Work of Breathing Assessment in Triage Scale

Sponsor

CHRISTUS Health (Other)

Overall Status

Active, not recruiting

CT.gov ID

NCT05479929

Collaborator

(none)

Enrollment

Location

Anticipated Duration (Months)

1.7

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

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.

Condition or Disease	Intervention/Treatment	Phase
Shortness of Breath Respiratory Symptoms Cough Difficulty Breathing Hypoxemia	Other: Canadian Triage Assessment Scale (CTAS)

Detailed 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.

Study Design

Study Type:

Observational

Actual Enrollment :

39 participants

Observational Model:

Cohort

Time Perspective:

Other

Official Title:

Work of Breathing Assessment in Triage Scale

Actual Study Start Date :

Oct 30, 2020

Anticipated Primary Completion Date :

Oct 1, 2022

Anticipated Study Completion Date :

Oct 1, 2022

Arms and Interventions

Arm	Intervention/Treatment
Patients with Respiratory Symptoms The Canadian Triage Assessment Scale (CTAS) will be assessed via patient survey form and electronic chart review.	Other: Canadian Triage Assessment Scale (CTAS) The CTAS incorporates work of breathing into a subjective measurement in its assessment of patients and triaged.

Arm

Intervention/Treatment

Patients with Respiratory Symptoms

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

Other: Canadian Triage Assessment Scale (CTAS)

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

Outcome Measures

Primary Outcome Measures

Inter-rater agreement between nurses and emergency physicians for the respiratory component of the Canadian Assessment Scale (CTAS) [24 months]
The CTAS is utilized to qualitatively define work of breathing as severe, moderate, or mild. Kappa will be calculated to assess inter-rater reliability

Eligibility Criteria

Criteria

Ages Eligible for Study:

N/A and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

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.