Long Term (1 Year) Respiratory Sequelae in Children Surviving an Acute Respiratory Distress Syndrome
Long Term (1 Year) Respiratory Sequelae in Children Surviving Acute Respiratory Distress Syndrome
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
The acute respiratory distress syndrome (ARDS) has a high mortality rate in children. Adverse long term sequelae, and in particular respiratory sequelae, have been described mainly in adults. Decrease in diffusing capacity, lung volume and exercise tolerance were observed. Lung function parameters improve during the follow-up until 6 month after discharge from the pediatric intensive care unit (PICU). After that, abnormalities in PFT are observed in a significant proportion of patients. Only two studies described long-term sequelae in children surviving to an ARDS and their results are conflicting. Two studies carried out in adults described the morphologic long-term sequelae by thoracic computed tomography. They showed reticular pattern with a striking anterior distribution in most patients evaluated more than 6 months after discharge from the PICU. There is, to our knowledge, no study describing morphologic pulmonary sequelae by thoracic computed tomography in children surviving to ARDS.
Respiratory assessment: respiratory sequelae in children surviving to the acute respiratory distress syndrome will be evaluated 1 year after discharge from the PICU. Assessment will include a clinical evaluation (respiratory history and physical examination), respiratory function tests and thoracic computed tomography
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Brussels, Belgium, 1020
- Hôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles,
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Lille, France, 59 037 Lille Cedex
- Hôpital Jeanne de Flandre, Centre Hospitalier Régional et Universitaire de Lille
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Paris, France, 75 571 Paris Cedex 12
- Hôpital Trousseau, Assistance Publique Hôpitaux de Paris
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Paris, France, 75 935 Cedex 19
- Hôpital Robert Debré, Assistance Publique Hôpitaux de Paris
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Paris, France, 75743 Paris Cedex 19
- Hôpital Necker-Enfants Malades, Assistance Publique Hôpitaux de Paris
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- children surviving to an acute respiratory distress syndrome and alive 1 year after discharge from the PICU
Exclusion Criteria:
- children suffering from neuromuscular disease
- children presenting symptoms of chronic respiratory disease before ARDS
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Dynamic lung compliance
Time Frame: 1 year +- 2 months after discharge from ICU
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1 year +- 2 months after discharge from ICU
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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respiratory complaints (cough, wheeze,dypnea at rest on exertion, bronchitis, pneumonia
Time Frame: 1 year +- 2 months after discharge from ICU
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1 year +- 2 months after discharge from ICU
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extend of ground glass opacification (CT scan)
Time Frame: 1 year +- 2 months after discharge from ICU
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1 year +- 2 months after discharge from ICU
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extend of intense parenchymal opacification
Time Frame: 1 year +- 2 months after discharge from ICU
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1 year +- 2 months after discharge from ICU
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extend of reticular pattern
Time Frame: 1 year +- 2 months after discharge from ICU
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1 year +- 2 months after discharge from ICU
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extend of decreased attenuation due to emphysema
Time Frame: 1 year +- 2 months after discharge from ICU
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1 year +- 2 months after discharge from ICU
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extend of decreased attenuation attributable to small-airway disease
Time Frame: 1 year +- 2 months after discharge from ICU
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1 year +- 2 months after discharge from ICU
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carbon monoxide diffusing capacity
Time Frame: 1 year +- 2 months after discharge from ICU
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1 year +- 2 months after discharge from ICU
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Pulse oxymetry oxygen saturation at the end of a 6 min walk test
Time Frame: 1 year +- 2 months after discharge from ICU
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1 year +- 2 months after discharge from ICU
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Francis Leclerc, MD, University hospital of Lille , France
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PHRC 2005/R-1906 (Other Grant/Funding Number: French Ministry of Health)
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