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COMPARISON OF EFFICACY OF HYDROCORTISONE AND METHYLPREDNISOLONE IN ACUTE SEVERE ASTHMA
In this study Investigator will compare the efficacy of hydrocortisone and methyl prednisolone in acute severe asthma that will lead to final result and beneficial effects that will help in early resoloution of symptoms and help in preventing recurrence
investigator will compare the efficacy of hydrocortisone v/s methylprednisolone in management of patients presented with acute severe asthma in emergency.
A local study was conducted in 2009, after that there is a big research gap exists at national level although international literature is available on the same but it can not be generalized to our population due to socio, geographic and economic differences so there is dire need to conduct this study this gives a strong rationale to implement in our settings
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HYDROCORTISONE | Group A will comprise of 30 patients will be treated with 200 mg hydrocortisone followed by 3 doses of hydrocortisone 100 mg 6 hours apart for next 24hrs | ||
| METHYLPREDNISOLONE | Group B will be treated with methylprednisolone 125 mg stat |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Methylprednisolone, | Drug | No intervention required |
|
| Measure | Description | Time Frame |
|---|---|---|
| Spirometry | Above will be check on arrival of patient to Emergency and post Managment | 24 hours |
| Blood pressures | Vital signs at initial presentation and post managment will be recorded Blood pressure in mm HG will be recorded | 24 hours |
| Respiratory rate | Respiratory rate at arrival and post managment will be considered Respiratory rate in Breaths/min | 24 hours |
| Heart rate | Heart rate beats/min will be checked | 24 hours |
| PEAK EXPIRATORY FLOW RATE | it wil be checked on arrival and post managment in Peak Expiratory Flow rate (force expiratory volume in 1 second and force vital capacity )will be examined | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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60 30 in each group
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| Name | Affiliation | Role |
|---|---|---|
| Inayat ur Rehman, MD ER | zia ud din university karachi | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zia ud din hospital university | Karachi | Sindh | 09323 | Pakistan | ||
| Zia ud din university hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20930966 | Result | Aggarwal P, Bhoi S. Comparing the efficacy and safety of two regimens of sequential systemic corticosteroids in the treatment of acute exacerbation of bronchial asthma. J Emerg Trauma Shock. 2010 Jul;3(3):231-7. doi: 10.4103/0974-2700.66522. |
| Label | URL |
|---|---|
| Comparision | View source |
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PERFORMA OF PATIENTS AND DATA TAKEN FROM HOSPITAL OF KARACHI WILL BE SHARED AS WELL RESULT OUTCOME WILL BE SHARED IT WILL INCLUDE STUDY PROTOCOL STATS INFORMED CONSENT CLINICAL STUDY REPORT
6 MONTHS
IPD CRITERIA WILL SHARE WHEN REQUIRED DIRECTLY FROM INVESTIGASTOR
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP_ICF | Yes | Yes | Yes | Study Protocol, Statistical Analysis Plan, and Informed Consent Form | Nov 23, 2023 | Dec 5, 2023 | Prot_SAP_ICF_000.pdf |
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| ID | Term |
|---|---|
| D008775 | Methylprednisolone |
| D006854 | Hydrocortisone |
| ID | Term |
|---|---|
| D011239 | Prednisolone |
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
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| Karachi |
| Sindh |
| 09323 |
| Pakistan |
| Zia ud din university hospitals | Karachi | Sindh | Pakistan |
| Zia ud din university | Karachi | Sindh | Pakistan |
| D013256 |
| Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D011282 | Pregnenediones |
| D011283 | Pregnenes |
| D015062 | 11-Hydroxycorticosteroids |
| D006889 | Hydroxycorticosteroids |
| D000305 | Adrenal Cortex Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D015065 | 17-Hydroxycorticosteroids |