NCT01915719
Completed
N/A
Early Non Invasive Ventilation in Immuno-compromized Patients With Acute Respiratory Failure. A Prospective Randomized Clinical Trial.
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Adult
- Sponsor
- Assistance Publique - Hôpitaux de Paris
- Enrollment
- 374
- Locations
- 1
- Primary Endpoint
- Day 28 Mortality
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
Assess the superiority of early non invasive ventilation in comparison to Oxygen therapy only, for immuno-compromized patients with acute respiratory failure
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age over 18 years old
- •ICU admission
- •Acute respiratory failure defined by (PaO2\<60 mmHg at room air) or (polypnea \>30/min or dyspnea at rest) or respiratory distress. Since less than 72 hours.
- •Immuno compromized patient defined by solid tumor (treated since less than 5 years) or haematological malignancy (treated since less than 5 years) or Solid organ transplantation or Stem cell transplantation or Immunosuppressive treatment (steroid \> 1mg/kg/d or \>1 month or other immunosuppressive treatment \>1 month)
Exclusion Criteria
- •Hypercapnia \>50 mmHg or increased of hypercapnia \>10 mmHg under Oxygen treatment
- •Need of immediate mechanical ventilation
- •Obvious cardiogenic oedema
- •Vasopressor use \>0.03 µg/kg/min
- •Glasgow Score \<13
- •End of life decision
- •Acute myocardial infarction
- •Patient refusal
- •Pregnancy
- •No national health insurance
Outcomes
Primary Outcomes
Day 28 Mortality
Time Frame: Day 28
Secondary Outcomes
- Nosocomial infection(day 28)
- Length of stay in ICU(Day 28)
- Needs of mechanical ventilation(Day 28)
- SOFA Score(Hour 72)
- performance status (OMS scale ranging from 0-perfect status- to 4-moribund)(6 Months)
Study Sites (1)
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