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| Name | Class |
|---|---|
| Danish Lung Association | OTHER |
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In COPD patients with desaturation during exercise, several studies have shown an acute beneficial effect of supplemental oxygen. Therefore, both the British Thoracic Society and the American Thoracic Society guidelines recommend supplemental oxygen to patients who desaturate >4% and to below 88-90%. However, long-term studies have not been able to support this intervention. In this study of COPD patients, who desaturate and participate in a 7-week pulmonary rehabilitation programme, we examine the effect of supplemental oxygen on exercise tolerance, health status, and exacerbation rates. In a randomised design patients trained either with room air or with 2 litres oxygen per minute from a portable oxygen concentrator. All patients were asked to exercise every day for 30 minutes.
In COPD patients with desaturation during exercise, several studies have shown an acute beneficial effect of supplemental oxygen. Therefore, both the British Thoracic Society and the American Thoracic Society guidelines recommend supplemental oxygen to patients who desaturate >4% and to below 88-90%. However, long-term studies have not been able to support this intervention. In this study of COPD patients, who desaturate and participate in a 7-week pulmonary rehabilitation programme, we examine the effect of supplemental oxygen. Using a randomised design, patients trained either with room air (control) or with 2 litres oxygen per minute from a portable oxygen concentrator. All patients were asked to exercise every day for 30 minutes.
Primary effect parameters:
endurance shuttle walk time at baseline, 7 weeks (after intensive supervised rehabilitation), 3 months (after maintenance training twice a month), and after 6 months.
Secondary effect parameters:
St. George Respiratory Questionnaire (health status); usage of oxygen, exacerbations requiring medical treatment, hospitalisation and mortality in the same periods.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 2 | No Intervention | Rehabilitation, no supplemental oxygen | |
| 1 | Experimental | Rehabilitation plus supplemental oxygen |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| oxygen from a portable concentrator | Other | 2 l/minute during exercise |
|
| Measure | Description | Time Frame |
|---|---|---|
| Shuttle walk (endurance time) | 7 week, 3 and 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| St. George Respiratory Questionnaire | 7 week, 3 and 6 months | |
| Usage of oxygen concentrator (Spent time according to the meter) | 7 weeks, 3 and 6 months | |
| Exacerbations requiring medical treatment (prednisolone or antibiotics) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Thomas J Ringbaek, doctor | Hvidovre Hospital, University hospital, Cardio-pulmonary depart. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital, Hvidovre, Cardio-pulmonary depart. | Hvidovre | 2650 | Denmark |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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| 7 weeks, 3 and 6 months |
| Hospitalisation | 7 weeks, 3 and 6 months |
| Mortality | 7 weeks, 3 and 6 months |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |