Efficacy Of Combined Nebulized Hypertonic Saline and Chest Percussion Therapy in Acute Viral Bronchiolitis
A Pilot, Non-randomized, Single-site Clinical Study Investigating the Efficacy of Combined Therapy of Nebulized 3% Hypertonic Saline and Chest Percussion Therapy in Pediatric Patients With Acute Viral Bronchiolitis.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Tuan Nguyen
- Phone Number: 405-535-7093
- Email: tuan.nguyen@nyulangone.org
Study Locations
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New York
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Mineola, New York, United States, 11501
- NYU Langone Health
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
In order to be eligible to participate in this study (experimental arm), an individual must meet all of the following criteria:
- Age 0 to 24 months
- Admitted to the general inpatient pediatrics unit
- Has a diagnosis of acute bronchiolitis
- Receiving supplemental oxygen support
Data collected for the control arm will be obtained via retrospective chart review for patients meeting the following inclusion criteria:
- Age 0 to 24 months
- Admitted to the general inpatient pediatrics unit
- Has a diagnosis of acute bronchiolitis
- Receiving supplemental oxygen support
Exclusion Criteria:
An individual who meets any of the following criteria will be excluded from participation in this study:
- Admitted to the pediatric intensive care unit
- Has an underlying pre-existing condition that may affect the respiratory system (includes bronchopulmonary dysplasia, reactive airways disease, asthma, restrictive lung diseases, other chronic lung diseases, etc.)
- Has other comorbid conditions upon admission that may affect the respiratory system (includes pneumonia or other bacterial or fungal lung infections, acute exacerbation of reactive airways disease, acute exacerbation of asthma, pulmonary edema, pleural effusion, etc.)
- Has an absolute contraindication to nebulized 3% hypertonic saline, for example, a history of an allergic or anaphylactic reaction
- Is receiving other respiratory treatments such as bronchodilator treatments (i.e. albuterol or levalbuterol)
- Is receiving other adjuvant therapy such as antibiotics, antivirals, glucocorticoids, corticosteroids, or diuretics
A potential study subject in the control arm via retrospective chart review who meets any of the following criteria will be excluded from this study:
- Admitted to the pediatric intensive care unit
- Has an underlying pre-existing condition that may affect the respiratory system (includes bronchopulmonary dysplasia, reactive airways disease, asthma, restrictive lung diseases, other chronic lung diseases, etc.)
- Has other comorbid conditions upon admission that may affect the respiratory system (includes pneumonia or other bacterial or fungal lung infections, acute exacerbation of reactive airways disease, acute exacerbation of asthma, pulmonary edema, pleural effusion, etc.)
- Has an absolute contraindication to nebulized 3% hypertonic saline, for example, a history of an allergic or anaphylactic reaction
- Is receiving other respiratory treatments such as bronchodilator treatments (i.e. albuterol or levalbuterol)
- Is receiving other adjuvant therapy such as antibiotics, antivirals, glucocorticoids, corticosteroids, or diuretics
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Nebulized Hypertonic Saline + Chest Percussion Therapy
Participants with acute viral bronchiolitis will receive 3% nebulized hypertonic saline treatments combined with 3 minutes of chest percussion therapy.
This will be administered every 6 hours.
|
Standardized dose of nebulized 3% sodium chloride will be provided from 4 mL vial and administered be every 6 hours.
The chest percussion cup is a small, flexible cup made of vinyl that is used to provide gentle chest wall vibrations to assist with airway clearance and is utilized in patients of all ages with sputum production, such as those with acute bronchiolitis.
Administered every 6 hours while on supplemental oxygen therapy.
Other Names:
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No Intervention: Control Arm
Participants in the control arm will be analyzed via retrospective chart review; these participants will not be consented nor enrolled in the trial.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Length of Hospital Stay
Time Frame: Up to time of discharge (Approximately 1-5 days on average)
|
Measured in days from from time of admission to the general inpatient pediatrics unit until time of discharge from the general inpatient pediatrics unit.
|
Up to time of discharge (Approximately 1-5 days on average)
|
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Time on Supplemental Oxygen Support
Time Frame: Up to time of discharge (Approximately 1-5 days on average)
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Measured in days from from time of admission to the general inpatient pediatrics unit until time of discharge from the general inpatient pediatrics unit.
|
Up to time of discharge (Approximately 1-5 days on average)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Average Respiratory Rate
Time Frame: Up to time of discharge (Approximately 1-5 days on average)
|
Assessed every 4 hours and as needed in addition.
|
Up to time of discharge (Approximately 1-5 days on average)
|
|
Average Heart Rate
Time Frame: Up to time of discharge (Approximately 1-5 days on average)
|
Assessed every 4 hours and as needed in addition.
|
Up to time of discharge (Approximately 1-5 days on average)
|
|
Average Pulse Oximetry Reading
Time Frame: Up to time of discharge (Approximately 1-5 days on average)
|
Assessed every 4 hours and as needed in addition.
|
Up to time of discharge (Approximately 1-5 days on average)
|
|
Number of Caregivers Who Rate Child's Response as "Improved"
Time Frame: Time of discharge (Approximately 1-5 days on average)
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Caregivers will be given a survey in which they will rate their child's overall response following the treatments as "Improved," "Unchanged," or "Worsened."
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Time of discharge (Approximately 1-5 days on average)
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Number of Physicians Who Rate Child's Response as "Improved"
Time Frame: Time of discharge (Approximately 1-5 days on average)
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Caregivers will be given a survey in which they will rate their child's overall response following the treatments as "Improved," "Unchanged," or "Worsened."
|
Time of discharge (Approximately 1-5 days on average)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Tuan Nguyen, NYU Langone Health
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 23-01357
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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