Accuracy of the Welch Allyn ConnexSpot Monitor in Measuring Respiratory Rate in the Emergency Department

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorDr. Rapszky Gabriella Anna

About this trial

This prospective observational study will evaluate the accuracy of the Welch Allyn Connex Spot Monitor equipped with a Masimo SpO₂ finger sensor in measuring respiratory rate in the emergency department. Respiratory rate is a key predictor of patient deterioration, yet it is frequently measured inaccurately when assessed manually. In this study, respiratory rate values obtained by the monitor will be compared against manual counts performed by trained observers (physicians). An additional analysis will compare respiratory rates measured by trained observers with those recorded by triage nurses during triage. A subgroup analysis will also investigate whether cardiac arrhythmias influence measurement accuracy.

The aim is to examine if respiratory rates measured by the Welch Allyn Connex Spot Monitor are comparable to those obtained by trained observers and triage nurses in the emergency department.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

patients receiving invasive or non-invasive respiratory support;

patients with disorders causing involuntary movements;

skin or digit abnormalities preventing proper application of the pulse oximeter;

clinically unstable patients on arrival (requiring immediate transfer to the resuscitation area);

Trial population

The study will be conducted on patients admitted to the Emergency Department of Semmelweis University.

Trial design

Design model

Other

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Agreement between respiratory rate values measured by the Welch Allyn Connex Spot Monitor and manual counts performed by trained observers (reference standard)

Respiratory rate will be measured simultaneously using the Welch Allyn Connex Spot Monitor and by trained observers performing manual counting over 60 seconds. Agreement between the two methods will be assessed using the Intraclass Correlation Coefficient and Bland-Altman analysis to evaluate bias and limits of agreement.

Time frame
During the emergency department visit (single measurement per participant).

Secondary outcomes

1

Agreement between respiratory rate values measured by trained observers and those recorded by triage nurses during triage

Respiratory rate measurements recorded by triage nurses during triage will be compared with manual 60-second counts performed by trained observers. Agreement between the two methods will be evaluated using the Intraclass Correlation Coefficient and Bland-Altman analysis to assess bias and limits of agreement.

Time frame
During the emergency department visit (single measurement per participant).
2

Agreement between respiratory rate values measured by the Welch Allyn Connex Spot Monitor and manual counts performed by trained observers in patients with ECG-confirmed arrhytmias

Respiratory rate measurements recorded by triage nurses during triage will be compared with manual 60-second spot measurements performed by trained observers. Agreement between the two methods will be evaluated using the Intraclass Correlation Coefficient and Bland-Altman analysis to assess bias and limits of agreement.

Time frame
During the emergency department visit (single measurement per participant).

Other outcomes

Sponsors and contacts

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Dr. Rapszky Gabriella Anna

Lead sponsor

Semmelweis University

Sponsor institution

Semmelweis University

Collaborator

This trial is not recruiting at the moment. You can still explore other options: