Tracheostomized COPD Patients and Non Invasive Mechanical Ventilation

NCT ID: NCT01285739

Last Updated: 2011-11-11

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

UNKNOWN

Total Enrollment

247 participants

Study Classification

OBSERVATIONAL

Study Start Date

2002-01-31

Study Completion Date

2011-12-31

Brief Summary

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The purpose of this study was to determine occurrence of ventilator associated pneumonia (VAP) in tracheostomized patients with COPD discharged in invasive mechanical ventilation (IMV) compared to patients with CPOPD discharged with tracheostomy but in non invasive mechanical ventilation (NIMV).

Detailed Description

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Acute respiratory failure due to COPD is often treated with invasive mechanical ventilation through endotracheal intubation, followed by placement of a endotracheal canula. However, invasive ventilation is at risk of infective complications and is difficult to manage at home. In particular, invasive mechanical ventilation may be associated with ventilator associated pneumonia (VAP). VAP is usually suspected when the individual develops a new or progressive infiltrate on chest radiograph, leukocytosis, and purulent tracheobronchial secretions. When possible, we tried to put these tracheotomized patients in non invasive mechanical ventilation (NIMV)to avoid VAP. This population was followed for eight consecutive years and compared with patients in invasive home mechanical ventilation (IMV).

Conditions

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Chronic Obstructive Pulmonary Disease (COPD)

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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NIMV COPD

Patients with chronic obstructive pulmonary disease (COPD), who underwent tracheostomy for acute respiratory failure and who were discharged with tracheostomy but in domiciliary non invasive ventilation

WBC, biomarkers, TBA, chest X ray

Intervention Type OTHER

The above cited parameters were recorded and investigated every six months; chest X ray when needed.

IMV COPD

Patients with chronic obstructive pulmonary disease (COPD), who underwent tracheostomy for acute respiratory failure and who were discharged in domiciliary invasive mechanical ventilation (IMV)

WBC, biomarkers, TBA, chest X ray

Intervention Type OTHER

The above cited parameters were recorded and investigated every six months; chest X ray when needed.

Interventions

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WBC, biomarkers, TBA, chest X ray

The above cited parameters were recorded and investigated every six months; chest X ray when needed.

Intervention Type OTHER

WBC, biomarkers, TBA, chest X ray

The above cited parameters were recorded and investigated every six months; chest X ray when needed.

Intervention Type OTHER

Other Intervention Names

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PCT; CRP PCT; CPR

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of COPD
* Tracheostomy
* Need of domiciliary invasive / non invasive ventilation

Exclusion Criteria

* Patients with COPD weaned from invasive / non invasive mechanical ventilation
* Lack of tracheostomy
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Salvatore Maugeri

OTHER

Sponsor Role lead

Responsible Party

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Ercole Zanotti

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ercole Zanotti, MD

Role: PRINCIPAL_INVESTIGATOR

Fondazione Salvatore Maugeri

Locations

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Weaning Center - Fondazione Salvatore Maugeri IRCCS

Montescano, Pavia, Italy

Site Status

Countries

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Italy

Other Identifiers

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MS-12-2010

Identifier Type: -

Identifier Source: org_study_id