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Sponsors and Collaborators: |
Deutsche Lungenstiftung e.V. Hannover Medical School |
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Information provided by: | Deutsche Lungenstiftung e.V. |
ClinicalTrials.gov Identifier: | NCT00710463 |
Hypothesis: Hospital based, comprehensive pulmonary rehabilitation of patients with COPD in GOLD stage IV can be optimized by application of nocturnal non invasive ventilation. This hypotheses shall be tested by an observational trial, comparing rehabilitation effects of a prospectively observed group receiving non invasive ventilation, compared wiht a historical control group of patients who did received the same treatment without non invasive ventilation.
Condition | Intervention |
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Pulmonary Disease, Chronic Obstructive |
Device: non invasive ventilation (Resmed VPAP III ST-A, Respironics Harmony) |
Study Type: | Observational |
Study Design: | Cohort |
Official Title: | Evaluation of the Role of Nocturnal Non-Invasive Ventilation in Pulmonary Rehabilitation |
Enrollment: | 80 |
Study Start Date: | May 2003 |
Study Completion Date: | November 2007 |
Primary Completion Date: | September 2007 (Final data collection date for primary outcome measure) |
Groups/Cohorts | Assigned Interventions |
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Control group
patients receive a hospital based comprehensive pulmonary rehabilitation programme, including endurance training, physiotherapy, medical therapy, and long term oxygen treatment when indicated.
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NIV treatment group
patients receive a hospital based comprehensive pulmonary rehabilitation programme, including endurance training, physiotherapy, medical therapy, and long term oxygen treatment when indicated, plus newly introduced nocturnal non invasive ventilation.
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Device: non invasive ventilation (Resmed VPAP III ST-A, Respironics Harmony)
non invasive ventilation was performed with commercially available ventilators from the manufacturers Resmed and Respironics.
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Non invasive ventilation is known to allow improvements if applied during endurance training, but this is technically difficult. Nocturnal application of non invasive ventilation is known to unload the ventilatory pump, reset the control of breathing, and improve sleep quality.
The protocol also aimed to evaluate the acceptance of non invasive ventilation in patients undergoing a four week inpatient pulmonary rehabilitation programme.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Sampling Method: | Non-Probability Sample |
All patients were recruited at a single center, the rehabilitation hospital "Klinikum Berchtesgadener Land" at Germany.
Patients entering the well defined, hospital based pulmonary rehabilitation programme after Januar 1, 2005 were additionally treated with nocturnal non invasive ventilation. The results of these patients were compared with a group of patients who underwent the same rehabilitation programme in the years 2003 to 2005, when non invasive ventilation was not availabe.
Inclusion Criteria:
Exclusion Criteria:
Germany | |
Klinikum Berchtesgadener Land | |
Berchtesgaden, Germany, D-83471 |
Study Director: | Klaus Kenn, MD | Klinikum Berchtesgadener Land |
Principal Investigator: | Ursula Schönheit-Kenn, ME | Klinikum Berchtesgadener Land |
Responsible Party: | Klinikum Berchtesgadener Land, Malterhöh 1, D-83471 Berchtesgaden ( Dr. Klaus Kenn ) |
Study ID Numbers: | NIV and Rehabilitation |
Study First Received: | July 2, 2008 |
Last Updated: | July 3, 2008 |
ClinicalTrials.gov Identifier: | NCT00710463 History of Changes |
Health Authority: | Germany: Ethics Commission |
COPD non invasive ventilation pulmonary rehabilitation |
Lung Diseases, Obstructive Respiratory Tract Diseases Lung Diseases Chronic Disease Pulmonary Disease, Chronic Obstructive |
Lung Diseases, Obstructive Disease Attributes Pathologic Processes Respiratory Tract Diseases |
Lung Diseases Chronic Disease Pulmonary Disease, Chronic Obstructive |