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Trial registered on ANZCTR
Registration number
ACTRN12610000756022
Ethics application status
Approved
Date submitted
13/08/2010
Date registered
14/09/2010
Date last updated
14/09/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
Comparison of rapid shallow breathing index (RSBI) calculated under direct and indirect form in the postoperative period of cardiac surgery
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Scientific title
Comparison of rapid shallow breathing index (RSBI) calculated under direct and indirect form in the postoperative period of cardiac surgery
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Secondary ID [1]
252439
0
no
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
myocardial revascularization
243533
0
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Extubation after cardiac surgery
257957
0
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Condition category
Condition code
Cardiovascular
239833
239833
0
0
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Coronary heart disease
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Surgery
258126
258126
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0
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Other surgery
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Twenty two adult patients (17 males and 5 females) in the postoperative period of cardiac surgery and in mechanical ventilation were studied. Before data collection, each patient was evaluated, received physiotherapy care and was positioned in elevated dorsal recumbent at forty-five degrees. After these procedures, minute ventilation (MV) and respiratory rate (RR) obtained from mechanical ventilator display and digital respirometer ( for one minute)were recorded. The RSBI was calculated by the ratio of RR and tidal volume (VT). Paired t-test to compare related variables (RR, VT). The intra-class correlation coefficients (ICCs) were determined.
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Intervention code [1]
241142
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Not applicable
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Comparator / control treatment
Comparison of RSBI as calculated from the mechanical ventilator display is compared to the RSBI as calculated from the digital respirometer.
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Control group
Active
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Outcomes
Primary outcome [1]
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A significant difference was found between the RSBI obtained from the ventilator and by the digital respirometer (p=0.011). The two methods exhibited high interrelation. There was a close correlation between RSBI (ICC=0.86), a moderate concordance related to MV (ICC=0.74) and high concordance related to RR (ICC=0.8) and VT (ICC=0.79) were observed. To all variables the p-value was < 0.05.
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Assessment method [1]
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0
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Timepoint [1]
240599
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The RSBI assessed in each patient during one session only. Statistical analysis undertaken on completion of all data collection.
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Secondary outcome [1]
257227
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nil
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Assessment method [1]
257227
0
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Timepoint [1]
257227
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nil
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Eligibility
Key inclusion criteria
Patients in the immediate postoperative period of elective cardiac surgery, over 18 years who had previously signed the consentiment term free and clear in intubation and mechanical ventilation.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Hemodynamically unstable patients on inotropic support; Glasgow Coma Scale less than 8 points, using mechanical ventilation on a respirator machine different from Hamilton Raphael; postoperative emergency surgery.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
22/06/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
22
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
1957
0
Brazil
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State/province [1]
1957
0
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Funding & Sponsors
Funding source category [1]
257458
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University
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Name [1]
257458
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State University of Campinas
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Address [1]
257458
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Roxo Moreira Street, Zip code 13081-970, Cidade Universitaria, Campinas Sao Paulo
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Country [1]
257458
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Brazil
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Funding source category [2]
257556
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Hospital
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Name [2]
257556
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Clinical Hospital State University of Campinas
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Address [2]
257556
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Vital Brasil, street, 251, Zip code: 13083-888
Cidade Universitaria, Campinas, Sao Paulo
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Country [2]
257556
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Brazil
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Funding source category [3]
257557
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Hospital
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Name [3]
257557
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clinical hospital State University of Campinas
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Address [3]
257557
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Vital Brasil street, 251
Cidade Universitaria
Zeferino Vaz
Campinas - SP
Zip code -13083-888
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Country [3]
257557
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Brazil
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Primary sponsor type
Individual
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Name
Fernando Augusto Martins Lessa
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Address
Conego Manoel Garcia street, number 98, apartment number 41, Campinas, Sao Paulo, Zip code 13070036
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Country
Brazil
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Secondary sponsor category [1]
256778
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University
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Name [1]
256778
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State University of Campinas
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Address [1]
256778
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Zeferino Vaz street Barao Geraldo district Zip code 13081-970 - Campinas
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Country [1]
256778
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Brazil
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Other collaborator category [1]
251439
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Individual
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Name [1]
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Sebastiao Araujo
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Address [1]
251439
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Padre Almeida street, number 451, apartment 12, Campinas, Sao Paulo, Zip code 13025251
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Country [1]
251439
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Brazil
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259481
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Research Ethics Committee of State University of Campinas
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Ethics committee address [1]
259481
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Tessalia Vieira de Camargo street, number 126, Zip code: 13083887
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Ethics committee country [1]
259481
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Brazil
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Date submitted for ethics approval [1]
259481
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07/07/2008
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Approval date [1]
259481
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22/07/2008
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Ethics approval number [1]
259481
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526/2008
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Summary
Brief summary
Objectives: To compare and analyze whether the values of rapid shallow breathing index (RSBI) determined by means of a ventilator display and a digital respirometer were correlated. Methods: Twenty two adult patients (17 males and 5 females) in the postoperative period of cardiac surgery and in mechanical ventilation were studied. Before data collection, each patient was evaluated, received physiotherapy, in order to promote hygiene bronchial and pulmonary reexpansion, care and was positioned in elevated dorsal recumbent at forty-five degrees. After these procedures, minute ventilation (MV) and respiratory rate (RR) obtained from mechanical ventilator display and digital respirometer were recorded. The RSBI was calculated by the ratio of RR and tidal volume (VT). Paired t-test to compare related variables. The intra-class correlation coefficients (ICCs) were determined. Results: A significant difference was found between the RSBI obtained from the ventilator and by the digital respirometer (p=0.011). The two methods exhibited high interrelation. There was a close correlation between RSBI (ICC=0.86), a moderate concordance related to MV (ICC=0.74) and high concordance related to RR (ICC=0.8) and VT (ICC=0.79) were observed. To all variables the p-value was <0.05. Conclusions: There were a significant concordance between the RSBI obtained from the ventilator display and the digital respirometer. However, the sample was small and more studies are needed to establish a model of correction of obtained values, as long as many authors have reported that pressure support ventilation can overestimate the RSBI. Key words: ventilator weaning, mechanical ventilation, rapid shallow breathing index, respiratory therapists cardiac surgical procedures
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
30063
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Address
30063
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Country
30063
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Phone
30063
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Fax
30063
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Email
30063
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Contact person for public queries
Name
13310
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Fernando Augusto Martins Lessa
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Address
13310
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Conego Manuel Garcia street, 98, Campinas, Sao Paulo, Zip code 13070036
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Country
13310
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Brazil
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Phone
13310
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55 19 41415480
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Fax
13310
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Email
13310
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[email protected]
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Contact person for scientific queries
Name
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Rodrigo Marques Tonella
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Address
4238
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Culto a Ciencia street, 257, Campinas, Sao Paulo, Zip code 13020060
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Country
4238
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Brazil
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Phone
4238
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55 19 91562113
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Fax
4238
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Email
4238
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Comparison of the rapid shallow breathing index (RSBI) calculated under direct and indirect form on the postoperative period of cardiac surgery. [Portuguese]
2010
http://dx.doi.org/10.1590/S1413-35552010000600009
N.B. These documents automatically identified may not have been verified by the study sponsor.
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