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Pulmonary Disease clinical trials

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NCT ID: NCT06396793 Recruiting - Depression Clinical Trials

Psychological Symptoms in Cardiac and Pulmonary Diseases

Start date: January 31, 2023
Phase:
Study type: Observational

The European guidelines (ESC, 2021) emphasize the importance of conducting psychological screenings to investigate the presence of stress and symptoms of anxiety and depression in patients with cardiovascular disease (Celano et al., 2013; MacGregor et al., 2012; Vaccarino et al., 2020): depression, common among patients with CVD, is associated with increased mortality, disability, decreased adherence to healthy lifestyles and medical treatments, and together with anxiety, the risk of mortality increases by about 3 times (Reavell et al., 2018); stress, furthermore, is associated with the development and progression of cardiovascular diseases and is correlated with low adherence and cigarette smoking (Crawshaw et al., 2016). Less studied, but not less important, are the incidence of anxiety, depression, and stress in pulmonary disease, the relationship between mental disorders and pulmonary diseases, as well as the effect of the psychological component on the rehabilitative outcome of such patients: for example, there is evidence that those suffering from chronic obstructive pulmonary disease (COPD) present symptoms of depression and anxiety much more frequently than the general population and that these two mental disorders may exacerbate COPD itself (Maurer et al., 2008). The literature, therefore, highlights that the risk of onset of cardiovascular disease increases with the severity of mental disorder, and some psychological variables correlate with the outcomes of cardiac rehabilitation intervention, crucial for reducing rehospitalizations, myocardial infarction, and mortality (Anderson et al., 2016; Salzwedel et al., 2020), as well as for improving the patient's quality of life and ability to perform physical exercises (Long et al., 2019; Taylor et al., 2019). In light of this evidence and the recent recommendations of the ESC, the present study aims to conduct screening for symptoms of anxiety, depression, and stress in all patients admitted to the Cardiology and Pulmonary Rehabilitation Units of the Milan Center, Camaldoli in order to assess their incidence and to select, through validated tools, patients who require personalized psychological intervention based on their level of risk, correlating then the presence of such symptoms with the rehabilitative outcome, in order to assess how much the mental component interferes with the care pathway. The level of acceptance and feasibility of a computerized data collection procedure will also be evaluated, a procedure that, if well accepted, would make the screening process much simpler, safer, and more economical.

NCT ID: NCT06202586 Recruiting - Pulmonary Disease Clinical Trials

Effect of Different Oxygen Concentration on Postoperative Pulmonary Complications After Pulmonary Reexpansion

Start date: February 1, 2024
Phase: N/A
Study type: Interventional

To evaluate the effect of 80% inspiratory oxygen fraction (FiO2) and 30% FiO2 on the incidence of pulmonary complications after pulmonary reexpansion following one-lung ventilation and 2-hour postoperative within the first 7 days after thoracic surgery, based on lung protective ventilation strategy.

NCT ID: NCT06149494 Recruiting - Copd Clinical Trials

RCT of Vapendavir in Patients With COPD and Human Rhinovirus/Enterovirus Upper Respiratory Infection

Start date: November 20, 2023
Phase: Phase 2
Study type: Interventional

Vapendavir (VPV) is a drug being developed to treat human rhinovirus (RV) infection, one virus responsible for the common cold. Vapendavir prevents the virus from entering cells and making more infectious copies of itself. A study is being planned to investigate VPV in patients with chronic obstructive pulmonary disease (COPD, a lung disease making it difficult to breathe) who develop a rhinoviral infection; however, VPV has not been approved for use in treating any indication (disease) by the FDA or any other global regulatory agency. Therefore, VPV is considered investigational, and the study doctor is conducting this investigational research study. Safety will be monitored throughout the entire study.

