Chronic Obstructive Pulmonary Disease, Hypercapnic Respiratory Failure
Conditions
Keywords
Chronic Obstructive Pulmonary Disease, Non-invasive positive pressure ventilation, quality of life, long-term oxygen therapy
Brief summary
Assessment of the effect and safety of noninvasive positive pressure ventilation for severe stable chronic obstructive pulmonary disease
Interventions
Noninvasive ventilator
Sponsors
Study design
Eligibility
Inclusion criteria
* clinically stable, hypercapnic GOLD stage IV COPD, aged 18 years or older, baseline arterial carbon dioxide pressure (PaCO2) of 6.7 kPa (50 mmHg) or higher and a pH higher than 7·35, measured after at least 1 h rest in a sitting position.
Exclusion criteria
* thorax or the lung other than COPD * No smoking or Cigarette≤10/day * obesity with a bodymass index (BMI) ≥40 kg/m² * malignant co-morbidities,severe heart failure (New York Heart Association stage IV),unstable angina, and severe arrhythmias.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Severe Respiratory Insufficiency (SRI) Questionnaire | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Chronic Obstructive Pulmonary Disease (COPD) Assessment Test | 1 year |
| 6 Minute-Walking Distance and Borg Score | 1 year |
| The frequency of exacerbation | 1 year |
| The frequency of readmission | 1 year |
| Chromic Respiratory Questionnaire | 1 year |
| survival rate | 1 year |
| Baseline Dyspnea Index/Transition Dyspnea Index | 1 year |
| Blood gas analysis | 1 year |
| Pulmanory function | 1 year |
| The frequency of ICU readmission | 1 year |
Countries
China