SCARF trial - pragmatic, randomised controlled trial in infants & children with severely impaired immunity and acute respiratory failure
The SCARF trial is led from Great Ormond Street Hospital and
opened to recruitment at UH Bristol in May 2014. The trial is being
led locally by Dr Peter Davis in the Paediatric Intensive Care Unit
(PICU) at Bristol Royal Hospital for Children.
The SCARF trial is a pragmatic, randomised controlled trial in
infants & children with severely impaired immunity and acute
respiratory failure. The objective of the study is to find out
whether early admission to the Paediatric Intensive Care Unit
(PICU) for CPAP (continuous positive airway pressure support)
results in more children recovering from severe breathing
difficulties when compared to usual treatment.
SCARF is a complex trial involving collaboration between two
clinical teams and the newly integrated Children's Research Team at
UH Bristol, and we have a recruitment target of 4 patients over 2
years. Despite, this Dr Peters and the team were able to consent
and randomise the first UH Bristol into the SCARF trial in August
2014, which is a fantastic achievement.
This is a complex trial that requires very close
multi-disciplinary and cross team working in order to be
successful. Without the consent of the parents and the
support of all the individual staff and wider teams involved
recruitment of the child would not have been a success. Most
importantly the child and parents had a very positive experience
and felt that the CPAP had improved her breathing significantly
within the first day.
The second UH Bristol patient has since been recruited to SCARF,
in January 2015. The team are continuing to screen for other
potential recruits and look forward to being able to share the
results of this exciting study when Great Ormond Street Hospital
have analysed the data and published the study. The study is
currently due to run until 2016.
Further information about the SCARF trial can be found here: https://www.icnarc.org/Our-Research/Studies/Scarf/About