Use Of The ABSS In Infants With ARIS Treated With Outpatient Respiratory Physiotherapy

Study Overview
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Brief Summary
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Background. Acute respiratory infections in childhood have high incidence and morbimortality rates, generating significant sanitary and social costs. Due to its diversity of manifestations and clinical forms, the degree of severity varies widely. Published acute respiratory infections assessment severity scales are mainly focused on acute bronchiolitis, but there is no validated scale to evaluate the effects of respiratory physiotherapy in acute respiratory infections in children. Objective. To study the usefulness of the Acute Bronchiolitis Severity Scale to assess children under 24 months suffering from acute respiratory infections susceptible to receive outpatient respiratory physiotherapy treatment. Methods. Pre-post assessment descriptive study using the Acute Bronchiolitis Severity Scale. Children under 24 months suffering from acute respiratory infection will be evaluated during the first outpatient respiratory physiotherapy treatment.

Official Title
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Use Of The Acute Bronchiolitis Severity Scale In Infants With Acute Respiratory Infection Susceptible To Outpatient Respiratory PhysiotherapyTreatment

Conditions
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Acute Disease Respiratory

Intervention / Treatment
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* Diagnostic Test: Acute Bronchiolitis Severity Scale (ABSS)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Under 24 months ARIS diagnosed Medical indication of respiratory physiotherapy Evaluated during the first outpatient respiratory physiotherapy treatment Exclusion Criteria: Chronic desease ABSS ≥ 7 Temperature≥ 38ºC Stridor Expiratory groan Sternal sinking Any sign or symptom indicative of need for urgent medical evaluation

Ages Eligible for Study
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Minimum Age: 1 Day
Maximum Age: 24 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Children under 24 months with ARIS<br> | Diagnostic Test: Acute Bronchiolitis Severity Scale (ABSS)<br>* All infants will be assessed using the Acute Bronchiolitis Severity Scale (ABSS) before and after being treated by experienced physiotherapists using the prolonged slow expiration technique and provoqued cough. Before the application of these techniques a retrograde rhinopharyngeal unclogging will be performed in order to clean the nasopharynx.<br>* Other names: Chest Physiotherapy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Usefulness of Acute Bronchiolitis Severity Score (ABSS) to asses children under 24 months suffering from acute respiratory infection susceptible to receive outpatient respiratory physiotherapy treatment. | Physiotherapists will use the Acute Bronchiolitis Severity Score (ABSS) to assess severity of infection pre and post treatment. After several assessments each one of them will inform about the usefulness and aplicability of the scale in outpatient respiratory physiotherapy treatment by filling in a likert scale (usefulness, aplicability, simplicity, time required...) | Through study completion, an average of 2 years. | 
| Immediate effectiveness of outpatient respiratory physiotherapy treatment. | Change from baseline in the Acute Bronchiolitis Severity Score (ABSS) punctuation at the end of outpatient respiratory physiotherapy treatment (pre-post treatment measurement of the scale). The ABSS is a validated scale in a Spanish population that combines the evaluation of heart and respiratory rate, wheezings, crackles, respiratory effort and inspiration/exhalation ratio. It has three levels of severity: mild (0 to 4 points), moderate (5 to 9) and severe (10 to 13). | Measurements will be taken during the outpatient respiratory physiotherapy treatment, 1 hour approximately. Pre treatment data will be collected before starting the treatment and post data 5 minutes after finishing the last manouver. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Clinical scale, infant, respiratory therapy