Lung emphysema
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Indication to initiate chronic NIV in COPD patients (GOLD stage III or IV: FEV1/ FVC 6.0 kPa in stable condition, which means no COPD exacerbation for 4 weeks and a pH > 7.35) - Age > 18 years - Existence of a sufficient social support network making initiation of HMV at home possible and safe. - Written informed consent is obtained
Exclusion criteria
Exclusion criteria: - Instable severe cardiac comorbidities (left ventricular ejection fraction below 45%, instable angina pectoris complaints) - Patients admitted to a nursing home
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Non-inferiority of home initiation of NIV will be assesed in terms of improvement in PaCO2 (at daytime without NIV or additional oxygen) after 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are change in lung function (forced expiratory volume in 1 second (FEV1), lung volumes (total lung capacity (TLC), residual volume (RV) and RV%TLC), and diffusion capacity (DLCO (%predicted)), change in HRQoL, compliance, exercise tolerance and costs including cost-effectiveness analyses | — |
Countries
Netherlands