Work of Breathing Assessment in Triage Scale

CHRISTUS Health

Status: Active, not recruiting

Conditions: Shortness of Breath; Difficulty Breathing; Cough; Respiratory Symptoms; Hypoxemia

Treatments: Other: Canadian Triage Assessment Scale (CTAS)

Study type: Observational

Funder types: Other

Identifiers

NCT05479929

2020-195

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 39 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

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.

Trial design

39 participants in 1 patient group

Patients with Respiratory Symptoms

Description:

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

Treatment:

Other: Canadian Triage Assessment Scale (CTAS)