Evidence map›Paper›PMID 29149867›Full record

ArticleBMC pulmonary medicine2017

Efficacy and safety of nasal high-flow oxygen in COPD patients.

Helene Vogelsinger, Michael Halank, Silke Braun, Heinrike Wilkens, Thomas Geiser, Sebastian Ott, Armin Stucki, Christian M Kaehler

2 registry-linked trialsOpen access · goldAbstract readComparative Study
In one paragraph

Article in BMC pulmonary medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01686893 phase1unknown statusnot on this map

STIT-1 Evaluation of Safety and Efficacy of Shorttime TNI Treatment in Patients With COPD

TypeinterventionalSponsorMedical University InnsbruckRan2009 to 2013Enrolled50ConditionsOxygen Inhalation TherapyArmsNasal oxygen insufflation with a TNI 20 oxy device, Standard Nasal Insufflation of oxygen
NCT01693146 phase1unknown statusnot on this map

Evaluation of Safety and Efficacy of Short-time TNI® Treatment in Patients With COPD and Hypercapnia Acute Testing of Oxygen Demand Using TNI® vs. Standard Insufflation in COPD Patients With Hypercapnia at Rest

TypeinterventionalSponsorMedical University InnsbruckRan2011 to 2013Enrolled30ConditionsCOPD, HypercapniaArmsNasal oxygen insufflation with a TNI® 20 oxy device, Nasal insufflation of oxygen
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Nasal high-flow versus noninvasive ventilation in patients with chronic hypercapnic COPD.International journal of chronic obstructive pulmonary disease · 2019
    Trial
  6. Article
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  11. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Helene VogelsingerPneumology, Internal Medicine II, Department of Internal Medicine, Medical University of Innsbruck, Innsbruck, Austria.ORCID http://orcid.org/0000-0002-7252-0510
Michael HalankPneumology, Medical Clinic and Polyclinic, University Hospital Carl Gustav Carus, Dresden, Germany.
Silke BraunPneumology, Medical Clinic and Polyclinic, University Hospital Carl Gustav Carus, Dresden, Germany.
Heinrike WilkensPneumology, Saarland University Medical Centre, Homburg, Germany.
Thomas GeiserDepartment for Pulmonary Medicine, University Hospital Inselspital, Bern, Switzerland.
Sebastian OttDepartment for Pulmonary Medicine, University Hospital Inselspital, Bern, Switzerland.
Armin StuckiPneumology, Berner REHA Zentrum Heiligenschwendi, Heiligenschwendi, Switzerland.
Christian M KaehlerPneumology, Internal Medicine II, Department of Internal Medicine, Medical University of Innsbruck, Innsbruck, Austria. c.m.kaehler@i-med.ac.at.
Innsbruck Medical University · ATUniversity Hospital Carl Gustav Carus · DEUniversity Hospital of Bern · CHSaarland University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNasal high-flow oxygen therapy (HFOT) is a novel treatment option for patients suffering from acute or chronic respiratory failure. Aim of our study was to compare safety and efficacy of HFOT with those of conventional oxygen treatment (COT) in normo- and hypercapnic COPD patients.

methodsA single cohort of 77 clinically stable hypoxemic patients with an indication for long-term oxygen treatment (LTOT) with or without hypercapnia successively received COT and HFOT for 60 min each, including oxygen adaption and separated by a 30 min washout phase.

resultsHFOT was well-tolerated in all patients. A significant decrease in PaCO

conclusionsThus, short-term use of HFOT is safe in both normocapnic and hypercapnic COPD patients. Lower oxygen levels were effective in correcting hypoxemic respiratory failure and reducing hypercapnia, leading to a reduced amount of oxygen consumption. Long-term studies are needed to assess safety, tolerability, and clinical efficacy of HFOT.

trial registrationClinicalTrials.gov NCT01686893 13.09.2012 retrospectively registered (STIT-1) and NCT01693146 14.09.2012 retrospectively registered (STIT-2). Studies were approved by the local ethics committee (Ethikkommission der Medizinischen Universität Innsbruck, Studienkennzahl UN3547, Sitzungsnummer 274/4.19).

Indexed as

AgedAged, 80 and overCannulaFemaleHumansHypercapniaHypoxiaMaleMiddle AgedOxygenOxygen Inhalation TherapyPartial PressureProspective StudiesPulmonary Disease, Chronic ObstructiveResidual VolumeOxygenCOPD.High-flow oxygenhypercapnic.normocapnic.short-term nasal highflow.

Identifiers

PMID29149867
PMCPMC5693800
OpenAlexW2769419597

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.