NCT05479929

Work of Breathing Assessment in Triage Scale

• Status: Active Not Recruiting
• Phase: —
• Study type: Observational
• Enrollment: 39 (actual)
• Sponsor: CHRISTUS Health · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Accepted

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.

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.

Conditions

• Shortness of Breath
• Respiratory Symptoms
• Cough
• Difficulty Breathing
• Hypoxemia

Interventions

Type	Name	Description
OTHER	Canadian Triage Assessment Scale (CTAS)	The CTAS incorporates work of breathing into a subjective measurement in its assessment of patients and triaged.

Timeline

• Start date: 2020-10-30
• Primary completion: 2025-06-01
• Completion: 2025-10-01
• First posted: 2022-07-29
• Last updated: 2025-03-06

Locations

1 site across 1 country: United States