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Introduction:
Chronic obstructive pulmonary disease (COPD) presents with a gradual reduction and little bitterness reversible airflow causing shortness of breath, chronic cough and sputum abnormal. Patients with COPD often suffer exacerbations of their symptoms, particularly dyspnea, causing hospital admissions. Recent studies have shown that acupuncture stimulation transcutánea (AcuTENS) Dingchuan point (EX-B1) could help reduce dyspnea in patients with COPD.
Objective:
The aim of this study was to evaluate the possible utility of adding to the usual treatment stimulation AcuTENS in COPD patients admitted with severe dyspnea.
Methodology:
Patients who agree to participate will be randomly divided into two groups. The intervention group will receive a daily treatment, during the period of hospitalization, 45 minutes stimulation at acupuncture point AcuTENS Dingchuan (EX-B1), while the control group performed the same procedure with a device TENS simulated. The extent of dyspnea in both groups as well as the number of days of hospitalization and the number of drugs consumed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AcuTENS | Experimental | Stimulation using a portable TENS electrostimulation device at Dingchuan point using a biphasic rectangular wave with a frequency of 2Hz and a pulse width of 200 ms. The stimulation will be achieved using the highest intensity tolerated by the patient without pain during 40 minuts. Once a day during 5 consecutive days. |
|
| Sham AcuTENS | Sham Comparator | Stimulation using a modified portable TENS electrostimulation device at Dingchuan point with no electrical output, even though the screen will light up and display the same data as in the unmodified device during 40 minuts. Patients in this group will be informed that, due to the frequency of stimulation, it is unlikely that they will feel the electric stimulation. Once a day during 5 consecutive days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AcuTENS | Device | Stimulation of acupuncture point Dingchuan using transcutaneous electrical nerve stimulation (TENS) instead of needles |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dyspnoea | Change from baseline using the modified Borg scale | At baseline, day 1, day 2, day 3 day 4 and day 5 of the study. |
| Measure | Description | Time Frame |
|---|---|---|
| Hospitalization days | Number of days from the time of admission until discharge will be collected from the patient's clinical history | Up to 1 months after discharge |
| Quantity of drug administered |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Carlres Fernández, MSc | Contact | 0034651503494 | carlesfj@blanquerna.url.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Sant Joan de Déu de Manresa | Recruiting | Manresa | Barcelona | Spain |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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| ID | Term |
|---|---|
| D004561 | Transcutaneous Electric Nerve Stimulation |
| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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| Sham AcuTENS | Device | Portable TENS electrostimulation device with no electrical output |
|
Amount of drugs administered during the hospitalization will be determined by data collected from the patient's clinical history
| Up to 1 months after discharge |
| Peak expiratory flow | Change from baseline using a peak flow meter | At baseline, day 1, day 2, day 3 day 4 and day 5 of the study. |
| PaO2 | At baseline, day 1, day 2, day 3 day 4 and day 5 of the study. (only if there is a medical indication for it) |
| Mortality | Percentage of deaths 3 months after discharge | Up to 3 months after discharge |
| PaCO2 | At baseline, day 1, day 2, day 3 day 4 and day 5 of the study. (only if there is a medical indication for it) |
| Arterial blood pH | At baseline, day 1, day 2, day 3 day 4 and day 5 of the study. (only if there is a medical indication for it) |
| SaO2 | At baseline, day 1, day 2, day 3 day 4 and day 5 of the study. (only if there is a medical indication for it) |
| Relapses | Percentage of relapses 3 months after discharge | Up to 3 months after discharge |
| Readmissions | Percentage of readmissions 3 months after discharge | Up to 3 months after discharge |
| Parc Sanitari de Sant Joan de Déu | Recruiting | Sant Boi de Llobregat | Barcelona | 08830 | Spain |
|
| Hospital del Mar | Recruiting | Barcelona | Spain |
|
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000698 |
| Analgesia |
| D000760 | Anesthesia and Analgesia |