Can Total Mechanical Power Be a Determinant of Weaning Failure in Chronic Obstructive Pulmonary Disease (COPD)?

Completed

• Conditions: COPD (Chronic Obstructive Pulmonary Disease); ARDS (Acute Respiratory Distress Syndrome); Mechanical Power; Pneumonia; Weaning Failure

• Registration Number: NCT06751654
• Lead Sponsor: Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Brief Summary

A Comparison of Ventilator Parameters (TV, DP, Total Mechanical Power, etc.) Between Successfully and unsuccessfully Weaned Patients with COPD Undergoing Mechanical Ventilation Due to Respiratory Failure, and Diagnosed with Pneumonia or ARDS in the Intensive Care Unit."

Detailed Description

The objective of this study is to investigate which mechanical ventilation parameters and clinical findings influence weaning success by comparing successful and unsuccessful weaning patient groups among patients diagnosed with COPD who were intubated and monitored for more than five days in the intensive care unit. The findings of this study may contribute to the development of future treatment protocols and criteria for evaluating the weaning process.

This study is planned to be conducted in two centers: Bakırköy Dr. Sadi Konuk Training and Research Hospital in Istanbul and Shahid Beheshti University of Medical Sciences, Masih Daneshvari Hospital in Tehran. This multicenter study aims to facilitate the comparison of data obtained under different geographical and clinical conditions, thereby enabling a broader analysis of factors influencing the weaning process across a larger patient population.

Study Timeline

• Status Verified: 2024-12
• Study Start: 2024-12-06
• Study First Submitted: 2024-12-11
• Primary Completion: 2024-12-23
• Study Completion: 2024-12-23
• Study First Submitted QC: 2024-12-26
• Last Update Submitted: 2024-12-26
• Study First Posted: 2024-12-30
• Last Update Posted: 2024-12-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1000

Inclusion Criteria

• Patients aged 18 years and older
• COPD-diagnosed patients who have been intubated and stayed in the ICU for more than 5 days

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Exclusion Criteria

• Patients without electronic medical records
• Patients under 18 years of age
• Patients diagnosed with pulmonary malignancy
• Patients who stayed in the ICU for less than 5 days
• Patients monitored in the ICU without intubation

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Successful Weaning	48 hours	The primary outcome of this study will be the successful weaning from mechanical ventilation. This will be defined as the patient being successfully extubated and maintaining adequate oxygenation for more than 48 hours without requiring reintubation or mechanical ventilation support.

Secondary Outcome Measures

Name	Time	Method
Mechanical Ventilator Parameters	48 hours	A comparison of total mechanical power between the weaned and non-weaned patient groups.

Trial Locations

Locations (1)

Bakirkoy Dr Sadi Konuk Research and Training Hospital; 🇹🇷 Istanbul, Turkey