[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100598647":3},{"organization":4,"armGroups":7,"interventions":8,"overallOfficials":7,"centralContacts":13,"locations":7,"responsibleParty":19,"collaborators":7,"id":23,"slug":24,"hasResults":25,"nctId":26,"briefTitle":27,"officialTitle":27,"acronym":7,"eligibilityCriteria":28,"healthyVolunteers":25,"sex":29,"minAge":30,"maxAge":7,"enrollmentInfo":31,"targetDuration":7,"studyType":34,"phases":7,"briefSummary":35,"conditions":36,"keywords":7,"overallStatus":40,"whyStopped":7,"lastUpdateSubmitDate":41,"lastUpdatePostDateStruct":42,"startDateStruct":45,"completionDateStruct":47,"leadSponsor":49,"locationsCount":7},{"fullName":5,"class":6},"Assiut University","OTHER",null,[9],{"type":10,"name":11,"description":12,"armGroupLabels":7,"otherNames":7},"DEVICE","non invasive ventilation","Non invasive mechanical ventilation pressure support",[14],{"name":15,"role":16,"phone":17,"phoneExt":7,"email":18},"Entsar Hsanen Mohamed, lecturer","CONTACT","+201019968106","entsar.hsanen@aun.edu.eg",{"type":20,"investigatorFullName":21,"investigatorTitle":22,"investigatorAffiliation":5,"oldNameTitle":7,"oldOrganization":7},"PRINCIPAL_INVESTIGATOR","Entsar Hsanen","Principal investigator","100598647","value-of-volume-oxygenation-index-to-detect-early-failure-of-non-invasive-ventilation-in-acute-exacerbation-of-chronic-obstructive-pulmonary-disease-100598647",false,"NCT07074210","Value of Volume Oxygenation Index to Detect Early Failure of Non-invasive Ventilation in Acute Exacerbation of Chronic Obstructive Pulmonary Disease","Inclusion Criteria:\n\n* All patients diagnosed with COPD admitted to the respiratory ICU for NIV.\n\nExclusion Criteria:\n\n* Patients indicated for urgent intubation","ALL","18 Years",{"count":32,"type":33},190,"ESTIMATED","OBSERVATIONAL","Non-invasive ventilation (NIV) is an evidence-based treatment for patients with acute respiratory failure due to an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). In patients with COPD and acute hypercapnic respiratory failure, NIV improves gas exchange, reduces the work of breathing, and decreases the length of hospital stay and mortality \\[1\\]. Furthermore, when compared to invasive ventilation, NIV leads to fewer complications, such as ventilator-related infections \\[2\\]. These findings have resulted in guideline recommendations for the use of NIV in acute respiratory failure due to an exacerbation of COPD \\[3\\].NIV failure has been defined as the need for endotracheal intubation (ETI) or death. Its rate varies greatly between 5% and 60%, depending on numerous factors \\[4\\].\n\nThe Volume Oxygenation (VOX) index, initially developed to predict treatment failure of high flow nasal cannula therapy, has demonstrated the ability to estimate early increases in respiratory drive. Within the first 2 h, the VOX index exhibits a discriminative potential of 0.88 (95 % CI 0.79-0.97) in predicting HFNC failure \\[5\\]. Based on this premise, we hypothesize that the VOX index could be a predictive tool for NIV treatment failure.",[37,38,39],"COPD","Non Invasive Ventilation (NIV)","VOX Index","NOT_YET_RECRUITING","2025-07-10",{"date":43,"type":44},"2025-07-20","ACTUAL",{"date":46,"type":33},"2025-07-15",{"date":48,"type":33},"2026-07-15",{"name":5,"class":6}]