Effectiveness of Nurse Lead Telehealth Consultations in Patients With Chronic Obstructive Pulmonary Disease (COPD)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 266
- 试验地点
- 1
- 主要终点
- The number of readmissions
研究概览
简要总结
The purpose of this study is to determine whether telehealth nursing consultations of chronic obstructive pulmonary disease (COPD) patients are superior to hospital readmissions.
详细描述
COPD is among the most common reasons for illness and fatality in adults worldwide, and it is expected that this trend will escalate radically by 2020 (1). Approximately 29% of patients admitted to Hospital with exacerbation will be readmitted within the first month (2), and after one year 46% of patients will have been readmitted on one or more occasions due to exacerbation (3).
Therefore, trials have been carried out using different forms of digitally supported distance health interventions (telehealth nurse consultations) (4) of patients with COPD with a view to reducing the number of readmissions in a reliable way, measured in relation to mortality. Thus in these trials there are a certain indication that use of telehealth nurse consultations of patients with COPD is a treatment initiative that reliably can reduce the number of COPD patients readmitted with exacerbation.
The number of randomized telehealth studies are however few (4;5), and there is a lack of documentation of the effect of telehealth monitoring.
Therefore, a large randomized telehealth study with a clear set up was necessary.
This study is a randomized multicenter trial that will take place at the acute admissions department and lung department at Odense University Hospital,Denmark
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Chronic obstructive pulmonary disease (COPD) verified by spirometry.
- •Exacerbation in COPD, defined as increased need for medicine, and increased dyspnea or increased expectorate or increased coughing.
- •> or 40 years old
- •Living on Funen and islands
- •Signed informed consent.
排除标准
- •Not able to communicate via telephone and/or computer screen
- •Previously received "The COPD suitcase", or participated in this protocol
- •Systolic BT is <100 mm Hg
- •Saturation < 90
- •Thorax x-ray shows signs of malignant changes or lobar pneumonia
- •Diagnosed with cancer or recurrence of cancer within the last five years
- •Admitted with septic shock, acute myocardial infarction or other serious medical condition (for example renal disease)
- •Diagnosed with heart failure (EF < 30%)
- •Refused to participate
研究组 & 干预措施
Telehealth consultation
Telehealth nurse consultation plus treatment as usual
干预措施: Telehealth consultation (Behavioral)
Conventional
Treatment as usual
结局指标
主要结局
The number of readmissions
时间窗: at 26 weeks after discharge
次要结局
- The number of hospital readmissions with exacerbation(at 26 weeks after discharge)
- The duration to the first readmission(at 26 weeks after discharge)
- The number of days readmitted(days 26 weeks after discharge)
- The mortality rate(at 26 weeks weeks after discharge)
- The number of days readmitted with exacerbation(days 26 weeks after discharge)
研究者
Birte Oestergaard
Associate professor
University of Southern Denmark