Diagnosing Respiratory Disease in Children Using Cough Sounds (SMARTCOUGH-C)
This study is ongoing, but not recruiting participants.
Sponsor:
ResApp Health Limited
ClinicalTrials.gov Identifier:
NCT02973282
First Posted: November 25, 2016
Last Update Posted: October 4, 2017
Collaborators:
Massachusetts General Hospital
The Cleveland Clinic
Texas Children's Hospital
Information provided by (Responsible Party):
ResApp Health Limited
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Purpose
The purpose of this prospective study is to evaluate the efficacy of the ResAppDx software application in diagnosis of pneumonia and other respiratory conditions (bronchiolitis, asthma/reactive airway disease, croup, upper or lower respiratory tract infections) in infants and children. Patient's cough sounds will be recorded using a smartphone and analysed using the ResAppDx software. The ResAppDx diagnosis will be compared to radiologic diagnosis and/or clinical diagnosis. The ResAppDx diagnosis will not be provided to the clinician or patient.
| Condition | Intervention |
|---|---|
| Pneumonia Bronchiolitis Asthma Croup Upper Respiratory Tract Infection Lower Respiratory Tract Infection Reactive Airway Disease | Other: Recording of Infants and Children's Cough Sounds |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Diagnosing Respiratory Disease in Children Using Smartphone Recordings of Cough Sounds |
Resource links provided by NLM:
Further study details as provided by ResApp Health Limited:
Primary Outcome Measures:
- Diagnosis of pneumonia [ Time Frame: 6 months ]
Positive percent agreement and negative percent agreement to diagnose and rule out pneumonia as compared with a radiologic diagnosis.
Positive percent agreement and negative percent agreement to diagnose and rule out pneumonia as compared with a clinical diagnosis.
Secondary Outcome Measures:
- Diagnosis of other childhood respiratory diseases [ Time Frame: 6 months ]Positive percent agreement and negative percent agreement to diagnose and rule out: lower respiratory tract involvement, bronchiolitis, asthma/reactive airway disease, upper respiratory tract infection and/or croup, as compared with a clinical diagnosis.
| Enrollment: | 1245 |
| Study Start Date: | December 2016 |
| Estimated Study Completion Date: | November 2017 |
| Estimated Primary Completion Date: | November 2017 (Final data collection date for primary outcome measure) |
Intervention Details:
-
Other: Recording of Infants and Children's Cough Sounds
Smartphone recordings of the cough sounds of infants and children presenting to a participating site with signs or symptoms of respiratory disease
Eligibility
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| Ages Eligible for Study: | up to 12 Years (Child) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Study Population
Patients with signs or symptoms of respiratory disease presenting to participating Emergency Departments, Urgent Care Clinics, Primary Care Clinics
Criteria
Inclusion Criteria:
- Infant or child aged 29 days - 12 years
- Presenting to the study site with signs or symptoms of respiratory disease including cough, wheezing, stridor, chest in-drawing/retractions, difficulty breathing, fast breathing, abnormal lung sounds on exam, cyanosis/hypoxemia.
- Coughing spontaneously or able to cough voluntarily
Exclusion Criteria:
- Lack of a signed consent form from parent or legal guardian
- Lack of signed assent form for children aged 7 years or older who, in the opinion of the investigator, is able to provide assent based on their age, maturity or psychological state.
- Need for mechanical ventilatory support (including invasive, continuous positive airway pressure, or bilevel positive airway pressure) or high flow nasal cannula
- Any medical contraindication to voluntary cough, including (only enrolled if coughing spontaneously): severe respiratory distress, history of pneumothorax, eye/chest/abdominal surgery in past 3 months, hemoptysis in the past month, or too medically unstable to participate in study per treating clinician.
- Subject previously enrolled
- Tracheostomy present or tube placed
Contacts and Locations
Information from the National Library of Medicine
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02973282
Locations
| United States, Massachusetts | |
| Massachusetts General Hospital | |
| Boston, Massachusetts, United States, 02114 | |
| United States, Ohio | |
| Cleveland Clinic Children's | |
| Cleveland, Ohio, United States, 44195 | |
| United States, Texas | |
| Texas Children's Hospital | |
| Houston, Texas, United States, 77030 | |
Sponsors and Collaborators
ResApp Health Limited
Massachusetts General Hospital
The Cleveland Clinic
Texas Children's Hospital
Investigators
| Principal Investigator: | Peter P Moschovis, MD, MPH | Massachusetts General Hospital |
More Information
| Responsible Party: | ResApp Health Limited |
| ClinicalTrials.gov Identifier: | NCT02973282 History of Changes |
| Other Study ID Numbers: |
16001 |
| First Submitted: | November 22, 2016 |
| First Posted: | November 25, 2016 |
| Last Update Posted: | October 4, 2017 |
| Last Verified: | October 2017 |
| Individual Participant Data (IPD) Sharing Statement: | |
| Plan to Share IPD: | No |
Additional relevant MeSH terms:
|
Infection Communicable Diseases Pneumonia Bronchiolitis Respiratory Tract Infections Respiration Disorders |
Respiratory Tract Diseases Bronchial Hyperreactivity Lung Diseases Bronchitis Bronchial Diseases Lung Diseases, Obstructive |