Atelectasis Clinical Trial
Official title:
Evaluation of a Practice Change to Include The MetaNeb® System to Reduce Postoperative Pulmonary Complications
NCT number | NCT02627742 |
Other study ID # | CR-RR2015-001 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | March 2016 |
Est. completion date | August 2017 |
Verified date | January 2024 |
Source | Baxter Healthcare Corporation |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
To determine if a therapy regimen including treatment with The MetaNeb® System had a positive impact on the rate of pulmonary complications related to atelectasis and/or secretion retention that occur in high risk post-operative patients. This is a non-randomized facility (or hospital) level pre-post intervention study.
Status | Completed |
Enrollment | 419 |
Est. completion date | August 2017 |
Est. primary completion date | August 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: Age = 18 years Post-thoracic, -upper abdominal or -aortic surgery Open surgical procedure Incision at or above the umbilicus High risk defined by: Documented ASA class = 3 OR Documented ASA class 2 AND One or more of the following: Current smoker or smoking history within past 6 months History of COPD Documented obesity and/or BMI = 30 kg/m2 Age = 75 Exclusion Criteria: Contraindication to Continuous High Frequency Oscillation (CHFO) therapy Minimally invasive, or ". . . scopic" procedure. Spinal surgery involving a posterior approach. Surgery for organ transplant. Chronic invasive positive pressure ventilation (PPV) |
Country | Name | City | State |
---|---|---|---|
United States | Lahey Hospital and Medical Center | Burlington | Massachusetts |
United States | Carolinas Medical Center | Charlotte | North Carolina |
United States | Hospital of the University of Pennsylvania | Philadelphia | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Hill-Rom |
United States,
Huynh TT. et al.,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Significant Postoperative Pulmonary Complication Incidence. | One or more of the following that occurs within seven (7) days of the post-surgical admission will be considered a Significant Postoperative Pulmonary Complication (PPC)
Patient requires prolonged mechanical ventilation (> 24 hours from post-surgical admission) Patient requires prolonged respiratory support for > 24 hours from post-surgical admission Diagnosis of pneumonia within seven (7) days Readmission to ICU for pulmonary complications within seven (7) days of post-surgical hospital admission |
Within seven (7) days of the post-surgical admission | |
Secondary | Requirement for Invasive Mechanical Ventilation for > 48 Hours Within Seven (7) Days of the Post-surgical Hospital Admission | Defined as patient requirement for invasive mechanical ventilation (MV) for > 48 hours (after hour 48) post-operatively. This includes patients that require re-intubation after hour 48, regardless of length of time on MV in the first 48 hours postoperatively. | 7 days (From the time of post-surgical admission to the hospital through day 7 following the initial post-surgical admission) | |
Secondary | Requirement for Respiratory Support > 48 Hours Within Seven (7) Days of the Post-surgical Hospital Admission | Respiratory support greater than the patient's baseline level for a period longer than 48 hours
Requirement for non-invasive ventilation (NIV) above patient's baseline requirement after hour 48 from post-surgical admission or continuous positive airway pressure (CPAP) above patient's baseline requirement after hour 48. Requirement for O2 therapy > 40 % FiO2 or > 5 LPM pm via Nasal Cannula (and above patient's baseline) after hour 48 postoperatively. |
7 days (From the time of post-surgical admission to the hospital through day 7 following the initial post-surgical admission) | |
Secondary | Length of ICU Stay During Initial Hospital Stay | ICU length of stay, during initial hospital stay, was determined by calculating the number of days/hours spent in ICU. The following was documented:
Time of admission to the ICU to actual time of initial discharge from the ICU during initial hospital stay Total ICU days/hours (includes readmissions) during initial hospital stay |
Total days/hours until time of discharge from the hospital, up to 8 weeks | |
Secondary | Length of Hospital Stay During Initial Hospital Stay | Hospital length of stay was determined by calculating the number of days/hours spent in hospital. The following was documented:
• Time of admission to time of discharge from the hospital (total days/hours) |
Time of admission until time of discharge from the hospital, up to 8 weeks | |
Secondary | Readmission to ICU and Transfers to Elevated Level of Care for Pulmonary Complications During Initial Hospital Stay | Readmissions to ICU and transfers to an elevated level of care, during the initial hospital stay, was documented for each event. The following was documented:
Number of readmission to ICU or elevated level of care events Number of patients requiring readmission to the ICU or to an elevated level of care |
during hospital stay, up to 8 weeks | |
Secondary | Readmission to Hospital | Hospital records were reviewed at each site, 30 days after the last patient has been discharged from the hospital. Readmissions, for any cause, within 30 days of discharge for any study patient were documented. | 30 days following discharge from the hospital | |
Secondary | Time on Mechanical Ventilation | Time to initial extubation from time of initial intubation, if initial intubation was placed after surgery; or from time of post-surgical admission, if intubation was in place prior to start of surgery
Total time on invasive mechanical ventilation - was determined for each patient by calculating the total number of days/hours intubated and mechanically ventilated from the time of post-surgical admission until the time of initial hospital discharge. Total time on non-invasive ventilation - was determined for each patient by calculating the total number of days/hours ordered for non-invasive ventilation from the time of post-surgical admission to the hospital unit until the time of initial hospital discharge. |
total hours/days from the time of the post-surgical admission to the hospital unit until time of discharge from the hospital, up to 8 weeks |
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