Evidence map›Paper›PMID 30464436›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease

Exercise performance and symptoms in lowlanders with COPD ascending to moderate altitude: randomized trial.

Michael Furian, Deborah Flueck, Tsogyal D Latshang, Philipp M Scheiwiller, Sebastian Daniel Segitz, Séverine Mueller-Mottet, Christian Murer, Adrian Steiner, Silvia Ulrich, Thomas Rothe and 2 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01875133 (Effect of Altitude on Exercise Performance of Patients With Chronic Obstructive Lung Disease), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.4field-weighted citation impact, top 11% 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.

NCT01875133 nacompletednot on this map

Effect of Altitude on Exercise Performance of Patients With Chronic Obstructive Lung Disease

TypeinterventionalSponsorUniversity of ZurichRan2013 to 2013Enrolled50ConditionsChronic Obstructive Pulmonary Disease (COPD)Armsaltitude exposure
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 46 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Michael FurianDepartment of Respiratory Medicine, University Hospital of Zurich, Zurich, Switzerland, konrad.bloch@usz.ch.
Deborah FlueckDepartment of Respiratory Medicine, University Hospital of Zurich, Zurich, Switzerland, konrad.bloch@usz.ch.
Tsogyal D LatshangDepartment of Respiratory Medicine, University Hospital of Zurich, Zurich, Switzerland, konrad.bloch@usz.ch.
Philipp M ScheiwillerDepartment of Respiratory Medicine, University Hospital of Zurich, Zurich, Switzerland, konrad.bloch@usz.ch.
Sebastian Daniel SegitzDepartment of Respiratory Medicine, University Hospital of Zurich, Zurich, Switzerland, konrad.bloch@usz.ch.
Séverine Mueller-MottetDepartment of Respiratory Medicine, University Hospital of Zurich, Zurich, Switzerland, konrad.bloch@usz.ch.
Christian MurerDepartment of Respiratory Medicine, University Hospital of Zurich, Zurich, Switzerland, konrad.bloch@usz.ch.
Adrian SteinerDepartment of Respiratory Medicine, University Hospital of Zurich, Zurich, Switzerland, konrad.bloch@usz.ch.
Silvia UlrichDepartment of Respiratory Medicine, University Hospital of Zurich, Zurich, Switzerland, konrad.bloch@usz.ch.
Thomas RotheZuercher RehaZentrum Davos, Davos Clavadel, Switzerland.
Malcolm KohlerDepartment of Respiratory Medicine, University Hospital of Zurich, Zurich, Switzerland, konrad.bloch@usz.ch.
Konrad E BlochDepartment of Respiratory Medicine, University Hospital of Zurich, Zurich, Switzerland, konrad.bloch@usz.ch.
University Hospital of Zurich · CHZürcher RehaZentrum Davos · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effects of altitude travel on exercise performance and symptoms in lowlanders with COPD.

designRandomized crossover trial.

settingUniversity Hospital Zurich (490 m), research facility in mountain villages, Davos Clavadel (1,650 m) and Davos Jakobshorn (2,590 m).

participantsForty COPD patients, Global Initiative for Obstructive Lung Disease (GOLD) grade 2-3, living below 800 m, median (quartiles) age 67 y (60; 69), forced expiratory volume in 1 second 57% predicted (49; 70).

interventionTwo-day sojourns at 490 m, 1,650 m, and 2,590 m in randomized order. OUTCOME MEASURES: Six-minute walk distance (6MWD), cardiopulmonary exercise tests, symptoms, and other health effects.

resultsAt 490 m, days 1 and 2, median (quartiles) 6MWD were 558 m (477; 587) and 577 m (531; 629). At 2,590 m, days 1 and 2, mean changes in 6MWD from corresponding day at 490 m were -41 m (95% CI -51 to -31) and -40 m (-53 to -27), n=40,

conclusionDuring sojourns at 1,650 m and 2,590 m, lowlanders with moderate to severe COPD experienced a mild reduction in exercise performance and nearly one quarter required oxygen therapy or descent to lower altitude because of adverse health effects. The findings may help to counsel COPD patients planning altitude travel. REGISTRATION: ClinicalTrials.gov: NCT01875133.

Indexed as

AltitudeExercise ToleranceTravelAgedBlood Gas AnalysisCross-Over StudiesDisease ProgressionFemaleForced Expiratory VolumeHumansLungMaleMiddle AgedOxygen Inhalation TherapyPulmonary Disease, Chronic ObstructiveSeverity of Illness Indexacute mountain sicknessadverse health effectsaltitude illnessarterial blood gas analysiscardiopulmonary exercise testingCPETdyspneahypoxiapulmonary function

Identifiers

PMID30464436
PMCPMC6208550
OpenAlexW2898547848

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.