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N/A N=746 Randomized Treatment

Pulmonary Embolism as a Cause of COPD Exacerbations

Pulmonary Embolism · Chronic Obstructive Pulmonary Disease

Enrolled (actual)
746
Serious AEs
4.9%
Results posted
Nov 2022
Primary outcome: Primary: All-cause Mortality, Symptomatic Venous Thromboembolism Recurrence, or Need for Readmission. — 110; 107 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Diagnostic and therapeutic strategy: Highly sensitive D-dimer testing and, if positive, multidetector computed tomographic pulmonary angiography (MDCT). (Procedure)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Ministry of Health, Spain
Primary completion
Oct 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
All-cause Mortality, Symptomatic Venous Thromboembolism Recurrence, or Need for Readmission.
110; 107
SECONDARY
All-cause Mortality
23; 29
SECONDARY
Symptomatic Recurrent Venous Thromboembolism
2; 9
SECONDARY
Hospitalization
94; 84
SECONDARY
Major Bleeding
3; 3
SECONDARY
Clinically Relevant Non Major Bleeding
1; 1
SECONDARY
Serious Adverse Events
18; 18

Summary

The primary objective is to demonstrate the clinical benefits of an active strategy for the diagnosis and treatment of PE compared to usual care in patients with unexplained exacerbations of COPD who require hospital admission. The secondary objective is to assess the safety of an active strategy for the diagnosis and treatment of PE compared to usual care in patients with unexplained exacerbations of COPD who require hospital admission.

Eligibility Criteria

Inclusion Criteria

  • Confirmation of COPD according to SEPAR-ALT criteria: post-bronchodilator forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) 37.8ºC], increased sputum volume and/or increased sputum purulence).
  • Indication of invasive mechanical ventilation at the time of hospital admission;
  • Impossibility for follow-up.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02238639). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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