cystic fibrosis E84.0
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Underlying disease: Cystic fibrosis (diagnosis proven via sweat test and/or genetic assessment) • Stable patient= no exazerbation in the last 30 days • Signed consent form • Age = 18 years
Exclusion criteria
Exclusion criteria: • last hospitalisation due to acute clinical worsening less than 1 months ago • i.v.-antibiotics in the last 30 days • status post lung transplantation • Age < 18 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PTImus to evaluate the respiratory muscle work load and reserve regarding the status of Pseudomonas aeruginosa infection (Evaluation of the infection status of Pseudomonas aeruginosa analogous to the Leeds-criteria, initially division in 4 groups: 1. chronic Pseudomonas aeruginosa infection (>50% positive sputum samples) 2. intermittent Pseudomonas aeruginosa infection ( = 50% positive sputum samples) 3. no Pseudomonas aeruginosa (negative sputum samples in the last 12 months) 4. never had Pseudomonas aeruginosa infection) Afterwards subsuming the 4 subgroups: group 1 and 2 to group A (“Pseudomonas-positive”), group 3 and 4 to group B (“Pseudomonas-negative”). The aim of this study is to evaluate in adult CF-patients whether a chronic infection with Pseudomonas aeruginosa reduces the respiratory muscle strength and impairs respiratory muscle function. PTImus= pressure-time index of the respiratory muscles= (mean PI/PImax) x (ti/ttot), where PI is airway pressure during inspiration, calculated as 5 x P0.1 x ti (ttot= total breathing cycle time; ti = inspiratory time) | — |
Secondary
| Measure | Time frame |
|---|---|
| • Pneumological assessment: o Spirometry and Bodyplethysmography o standardised 6-minute-walk test (including a.o. capillary blood gas analysis, pulsoxymetry, assessment of dyspnoe (BORG-Scale), measurement of walking distance (m)) o respiratory muscle testing: PImax, PEmax, P0.1, Sn Pna, Calculation of the specific respiratory impedance (P0.1*ti/VT (VT= tidal volume)); P0.1/PImax o data on quality of life: assessment via the Cystic Fibrosis Questionnaire-Revised-(CFQ-R) | — |
Countries
Germany
Contacts
Kliniken der Stadt Köln gGmbHLungenklinik Merheim