PubMed)

Horeczko T, Enriquez B, McGrath NE, Gausche-Hill M, Lewis RJ. The Pediatric Assessment Triangle: accuracy of its application by nurses in the triage of children. J Emerg Nurs. 2013 Mar;39(2):182-9. doi: 10.1016/j.jen.2011.12.020. Epub 2012 Jul 24.

Reference Type BACKGROUND
PMID: 22831826 (View on PubMed)

Jimenez JG, Murray MJ, Beveridge R, Pons JP, Cortes EA, Garrigos JB, Ferre MB. Implementation of the Canadian Emergency Department Triage and Acuity Scale (CTAS) in the Principality of Andorra: Can triage parameters serve as emergency department quality indicators? CJEM. 2003 Sep;5(5):315-22.

Reference Type BACKGROUND
PMID: 17466139 (View on PubMed)

Alquraini M, Awad E, Hijazi R. Reliability of Canadian Emergency Department Triage and Acuity Scale (CTAS) in Saudi Arabia. Int J Emerg Med. 2015 Dec;8(1):80. doi: 10.1186/s12245-015-0080-5. Epub 2015 Aug 7.

Reference Type BACKGROUND
PMID: 26251308 (View on PubMed)

Paniagua N, Elosegi A, Duo I, Fernandez A, Mojica E, Martinez-Indart L, Mintegi S, Benito J. Initial Asthma Severity Assessment Tools as Predictors of Hospitalization. J Emerg Med. 2017 Jul;53(1):10-17. doi: 10.1016/j.jemermed.2017.03.021. Epub 2017 Apr 14.

Reference Type BACKGROUND
PMID: 28416251 (View on PubMed)

Roussos C, Koutsoukou A. Respiratory failure. Eur Respir J Suppl. 2003 Nov;47:3s-14s. doi: 10.1183/09031936.03.00038503.

Reference Type BACKGROUND
PMID: 14621112 (View on PubMed)

Beveridge R, Ducharme J, Janes L, Beaulieu S, Walter S. Reliability of the Canadian emergency department triage and acuity scale: interrater agreement. Ann Emerg Med. 1999 Aug;34(2):155-9. doi: 10.1016/s0196-0644(99)70223-4.

Reference Type BACKGROUND
PMID: 10424915 (View on PubMed)

Other Identifiers

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2020-195

Identifier Type: -

Identifier Source: org_study_id

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