NCT03513861

Family Assisted Severe Febrile Illness Therapy for Critically-ill Kenyan Children

Family Assisted Severe Febrile Illness Therapy (FASTER) for Critically-ill Kenyan Children

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 182 (actual)
• Sponsor: Seattle Children's Hospital · Academic / Other
• Sex: All
• Age: 2 Months – 12 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this pilot study is to improve inpatient monitoring of severely-ill children admitted to the hospital in low resource settings at Kenyatta National Hospital in Nairobi, Kenya. Given the high ratio of patients to medical staff in these settings, the lack of reliable patient monitoring tools, and the high rate of early inpatient mortality, we will prospectively train parents as monitoring aids of their hospitalized children. Early recognition and intervention in critical illness is important to avoid (further) organ failure. Parents will be taught how to assess their child's mental status, work of breathing and capillary refill time which will inform a 3-point severity of illness scale. The severity of illness will be conveyed by the parents to the medical staff via color-coded flag system. The goal is to increase the healthcare provider patient reassessment rate according to patients' level of severity to assist in early recognition and treatment of patients' deterioration.

Conditions

• Critical Illness
• Febrile Illness

Interventions

Type	Name	Description
OTHER	FASTER Assessment tool	The FASTER assessment tool consists of monitoring mental status, respiratory distress and capillary refill time by parents of children admitted to the hospital with febrile illness. Parents in the intervention group are asked to monitor their child hourly with the FASTER tool and signal severity of illness to the healthcare team via color coded flag system. Number of healthcare provider - patient reassessments will be compared in intervention and control group.

Timeline

• Start date: 2017-05-08
• Primary completion: 2017-11-30
• Completion: 2017-11-30
• First posted: 2018-05-02
• Last updated: 2018-05-02

Locations

1 site across 1 country: Kenya