Chronic Obstructive Pulmonary Disease (COPD) management at home to reduce emergency department presentations: a randomised controlled, feasibility trial

Not Applicable

Recruiting

• Conditions: Chronic obstructive pulmonary disease; Respiratory - Chronic obstructive pulmonary disease; Public Health - Health service research

• Registration Number: ACTRN12617001075370
• Lead Sponsor: Central Adelaide Local Health Network

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-07-25
• Last Update Posted: 1 November 2021

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

*Confirmed diagnosis of COPD (Pulmonary function test (PFT)/spirometry performed within last 12 months as per GOLD 2015; post bronchodilator FEV1/FVC<0.7)
*Two emergency department presentations and/or hospital admissions within the last 12 months related to COPD
*Have SA Ambulance Cover
*Phone Access
*English literacy (speaking and reading)

Exclusion Criteria

*Unable to provide informed consent (cognitive impairment)
*COPD patients whom are active clients of a palliative care service
*Current case-managed patients of the Respiratory Nursing Service at TQEH
*Resident of an Aged Care Facility
*Assessed patients who are at risk of significant undertreated co-morbidities ie high levels of anxiety or depression requiring referral to specialist services

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Feasibility of randomised controlled trial design <br>*success or failure of execution: success determined by >80% of the population using the intervention as intended <br>*degree of execution: evaluated by the number of subjects that are eligible to participate actually agreeing to take part in the study<br>* amount of resources needed to implement: number of phone calls made to the nursing service and ECP service[ 6 months after allocation to intervention or control];Emergency department presentations: casemix/DRG data will be collected for 5 years prior to enrolment and 6 months post enrolment[ 6 months after allocation to intervention or control];Demand: Actual use of the intervention as intended. Independant investigator not associated with intervention delivery will audit RNS and SAAS records to determine intervention consistently delivered by RNS nurses and SAAS. [ 6 months after allocation to intervention or control]