Viewing Study NCT04822831



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Last Modification Date: 2024-10-26 @ 2:01 PM
Study NCT ID: NCT04822831
Status: COMPLETED
Last Update Posted: 2021-04-01
First Post: 2021-03-23

Brief Title: The Effect of Semi-recumbent Position With Exercise Training on Long-term Ventilator-dependent Patients
Sponsor: Taoyuan General Hospital
Organization: Taoyuan General Hospital

Study Overview

Official Title: The Effect of 45 Degree Semi-recumbent Position With Upper Limb Exercise Training on Long-term Ventilator-dependent Patients
Status: COMPLETED
Status Verified Date: 2021-03
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Prolonged mechanical ventilation patients rely on medical expenses per year had increased by nearly 20 billion in 15 years so it is worthwhile to explore how to improve the respiratory function and even their quality of life of patients in Respiratory care wards RCWs This study used repeated experimental measurements and purpose sampling and the investigators invited patients in respiratory care ward in northern Taiwan They were randomly assigned to the experimental group and the control group The experimental group was given 45 degree Semi-sitting 2 hrs and upper-limb exercise training 10 mins once a day There were 29 prolonged mechanical ventilation PMV patients in the experimental group and 26 in the control group Our conclusions showed that PMV patients can significantly improve the maximum inspiratory pressure MIP in the post-test while performed a 45-degree semi-sitting position with upper limb training for 4 weeks The minute ventilation MV has a trend of increasing month by month in the experimental group but it is necessary to consider whether it is due to the improvement of lung function or just cause of the increased oxygen consumption and accelerated respiratory rate so it can not be inferred to improvement of the patients condition or lung function
Detailed Description: Background Prolonged mechanical ventilation patients rely on medical expenses per year had increased by nearly 20 billion in 15 years However the high cost shows the high morbidity rate high mortality rate and low ventilator weaning rate of prolonged mechanical ventilation patients so it is worthwhile to explore how to improve the respiratory function and even their quality of life of patients in the respiratory care ward RCW

OBJECTIVE To investigate the improvement of respiratory function and the effect of respirator detachment in 45-degree semi-sitting and upper limb training and to understand the correlation between this training activity and death risk

METHODS This study used repeated experimental measurements and purpose sampling and the investigators invited patients in the respiratory care ward RCW in northern Taiwan They were randomly assigned to the experimental group and the control group The experimental group was given 45 degree Semi-sitting 2hrs and upper-limb exercise training 10mins once a day After 4 weeks the investigators measure the respiratory parameters such as the maximum inspiratory pressure MIP the tidal volume VT the minute ventilation MV and the rapid shallow breathing indexRSBI of these two groups and used the generalized estimating equation GEE to compare with them

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None