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临床试验/NCT01915719
NCT01915719已完成不适用

Early Non Invasive Ventilation in Immuno-compromized Patients With Acute Respiratory Failure. A Prospective Randomized Clinical Trial.

Assistance Publique - Hôpitaux de Paris2 个研究点 分布在 1 个国家目标入组 374 人开始时间: 2013年8月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
374
试验地点
2
主要终点
Day 28 Mortality

研究概览

简要总结

Assess the superiority of early non invasive ventilation in comparison to Oxygen therapy only, for immuno-compromized patients with acute respiratory failure

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 100 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 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)

排除标准

  • 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

结局指标

主要结局

Day 28 Mortality

时间窗: Day 28

次要结局

  • 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)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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