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Non-invasive Ventilation in Patients With Interstitial Lung Disease - a Feasibility Study

Not Applicable
Conditions
Lung Diseases, Interstitial
Noninvasive Ventilation
Interventions
Other: non-invasive ventilation
Registration Number
NCT02377739
Lead Sponsor
Schön Klinik Berchtesgadener Land
Brief Summary

The efficiency of non-invasive ventilation (NIV) in hypercapnic patients with chronic obstructive pulmonary disease during pulmonary rehabilitation has been shown in numerous studies. There is only a limited number of therapeutic options for patients with severely progressed interstitial lung disease (ILD). The question whether chronic hypercapnic ILD-patients are able to profit from nocturnal NIV and thus increase their performance in physical training has been left unknown. Therefore, this study aims to evaluate the feasibility of the initialization of a NIV for hypercapnic ILD-patients during pulmonary rehabilitation.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • confirmed diagnosis of Interstitial lung disease
  • Hypercapnia defined as carbon dioxide partial pressure ≥45 mmHg (at rest, night or activity)
  • already existing but not sufficient and regular use of non-invasive ventilation (≤3h/24h)
  • patients consent to participate in this trial
Exclusion Criteria
  • acute pulmonary insufficiency (ph<7.35)
  • acute, clinically relevant heart disease
  • already existing and sufficient use of non-invasive ventilation (≥3h/24h)
  • Body-Mass-Index>30
  • obstructive sleep apnea
  • Intolerance to perform non-invasive ventilation
  • acute infection

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
non-invasive ventilationnon-invasive ventilationpatients will undergo about 14 nights of non-invasive ventilation during pulmonary rehabilitation
Primary Outcome Measures
NameTimeMethod
timespan until sufficient use of noninvasive ventilation > 6h during nightday 4-16
Secondary Outcome Measures
NameTimeMethod
lung function measured by bodyplethysmographday 1-3 and 17-19

measured by bodyplethysmograph

energy expenditure during night assessed by Sensewear Armbandday 5 and 15

assessed by Sensewear Armband

arterial pressure of carbon dioxide during nightday 1-3 and day 17-19

measured transcutaneously by a Sentec device

6-minute walking testday 1-3 and day 17-19

change in 6-minute walking distance

quality of lifeday 1-3 and 17-19

Short-Form-36 health survey, Hospital Anxiety and Depression scale and severe respiratory insufficiency questionnaire

Trial Locations

Locations (1)

Schoen Klinik Berchtesgadener Land

🇩🇪

Schoenau Am Koenigssee, Bayern, Germany

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