Automated Oxygen Administration in Patients With Hypoxemic Pneumonia and Pleuropneumonia
关键词
抽象
描述
Prolonged hospitalization has many consequences, including loss of autonomy and nosocomial infection. Moreover, these complications themselves lead to an extension of the length of stay. This has an impact on the cost of care: several studies have shown that hospitalization is the most costly factor in the management of pneumonia, and that even a small amount of hospital stay, led to significant financial savings. Automated oxygen therapy is a device that automatically adjusts with the saturation the amount of oxygen administered. Investigator hypothesis is that automated oxygen therapy could shorten the length of stay of patients hospitalized for hypoxemic pneumonia. One group of patients will receive the automated oxygen therapy and the other group will receive the standard Oxygen therapy. The investigator will compare in each group the average length of stay, the duration of oxygen therapy, the time spent outside of the target saturation, the cost on the medical-economic level and the patient's experience.
日期
| 最后验证: | 06/30/2019 |
| 首次提交: | 03/07/2018 |
| 提交的预估入学人数: | 05/15/2018 |
| 首次发布: | 05/16/2018 |
| 上次提交的更新: | 07/10/2019 |
| 最近更新发布: | 07/14/2019 |
| 实际学习开始日期: | 03/08/2018 |
| 预计主要完成日期: | 08/31/2021 |
| 预计完成日期: | 08/31/2021 |
状况或疾病
干预/治疗
Device: Automated oxygen therapy
Device: Standard Oxygen therapy
相
手臂组
| 臂 | 干预/治疗 |
|---|---|
| Other: Automated oxygen therapy An automated oxygen therapy is a system that allows administration of oxygen with a flow that is automatically adjusted to the patient's saturation, which is continuously monitored. Patients will receive O2 automated intervention. | Device: Automated oxygen therapy In the "O2 automated" group, patients benefit from oxygen therapy via the "FreeO2" device. The O2 saturation target is set by the clinician on the device. Saturation is continuously sensed by an oximeter and the oxygen flow is automatically adjusted. The clinician has access to instantaneous values and trends of O2 and SpO2 flow rates. |
| Other: Standard Oxygen therapy Patients will receive O2 standard therapy | Device: Standard Oxygen therapy In the "O2 standard" group, patients benefit from oxygen therapy with nasal goggles or a high concentration mask. Saturation is continuously captured by an oximeter. The flow rate of oxygen, evaluated in L/min, is adapted according to local protocols (every 8 hours in conventional hospital services, continuous in intensive care |
资格标准
| 有资格学习的年龄 | 18 Years 至 18 Years |
| 有资格学习的性别 | All |
| 接受健康志愿者 | 是 |
| 标准 | Inclusion Criteria: - Adult - Patient living at home or in an institution - Patient hospitalized for less than 48 hours - Pneumonia defined (according to the 2006 French-speaking infectious pneumology society (SPILF) criteria) by: - respiratory functional symptoms (cough, sputum, dyspnea, chest pain) and - Hyperthermia >38,5°C or hypothermia <36°C and - Radiological Signs of Pneumonia - Hypoxia : SpO2 < 94% in ambient air and/or PaO2< 60 mmHg in ambient air Exclusion Criteria: - Pneumonia acquired at the hospital. - Patient hospitalized in another department more than 48 hours before admission - Chronic respiratory failure - Active neoplasia - Patients undergoing oxygen therapy and / or long-term NIV - Associated cardiac decompensation (clinical signs and / or NTproBNP> 1800ng / mL) (3 - Initial Need for high flow oxygen therapy or ventilatory support (NIV, VI) - Difficulties expected from home support. |
结果
主要结果指标
1. Length in days of hospital stay [1 month]
次要成果指标
1. Duration of oxygen therapy [1 month]
2. Time spent outside of the target saturation [1 month]
3. the cost on the medical-economic level [1 month]
4. rate of medical complication [1 month]
5. quality questionnaire of patient's life during hospitalization [1 month]
