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Exercise Pulseoximetry for Pre-flight Evaluation of Chronic Obstructive Pulmonary Disease (COPD) Patients

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ClinicalTrials.gov Identifier: NCT00896584
Recruitment Status : Completed
First Posted : May 11, 2009
Last Update Posted : November 18, 2010
Sponsor:
Information provided by:
LHL Helse

Brief Summary:
Some patients with chronic obstructive pulmonary disease (COPD) need supplementary oxygen during air travel. Guidelines issued by The British Thoracic Society (BTS) for pre-flight evaluation do not discriminate sufficiently between those who need supplementary oxygen during flight, and those who can do without. Previous studies have indicated that decreasing hemoglobin oxygen saturation during exercise may predict in-flight hypoxemia. The objective of the present study is to examine if adding exercise oxygen desaturation to the BTS algorithm will better predict requirements for in-flight supplementary oxygen.

Condition or disease
Chronic Obstructive Pulmonary Disease Hypoxemia

Detailed Description:
The British Thoracic Society (BTS) guidelines on pre-flight evaluation for patients with chronic respiratory disease is based on an algorithm where arterial oxygen saturation is the discriminating factor. It has recently been shown that this algorithm does not discriminate sufficiently between patients who need pre-flight evaluation and maybe supplementary oxygen during air travel, and those who can travel by air without supplemental oxygen or further evaluation. Studies have also shown that exercise desaturation may predict in-flight hypoxemia. The objective of the present study is to examine if inclusion of arterial oxygen saturation measured by pulseoximetry during exercise in the BTS algorithm, will increase the sensitivity and specificity of the BTS pre-flight evaluation guidelines.The study also include questionnaires on symptoms during air travel carried out before ande after the pre-flight evaluation.

Study Type : Observational
Estimated Enrollment : 100 participants
Observational Model: Case-Only
Time Perspective: Prospective
Official Title: May Pulseoximetry During Physical Exercise Predict Hypoxemia in COPD Patients During Air Travel?
Study Start Date : May 2009
Actual Primary Completion Date : November 2010
Actual Study Completion Date : November 2010

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Ages Eligible for Study:   40 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
COPD patients
Criteria

Inclusion Criteria:

  • patients with COPD who have performed a hypoxia altitude simulation test
  • able to perform the 6-minute walking test

Exclusion Criteria:

  • unstable angina
  • uncontrolled hypertension
  • uncontrolled arrythmia
  • patients with long-term oxygen treatment

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To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00896584


Locations
Norway
Glittreklinikken
Hakadal, Norway, 1485
Sponsors and Collaborators
LHL Helse
Investigators
Principal Investigator: Anne Edvardsen, MSc LHL Helse
Study Director: Morten S Ryg, Dr philos LHL Helse

Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Morten Ryg, Glittreklinikken
ClinicalTrials.gov Identifier: NCT00896584     History of Changes
Other Study ID Numbers: GK-40/3
S-08640b (REK)
2541 (Biobank)
2008/2/0079 (HelseRehab)
First Posted: May 11, 2009    Key Record Dates
Last Update Posted: November 18, 2010
Last Verified: November 2010

Keywords provided by LHL Helse:
Chronic obstructive pulmonary disease
Hypoxemia
Pre-flight evaluation
Hypobaria
COPD
Pulseoximetry
Air travel
Exercise desaturation

Additional relevant MeSH terms:
Lung Diseases
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Hypoxia
Respiratory Tract Diseases
Signs and Symptoms, Respiratory
Signs and Symptoms