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Helmet CPAP Versus HFNC in COVID-19

Not Applicable
Terminated
Conditions
COVID
Acute Hypoxemic Respiratory Failure
Registration Number
NCT04395807
Lead Sponsor
Lund University
Brief Summary

We aim to investigate whether the use of Continuous Positive Airway Pressure using a Helmet device (Helmet CPAP) will increase the number of days alive and free of ventilator within 28 days compared to the use of a High Flow Nasal Cannula (HFNC) in patients admitted to Helsingborg Hospital, Sweden, suffering from COVID-19 and an acute hypoxic respiratory failure.

Detailed Description

A detailed description can be found in the study protocol published in Trials in Dec 2020:

Tverring, J., Åkesson, A. \& Nielsen, N. Helmet continuous positive airway pressure versus high-flow nasal cannula in COVID-19: a pragmatic randomised clinical trial (COVID HELMET). Trials 21, 994 (2020). https://doi.org/10.1186/s13063-020-04863-5

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
2
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Ventilator-Free Days (VFD)28 days

Number of days alive and free of mechanical ventilation within 28 days. Patients who die within 28 days will be counted as 0 VFD. Time in ventilator will be counted in hours and rounded to whole days.

Secondary Outcome Measures
NameTimeMethod
SpO2/FiO2-ratio1 hour after randomisation

Peripheral oxygen saturation divided by fraction of inspired oxygen

Patient comfort24 hours after randomisation

Visual scale (1-10)

Frequency of endotracheal intubation28 days

Min 0, Max 1

Frequency of carbon dioxide rebreathing28 days

Defined as pCO2 \> 6 kPa in a venous blood gas. Min 0, Max ∞

Days alive within28 days and 180 days

All-cause mortality. (180 days endpoint not in primary publication)

Trial Locations

Locations (1)

Helsingborg's Hospital

🇸🇪

Helsingborg, Region Skane, Sweden

Helsingborg's Hospital
🇸🇪Helsingborg, Region Skane, Sweden

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