NCT ID: NCT06108908 Recruiting - Asthma Clinical Trials

Influence of Inhaler Compliance on the Treatment of Asthma Patients

Start date: August 14, 2019
Phase:
Study type: Observational

The major goal of "Influence of Inhaler Compliance on the Treatment of Asthma Patients" is to explore compliance rate outcome in adult asthmatic patients (20-80 years old) with mild to moderate persistent asthma according to American Thoracic Society (ATS) definition and diagnosis. The major endpoints include: 1. To increase the adherence rate of treatment by reminder intervention with correctly monitor patients' adherence rate by Asthma Supportive Kits 2. Eventually achieve best asthma care and management. All participants will use Asthma Supportive Kits for 24 weeks and return visit on week 5, 12, 24. Based on collected data, the study compares intervention and control group to see if active reminder intervention may effectively alter compliance rate, and corresponding outcomes, e.g., asthma control status, acute exacerbation events.

NCT ID: NCT06088485 Recruiting - Cystic Fibrosis Clinical Trials

The Effect of Bone Mineral Density in Patients With Adult Cystic Fibrosis

Start date: September 5, 2023
Phase:
Study type: Observational

The study was conducted in the age range of 18-45 December, who were diagnosed with Cystic fibrosis.

NCT ID: NCT06056882 Recruiting - Pulmonary Disease Clinical Trials

Simultaneous CLE Guided Crybiopsy in Patients With Pulmonary Nodules

Start date: September 20, 2023
Phase:
Study type: Observational

It is planned to use the CLE probe and cryoprobe simultaneously after detection of the round focus. It is planned to include 5 patients with suspected central airway invading lung carcinoma and 15 patients with suspected peripheral lung carcinoma who have an indication for bronchoscopic histologic confirmation.

NCT ID: NCT05967117 Recruiting - Pulmonary Disease Clinical Trials

Chest CT Using Low-concentration Iodine Contrast Media

Start date: November 24, 2023
Phase: Phase 4
Study type: Interventional

This study aims to evaluate the quality of images when low-concentration iodine contrast agents is used in chest CT with low tube voltage and if they can be used in routine imaging. The primary endpoint of the study was the quality of the image and comparison of chest CT by using low and conventional concentration iodine contrast agents with low tube voltage and chest CT by using the conventional concentration iodine contrast agents with the conventional tube voltage; The secondary endpoint is optimizing chest CT protocol using an iodine contrast agent.

NCT ID: NCT05530408 Recruiting - Pulmonary Disease Clinical Trials

Quantitative Pulmonary Imaging Registry & Biorepository

PIBR
Start date: May 24, 2022
Phase:
Study type: Observational [Patient Registry]

The goal of this project is to establish a registry and biorepository of images and biological samples from subjects undergoing novel pulmonary imaging methods to be used for future research aimed toward identifying clinical applications of imaging methods and toward understanding the physiological significance of imaging biomarkers. This registry and biorepository will accelerate the development of these imaging techniques and may lead toward future clinical adoption of quantitative pulmonary imaging.

NCT ID: NCT05384314 Recruiting - COVID-19 Clinical Trials

A Retrospective Study to Evaluate the Predictability of Abnormal Arterial Blood Gas Measurements Through Novel Observations of Continuous Trends in Electronically Measured Respiratory Rate in a Mixed Cohort of Respiratory Compromised Patients

Start date: July 12, 2021
Phase:
Study type: Observational

A retrospective study to evaluate the predictability of abnormal arterial blood gas measurements through novel observations of continuous trends in electronically measured respiratory in a mixed cohort of respiratory compromised patients.

NCT ID: NCT05362526 Recruiting - COPD Clinical Trials

High Flow vs Conventional Oxygen in Head and Neck Surgery

Start date: July 1, 2022
Phase: N/A
Study type: Interventional

Patients undergoing major head and neck surgery are at risk for postoperative pulmonary complications. The goal of this randomized clinical trial is to evaluate the effectiveness of high flow heated humidified oxygen at preventing postoperative pulmonary complications after major head and neck surgery, when compared to conventional oxygen therapy (aerosol cool mist).