In patients with an acute exacerbation of COPD, do positive expiratory pressure (PEP) devices, compared to standard physiotherapy exercises, reduce patient reported symptoms of breathlessness, cough and sputum.

Brigitte Eastwood0 个研究点目标入组 75 人开始时间: 2013年5月30日最近更新: 2020年1月13日

试验速览

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•Diagnosis of mild, moderate or severe COPD (as defined by spirometry) based on the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines
•18 years or over.
•Admitted to Middlemore Hospital medical wards.
•Exacerbation with reported sputum based on GOLD definition from COPDx Guidelines (An exacerbation is an event in the natural course of the disease characterised by a change in the patient’s baseline dyspnoea, cough, and/or sputum that is beyond normal day-to-day variations, is acute in onset, and may warrant a change in regular medication in a patient with underlying COPD)
•English speaking and reading
•Consent to research

•Non English speaking or reading
•Unable to complete questionnaires or actively participate in treatment for any other reason (medical, physical, psychological)
•Any previous PEP use at home
•Receiving Bilevel positive airway pressure (BiPAP) treatment (as already receiving a form of positive pressure)
•Any contraindications to PEP - large bullous disease, undrained pneumothorax
•Any contraindications to airway clearance techniques, namely frank haemoptysis
•Any patients previously recruited into this trial on any other admission

发起方

Brigitte Eastwood