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This is a pilot cross-sectional study of measured transcutaneous CO-oximetry in children with inflammatory and non-inflammatory conditions.
Children and young adults age 6-24 with the following conditions: asthma, pneumonia, allergic rhinitis, cystic fibrosis, and well child (without inflammatory illness) will be recruited.
Subjects will be asked to complete a brief screening survey to determine if they meet inclusion criteria. Enrolled subjects will be asked to complete questionnaire forms to characterize their health, current symptoms, medications, and common exposures. Transcutaneous carboxyhemoglobin will be recorded.
This study is cross-sectional and will only require one visit coinciding with the clinical visit. Analysis will determine the pairwise differences in SpCO between conditions tested.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Uncontrolled asthma | Indicated by an asthma control test (ACT) score of <20 and asthma symptoms of cough, wheeze, or chest tightness for more than 2 days in the prior 2 weeks, OR current asthma exacerbation indicated by the prescription of a short course (3-5 days) of systemic corticosteroids by treating provider at the time of visit. | ||
| Controlled asthma | Indicated by an ACT score of >19, or spirometry results within 10% of year's best value (based on FEV1). | ||
| Pneumonia | Indicated by an admission diagnosis of pneumonia with chest X-ray consistent with the diagnosis, based on attending radiologist's interpretation. | ||
| Controlled allergic rhinitis | Indicated by a rhinitis control assessment test (RCAT) score of >= 21. | ||
| Uncontrolled allergic rhinitis | Indicated by an RCAT score of <21. | ||
| Cystic fibrosis (exacerbated) | Indicated by treating physician's assessment of cystic fibrosis respiratory exacerbation within 24 hours of initial antibiotic therapy. |
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| Measure | Description | Time Frame |
|---|---|---|
| SpCO comparison: uncontrolled asthma v. other groups | A pairwise comparison of mean SpCO will be performed between asthma exacerbation group and each other group, e.g., asthma exacerbation v. stable asthma, asthma exacerbation v. pneumonia, etc. An independent t-test will be used to determine statistical significance of the difference of means. | Time of visit |
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Inclusion Criteria:
Exclusion Criteria:
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Age range 6-24years old. All genders, races, and ethnicities were sampled, provided they could complete the study requirements.
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| Name | Affiliation | Role |
|---|---|---|
| Jonathan Gaffin, MD. MMSc. | Boston Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Boston Children's Hospital | Boston | Massachusetts | 02115 | United States |
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| ID | Term |
|---|---|
| D001249 | Asthma |
| D065631 | Rhinitis, Allergic |
| D003550 | Cystic Fibrosis |
| D011014 | Pneumonia |
| D012220 | Rhinitis |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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| Cystic fibrosis (stable) | Indicated by diagnosis of cystic fibrosis with baseline symptoms and with spirometry results (based on FEV1) within 5% of year's best value. |
| Control | Indicated by a negative history of any of the conditions characterizing the other groups. |
| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D009668 | Nose Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D007232 | Infant, Newborn, Diseases |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |