EMG in COPD - Factor Analysis

Launched by GUY'S AND ST THOMAS' NHS FOUNDATION TRUST · Mar 22, 2016

Keywords

ClinConnect Summary

Introduction Patients admitted to hospital with acute exacerbations of COPD are at risk of significant in-hospital morbidity and mortality. Current markers of treatment success involve the integration of basic physiological variables (respiratory rate, heart rate, oxygen saturations), clinical examination and patient reported symptoms changes. Whilst the use of these physiological parameters are gold standard there remains concern that patient deterioration is often not detected and escalated effectively. This has led to the development and implementation of a range of clinical physiologica...

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Eligibility criteria

• Inclusion Criteria:
• • COPD (as defined by GOLD criteria
• • Acute exacerbation of COPD necessitating hospital admission
• • Expected to remain an inpatient for ≥ 24 hours
• • Able to give informed consent to participation in the study
• Exclusion Criteria:
• • Decompensated respiratory failure (pH \< 7.35)
• • Significant physical, social or psychiatric factors that would prevent compliance with trial protocol
• • Aged \< 35 years or aged \> 85 years
• • Pregnancy
• • BMI \> 30kg/m2
• • Presence of another acute pathology (such as pulmonary embolism or pulmonary oedema) to explain the acute presentation