[Effects of home pulmonary rehabilitation in patients with chronic respiratory failure and nutritional depletion].

Abstract:

STATE OF THE ART:The IRAD2 trial is evaluating a 3-month home intervention which includes education, oral supplements, exercise and androgenic steroids in undernourished patients with chronic respiratory failure. The main objective is to increase the six-minute walking distance by more than 50 m with an improvement in health-related quality-of-life. Secondary end-points include a reduction in exacerbation rates by 25%, a reduction in health-related costs and an increase in survival during the year following intervention. MATERIAL AND METHODS:This interventional, multi-centre, prospective, two-armed parallel, controlled trial is being conducted in 200 patients. In both groups, "Control" and "Rehabilitation", 7 home visits are scheduled during the 3-month intervention for education purpose. In the "Rehabilitation" group, patients will receive 160 mg/d of oral testosterone undecanoate in men, 80 mg/d in women, oral dietary supplements (563 kcal/d) and exercises on an ergometric bicycle 3 to 5 times a week. EXPECTED RESULTS:In the event of significant responses to intervention, this trial would validate a comprehensive and global home-care for undernourished patients with chronic respiratory failure combining therapeutic education, oral supplements, androgenic substitution and physical activity.

journal_name

Rev Mal Respir

authors

Pison C,Cano N,Chérion C,Roth H,Pichard C,Investigateurs D'IRAD2.

doi

10.1016/s0761-8425(04)71362-5

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

573-82

issue

3 Pt 1

eissn

0761-8425

issn

1776-2588

pii

MDOI-RMR-06-2004-21-3-0761-8425-101019-ART19

journal_volume

21

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
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