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octurnal CPAP in Aspiration pneumonia

Not Applicable
Terminated
Conditions
Diseases of the respiratory system
Registration Number
KCT0003469
Lead Sponsor
Seoul National University Bundang Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Terminated
Sex
All
Target Recruitment
40
Inclusion Criteria

? Age = 65 years
? Diagnosis of pneumonia: the presence of new pulmonary infiltration in dependent areas on chest radiographs at the time of hospitalization with at least one of the following
-New or increased cough
-An abnormal temperature (< 35.6? or > 37.8?)
-An abnormal serum leukocyte count (leukocytosis, left shift, or leukopenia)
? Aspiration tendency or risk factors for frequent or large volume aspiration with at least one of the following
-Altered mental status
-Gastrointestinal disorder
-Dysphagia or swallowing difficulties
-Esophageal motility disorders
-Tracheostomy state
-Enteral tube feeding
? Informed consent

Exclusion Criteria

? Severe hypercapnia (PaCO2 > 70mmHg)
? Respiratory arrest requiring tracheal intubation
? Cardiac arrest, acute coronary syndrome or life threatening arrhythmias
? Failure of more than two organs
? Recent trauma or burns of the neck and face
? Non- cooperation
? Pregnancy
? Withdrawal of consent
? Refusal of treatment

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Time to respiratory clinical stability
Secondary Outcome Measures
NameTimeMethod
Time to clinical stability;Early clinical stability (day 3) rate;Late clinical stability (day 7) rate;Radiological improvement (day 3, 7);Broadening of antimicrobial spectrum;frequency of suction, bronchoscopy for toileting;Hospital length of stay;In-hospital mortality
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