RecruitingNot ApplicableNCT06628271

Breath-holding Spells and Its Management Study

Breath-holding Spells and Its Management: a Prospective Study on Patient and Disease Characteristics, Evaluation of Novel Guidelines, Parental Handling, and Long-term Follow-up in Breath-holding Spells


Sponsor

Region Skane

Enrollment

120 participants

Start Date

Dec 2, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this prospective population-based study is to evaluate the new disease description and management guidelines for breath-holding spells in children (Hellström Schmidt et al, Acta Paediatrica 2024) below the age of 5 years in southern Sweden. The main questions it aims to answer are: * Does the disease description and management guidelines lead to the expected reduction in diagnostic interventions and are the clinical managements guidelines safe to use? * If iron supplementation is given, does it reduce the frequency and severity of the spells? * What information and support does parents to children with breath-holding spells need? Participants will undergo evaluation by a medical doctor and if typical breath-holding spells are diagnosed, be managed according to the new guidelines. If iron deficiency is found, iron supplementation is recommended. Digital surveys will be distributed and parents of patients with frequent spells will be eligible for participation in an interview sub-study.


Eligibility

Min Age: 0 MonthsMax Age: 60 Months

Inclusion Criteria3

  • Below 5 years of age
  • resident in Region Skåne (Sweden)
  • suspected breath-holding spell

Exclusion Criteria1

  • previous investigation for breath-holding spell (previous spells are not a reason for exclusion)

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Interventions

DIAGNOSTIC_TESTGuidelines

Participant with typical spells will be investigated according to our guidelines. These include that participants with heredity for or signs and symptoms of cardiac disease will be subjected to an ECG and participants with two or more spells should be subjected to blood tests for anemia and iron deficiency


Locations(12)

Barn- och ungdomsmedicinmottagning Eslöv

Eslöv, Sweden

Capio Barnavårdscentral Kristianstad

Kristianstad, Sweden

Barnläkargruppen Sparta

Lund, Sweden

Skåne University Hospital

Lund, Sweden

Barnläkargruppen Sparta

Malmö, Sweden

BVC Bambino Hyllie

Malmö, Sweden

BVC Bambino Lindängen

Malmö, Sweden

BVC Bambino Mobilia

Malmö, Sweden

Skåne University Hospital

Malmö, Sweden

Barn- och ungdomsmedicinmottagning Simrishamn, Capio närsjukhus

Simrishamn, Sweden

Familjecentralen Björken, BVC Sjöbo

Sjöbo, Sweden

Lasarettet i Ystad

Ystad, Sweden

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NCT06628271