Does the use of a handheld fan improve intractable breathlessness?

ISRCTN ISRCTN44193804
DOI https://doi.org/10.1186/ISRCTN44193804
Secondary identifying numbers OCRD2005/04
Submission date
19/05/2008
Registration date
27/06/2008
Last edited
16/08/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Signs and Symptoms
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Sara Booth
Scientific

Palliative Care, Oncology Centre, Box 193
Cambridge University Hospitals NHS Foundation Trust
Addenbrooke's Hospital
Hills Road
Cambridge
CB2 0QQ
United Kingdom

Study information

Study designRandomised controlled crossover trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Scientific title
Study objectivesThe use of a handheld fan directed to the cheek does not relieve intractable breathlessness in patients with chronic maximally treated cardiac and respiratory disorders or advanced cancer.
Ethics approval(s)Ethics approval received from the Peterborough and Fenland Local Research Ethics Committee on the 6th September 2005 (ref: 05/Q0106/64).
Health condition(s) or problem(s) studiedBreathlessness from malignant or non-malignant cause
Intervention1. Use of handheld fan directed to the face (active treatment)
2. Use of handheld fan directed to the leg (control arm of study)

As per the protocol, the interventions of fan directed to face (active treatment) or to leg (control arm) were for 5 minutes each treatment. Washout periods were 10 minutes. There were no follow ups after the treatment and washout periods were completed as the study comprised a single intervention of treatments carried out in randomised order followed by washout after each treatment. The total carried out over a total duration of less than 1 hour.
Intervention typeOther
Primary outcome measureDecrease in visual analogue scale of greater than 10 mm after use of handheld fan directed to face.

The primary outcome measure was a recording of visual analogue score for breathlessness. This was measured at baseline (time zero), after 5 minutes use of fan directed to face or leg, at completion of subsequent 10 minute washout period, after 5 minutes use of second treatment ( fan to face or leg) and after final 10 minute washout period.
Secondary outcome measuresNo secondary outcome measures
Overall study start date13/12/2005
Completion date18/10/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants49
Key inclusion criteria1. Patient is chronically breathless
2. Dyspnoea Exertion Scale (DES) levels 2 or above
3. Any diagnosis causing intractable breathlessness
4. Aged greater than 30 years, either sex
Key exclusion criteria1. Anaemic patients with haemoglobin (Hb) less than 10 g/l
2. Patients with fever greater than 38.0°C in last 24 hours
3. Patients on continuous oxygen
4. Patients requiring short burst oxygen therapy whilst completing the study
5. Patients with diseases or treatment affecting the trigeminal nerve supply
6. Patients on beta blockers
7. Patients with known autonomic neuropathy
8. Patients with peripheral vascular disease
9. Patients with cerebral disease or receiving cerebral radiotherapy
10. Patients with known severe cardiac or intrapulmonary arterio-venous shunts
11. Patients unable to understand or cooperate with study
12. Patients who do not wish to participate in the study
13. Patients whose disease is not maximally medically treated
Date of first enrolment13/12/2005
Date of final enrolment18/10/2007

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Palliative Care, Oncology Centre, Box 193
Cambridge
CB2 0QQ
United Kingdom

Sponsor information

Cambridge University Hospitals NHS Foundation Trust (UK)
Hospital/treatment centre

Trust R&D Department, Box 277
Addenbrooke's Hospital
Hills Road
Cambridge
CB2 0QQ
England
United Kingdom

Website http://www.addenbrookes.org.uk/
ROR logo "ROR" https://ror.org/04v54gj93

Funders

Funder type

Other

Investigator initiated and funded (UK) - fans used in the study were donated and investigator time and equipment used was already available within the department

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2010 Yes No