Impulse Oscillometry in COPD Exacerbation

NCT ID: NCT07185581

Last Updated: 2025-09-22

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

Total Enrollment

41 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-03-01

Study Completion Date

2024-09-30

Brief Summary

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This study aimed to evaluate small airway function during ECOPD and recovery periods using IOS. In this prospective single-center study, patients with ECOPD underwent evaluation of their pulmonary functions using IOS and spirometry during exacerbation and recovery (6-12 weeks after exacerbation). The patients were divided into two groups: mild exacerbations and (moderate and severe) exacerbations based on ROME criteria.A total of 41 patients were initially enrolled, with 38 completing the study. This study reveals that IOS can be easily used in ECOPD, and IOS parameters that reflect small airways (R5-R20, AX, and Fres) are correlated with FEV1% and the severity of dyspnea. Additionally, IOS parameters significantly improve during recovery, except for R20. Further research is necessary on its application in the functional assessment of patients with COPD exacerbations.

Detailed Description

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Conditions

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COPD Exacerbation COPD

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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mild exacerbations

Patients were divided into two groups: mild exacerbations (group 1) and moderate and severe exacerbations (group 2) based on ROME criteria.

Impulse Oscillometry

Intervention Type DIAGNOSTIC_TEST

Impulse Oscillometry (IOS) is a simple, non-invasive, effort-independent method that uses sound waves to detect airway changes quickly. It only requires the patient to breathe normally to assess lung function by measuring both resistance and reactance of the airways. 6,7 These features of IOS suggest it may be a useful test for assessing patient respiratory function during exacerbation periods when airway resistance, airflow limitation, and respiratory muscle weakness further impair breathing.

moderate and severe exacerbations

Patients were divided into two groups: mild exacerbations (group 1) and moderate and severe exacerbations (group 2) based on ROME criteria.

Impulse Oscillometry

Intervention Type DIAGNOSTIC_TEST

Impulse Oscillometry (IOS) is a simple, non-invasive, effort-independent method that uses sound waves to detect airway changes quickly. It only requires the patient to breathe normally to assess lung function by measuring both resistance and reactance of the airways. 6,7 These features of IOS suggest it may be a useful test for assessing patient respiratory function during exacerbation periods when airway resistance, airflow limitation, and respiratory muscle weakness further impair breathing.

Interventions

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Impulse Oscillometry

Impulse Oscillometry (IOS) is a simple, non-invasive, effort-independent method that uses sound waves to detect airway changes quickly. It only requires the patient to breathe normally to assess lung function by measuring both resistance and reactance of the airways. 6,7 These features of IOS suggest it may be a useful test for assessing patient respiratory function during exacerbation periods when airway resistance, airflow limitation, and respiratory muscle weakness further impair breathing.

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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ios

Eligibility Criteria

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Inclusion Criteria

* patients who were consecutively admitted to the emergency department or pulmonology outpatient clinic of our hospital with a diagnosis of ECOPD, as defined by the GOLD 2023 Report

Exclusion Criteria

* Patients diagnosed with pneumonia, pulmonary embolism, heart failure, pleural effusion, or pneumothorax were excluded.
* Patients who were unable to perform spirometry during exacerbation or had a forced expiratory volume in one second (FEV1) to forced vital capacity (FVC) ratio of ≥ 0.70 were also excluded.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Deniz Bilici

OTHER

Sponsor Role lead

Responsible Party

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Deniz Bilici

md

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Esma Seda Akalın, MD

Role: PRINCIPAL_INVESTIGATOR

Istanbul Medeniyet University

Deniz Koçak, Research Assistant

Role: PRINCIPAL_INVESTIGATOR

Istanbul Medeniyet University

Elif Hazal Karadağ, Research Assistant

Role: PRINCIPAL_INVESTIGATOR

Istanbul Medeniyet University

Burcu Arpınar Yiğitbaş, Associate professor:

Role: PRINCIPAL_INVESTIGATOR

Istanbul Medeniyet University

Deniz Bilici, MD

Role: PRINCIPAL_INVESTIGATOR

Istanbul Medeniyet University

Handan Ankaralı, Professor

Role: PRINCIPAL_INVESTIGATOR

Istanbul Medeniyet University

Locations

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Istanbul Medeniyet University

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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20.12.2023; 2023/0971

Identifier Type: -

Identifier Source: org_study_id

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