Early Application of Continuous Positive Airway Pressure in Coronavirus Patients at Risk of Obstructive Sleep Apnea
- Conditions
- CPAP VentilationCovid19Corona Virus InfectionObstructive Sleep Apnea
- Interventions
- Device: oxygen therapyDevice: CPAP ( Continuous positive airway pressure)
- Registration Number
- NCT05934916
- Lead Sponsor
- Mansoura University
- Brief Summary
This was an experimental clinical trial, Aim: To evaluate the role of early use of Continuous Positive Airway Pressure (CPAP) in management of moderate to severe Coronavirus disease 2019 patients at risk of Obstructive Sleep Apnea, enrolled patients are randomized into two equal groups;Non- CPAP group and CPAP group. Non-CPAP group will receive medical treatment plus oxygen therapy according to recommendation of protocol of the Egyptian Ministry of Health 2020 and CPAP group as in Non-CPAP group plus using CPAP.
- Detailed Description
steps included
1. Clinical Assessment:
Full history taking were taken from the enrolled Coronavirus disease 2019patients including age, occupation, medical history and special habits), Coronavirus disease 2019 symptoms (e.g., fever, dyspnea, fatigue, loss of smell or taste, (gastrointestinal tract) symptoms....) as well as all obstructive sleep apnea symptoms (e.g., Snoring, Insomnia, Excessive day time sleepiness, witnessed apnea, ...).
2. II. Scales \& Questionnaires:
* Epworth Sleepiness Scale (ESS) It's designed to assess the degree of daytime sleepiness.
* - Berlin Questionnaire
* - (Snoring, Tiredness, observed apnea, high blood pressure, body mass Index, age, neck circumference and male Gender questionnaire: This scoring system composed of 8 items that are graded from 0 to 8 according to Yes/No responses (score: 1/0).
3. III. Radiological investigations
4. IV. Laboratory Investigations Blood gases, complete blood picture, etc
5. . CPAP application Auto-CPAP with continuous nocturnal administration or at least4- 6hours /night and during day naps, for more than 70% of nights from the first night of admission to isolation center
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 80
- patients age above 18 years, diagnosed with moderate to severe (Coronavirus disease 2019) and at risk of Obstructive Sleep Apnea as well as confirmed nasopharyngeal swab positive for (Severe acute respiratory syndrome coronavirus 2) ( by (polymerase chain reaction).
- patients were excluded from the study if their age <18 years, hypercapnic, unstable cardiorespiratory (shock) status or respiratory arrest and if there are any contraindications for ( Continuous Positive Airway Pressure (CPAP) mask use
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Non-CPAP group oxygen therapy Non-CPAP group will receive medical treatment plus oxygen therapy according to recommendation of protocol of the Egyptian Ministry of Health 2020 Continuous Positive Airway Pressure (CPAP) group in (Coronavirus disease 2019) patients CPAP ( Continuous positive airway pressure) receive medical treatment plus oxygen therapy according to recommendation of protocol of the Egyptian Ministry of Health 2020 and using Continuous Positive Airway Pressure (CPAP) Continuous Positive Airway Pressure (CPAP) group in (Coronavirus disease 2019) patients oxygen therapy receive medical treatment plus oxygen therapy according to recommendation of protocol of the Egyptian Ministry of Health 2020 and using Continuous Positive Airway Pressure (CPAP)
- Primary Outcome Measures
Name Time Method Survival n (%), In hospital mortality , Duration of hospital stay, Need for invasive ventilation 8 months
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Mansoura University
🇪🇬Mansoura, Al Dakahlia, Egypt, Egypt