Chronic obstructive pulmonary disease with acute exacerbation. Chronic obstructive pulmonary disease with acute exacerbation, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria: 1. Known history of chronic obstructive pulmonary disease (COPD) based on previous clinical history and spirometry; 2. Presentating to emergency department with at least two of following symptoms: shortness of breath, increase in the amount of sputum and/or purulent pattern of the sputum; 3. Age>40 years; 4. within 24 h of hospital admission; 5. smoking history > 20 pack.year; Exclusion Criteria: 1. Patient with unstable vital signs; 2. Intubated patient; 3. Associated comorbidity (pneumothorax, pulmonary embolism, pneumonia, acute coronary syndrome, congestive heart failure, neuromuscular disease, active malignancy and etc.); 4. Unconscious patient; 5. Inability to perform spirometry; 6. Nursing/pregnant women; 7. Previous history of allergy to magnesium sulfate;
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lung volumes. Timepoint: Just before the Magnesium Sulfate/Placebo and again after 90 minutes of administration. Method of measurement: COSMED spirometer.;Arterial oxygen saturation of hemoglobin. Timepoint: Just before the Magnesium Sulfate/Placebo and again after 90 minutes of administration. Method of measurement: Pulse oximeter - Beurer.;COPD Assessment Test (CAT) questionnaire, persian version. Timepoint: Just before the Magnesium Sulfate/Placebo and again after 90 minutes of administration. Method of measurement: CAT score. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of hospitalization. Timepoint: Discharge documents. Method of measurement: Days of admission. | — |
Countries
Iran (Islamic Republic of)
Contacts
Department of Internal medicine, Tehran university of medical sciences