New model predicts oxygen therapy failure in just 30 minutes
NCT ID NCT07366541
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study aimed to predict whether high-flow nasal oxygen therapy would fail within 30 minutes for patients with acute respiratory failure. Researchers used data from 164 participants, including a special imaging technique called electrical impedance tomography, to build a prediction model. The goal was to help doctors decide sooner if a patient needs more advanced breathing support.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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164 people
The number who actually took part.
- Started
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May 2025
- Finished
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Mar 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult patients with acute respiratory failure receiving HFNO
- Ages
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18 to 90 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria (must meet all): * Age ≥18 years * Acute hypoxemic respiratory failure (AHRF) requiring HFNO initiation * At least one of the following high-risk criteria: a) PaO₂/FiO₂ ≤200 mmHg or FiO₂ ≥0.40 to maintain SpO₂ ≥92%; b) Respiratory rate ≥25/min; c) APACHE II score ≥12; d) Bilateral infiltrates on chest imaging Exclusion Criteria: * Neuromuscular disease affecting spontaneous breathing * Pregnancy * Contraindication to EIT (e.g., chest wall wounds, pacemaker) * Do-not-intubate order * Hypercapnic respiratory failure as primary diagnosis (PaCO₂ \>50 mmHg with pH \<7.30 at baseline, unless mixed mechanism)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Department of Critical Care Medicine,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200025, China
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Other studies related to the condition(s) this trial covers.
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