COPD with and without nocturnal desaturation Respiratory COPD with and without nocturnal desaturation
Conditions
Interventions
All patients will receive standard care, but nocturnal desaturators will be randomized to receive oxygen during sleep or standard care only. Neurocognitive function, blood/urine analysis and electroca
Sponsors
Institute of Health Assistance (Institut d'Assistència Sanitària [IAS]) (Spain)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Severe to very severe stable COPD 2. Age 60 to 80 years 3. With a resting awake pO2 between 60 and 80 mmHg, with (cases) or without (controls) sleep-related oxygen desaturation
Exclusion criteria
Exclusion criteria: 1. Clinically significant obstructive sleep apnea-hypopnea syndrome 2. Alcoholism 3. Anemia 4. Dementia 5. Cirrhosis 6. Obesity 7. Active psychiatric disease 8. Abnormal thyroid function 9. Stroke 10. Chronic systemic steroid therapy 11. Malignancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neurocognitive function by means of a battery of tests: 1. Trail making test 2. Wechsler adult intelligence scale (WAIS) 3. Wechsler memory scale-revised (WMSR) test 4. Verbal fluency test 5. Rey complex figure test (RCFT) 6. Rey auditory verbal learning test (RAVLT) 7. National adult reading test (NART) 8. Repeatable battery for the assessment of neuropsychological status (RBANS) 9. Luria's premotor test performance | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Health-related quality of life (St. George’s respiratory questionnaire) 2. Anxiety (state-trait anxiety inventory [STAI]) 3. Depression (Beck depression inventory [BDI]) 4. Exercise capacity (walking test) 5. Sleepiness (Epworth scale) 6. Dyspnea (Medical Research Council [MRC] scale) 7. Diurnal oxygen and carbonic anhydride blood pressures 8. Nocturnal urinary norepinephrine 9. Exacerbation rate 10. Hospitalization days 11. Mortality | — |
Countries
Spain
Outcome results
None listed