(journals.lww.com/ccmjournal/citation/2024/01001/42__high_velocity_nasal_insufflation_vs.43.aspx)
This study compared non-invasive positive pressure ventilation (NiPPV) to Vapotherm high velocity therapy by measuring relief of dyspnea (breathlessness) as well as blood chemistry values and patient response.
Acute exacerbations of COPD contribute to over 600K emergency room (ER) visits and 140K deaths annually in the US alone. The cost is approximately
This is the first multi-center, randomized, controlled trial focused on patients with moderate to severe exacerbations of COPD, showing similar improvement in pH and pCO2 comparing high velocity therapy and NiPPV.
"When patients present to the emergency department out of breath, they're often placed on a mask-based therapy that uses pressure to open their airways. It can be even more distressing when you can't breathe to have a mask on your face, forcing air down your lungs" said Vapotherm's Chief Medical Officer,
Over time, patients reported improved comfort on high velocity therapy while patients on NiPPV reported more discomfort from baseline. 19% of NiPPV patients failed therapy compared to 11% of high velocity therapy patients.
Joe Army, Vapotherm's President and Chief Executive Officer expressed his enthusiasm, stating, "11% of patients on high velocity therapy in HYPERACT were effectively treated in the ED and were discharged home, whereas 0% of patients treated with NiPPV were discharged directly home – that's a huge cost savings for hospitals." Mr. Army continues, "This is a win-win-win scenario: a win for the clinician to use a simple, evidence-based therapy, a win for the patient regarding comfort, and a win for the hospital because mask-based complications add costs." (3)
- Sullivan J, Pravosud V, Mannino DM, Siegel K, Choate R, Sullivan T. National and state estimates of COPD morbidity and mortality - united states, 2014-2015. Chronic Obstr Pulm Dis. 2018;5(4):324-333. doi: 10.15326/jcopdf.5.4.2018.0157.
- Nguyen PL, Uddin MM, Mir T, et al. Trends in incidence, and mortality of acute exacerbation of chronic obstructive pulmonary disease in
the United States emergency department (2010–2018). COPD: Journal of Chronic Obstructive Pulmonary Disease. 2021;18(5):567-575. doi.org/10.1080/15412555.2021.1979500. doi: 10.1080/15412555.2021.1979500. - Carron M. et al. Complications of non-invasive ventilation techniques: a comprehensive qualitative review of randomized trials. British Journal of Anaesthesia. 110(6):896-914. (2013) www.ncbi.nlm.nih.gov/pubmed/23562934
About Vapotherm
Vapotherm, Inc. (OTCQX: VAPO) is a publicly traded developer and manufacturer of advanced respiratory technology based in
Vapotherm high velocity therapy is mask-free non-invasive respiratory support and is a front-line tool for relieving respiratory distress—including hypercapnia, hypoxemia, and dyspnea. It allows for the fast, safe treatment of undifferentiated respiratory distress with one tool. The HVT 2.0 and Precision Flow systems' mask-free interface delivers optimally conditioned breathing gases, making it comfortable for patients and reducing the risks and care complexities associated with mask therapies. While being treated, patients can talk, eat, drink and take oral medication.
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