CPAP Versus NPPV in ACPE

NCT ID: NCT00446498

Last Updated: 2007-04-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-07-31

Study Completion Date

2005-05-31

Brief Summary

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To assess the intubation rate in patients affected by severe cardiogenic pulmonary edema treated with CPAP or NPPV.

Detailed Description

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Background Although non-invasive ventilation has shown to be an effective treatment for acute cardiogenic pulmonary oedema (ACPO), literature still lacks of multi-centre randomised prospective studies that compares CPAP with NPPV.

Aim of the study was to assess efficacy and safety of CPAP and NPPV in patients with ACPO.

Methods 80 patients with ACPO were randomly assigned to receive CPAP or NPPV (40 for each group) through a face mask.

Inclusion criteria were: severe dyspnoea, respiratory rate \> 30, PaO2/FiO2 \< 200, muscle fatigue.

Main end-points were endotracheal intubation, length of ventilation, hospital length of stay and mortality.

Conditions

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Pulmonary Edema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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CPAP and Non Invasive Ventilation

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* rapid onset of the symptoms
* severe dyspnoea at rest
* respiratory rate \> 30 breath per minute
* use of accessory respiratory muscles
* PaO2/FiO2 \< 200, radiological findings of ACPE

Exclusion Criteria

* ST elevation myocardial infarction
* hemodynamic instability (systolic arterial pressure \< 90 mmHg
* need for immediate endotracheal intubation (respiratory arrest, bradypnea
* inability to protect the airways, impaired sensorium (agitation or unconsciousness
* inability to clear secretions, respiratory tract infections
* chronic obstructive pulmonary disease (COPD) exacerbation, chronic respiratory failure necessitating long-term oxygen therapy
* pulmonary embolism, pneumonia, recent oesophageal-gastric surgery
* gastrointestinal bleeding
* facial deformities
* haematological malignancy or cancer with Eastern Cooperative Oncology Group (ECOG) performance status ≥ 2.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ospedale S. Giovanni Bosco

OTHER

Sponsor Role lead

Principal Investigators

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Giovanni Ferrari, MD

Role: PRINCIPAL_INVESTIGATOR

Ospedale San Giovanni Bosco ASL4

Giovanni Ferrari, MD

Role: PRINCIPAL_INVESTIGATOR

Ospedale San Giovanni Bosco ASL4 Torino Italy

Locations

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Ospedale San Giovanni Bosco Medicina d'Urgenza

Torino, , Italy

Site Status

Countries

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Italy

Other Identifiers

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gbosco1

Identifier Type: -

Identifier Source: org_study_id