ISRCTN78764132暂停未知
Early Supported discharge with Pulmonary REhabilitation following Severe acute exacerbations of COPD – Safety and Outcomes (ESPRESSO)
试验速览
- 阶段
- 未知
- 状态
- 暂停
- 入组人数
- 80
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 性别
- All
入选标准
- •1. Randomised controlled trial inclusion criteria:
- •1.1 > 40 years of age
- •1.2 Diagnosis of chronic obstructive pulmonary disease (COPD)
- •1.3 Hospitalisation (inpatient on a medical assessment unit or hospital ward) with a primary diagnosis of an acute exacerbation of COPD
- •1.4 Accepted for Hospital at Home care by Hillingdon Integrated Respiratory Service according to local Standard Operating Procedures (no impaired consciousness – Glasgow Coma Scale < 15; no acute confusion state; pH greater than 7.35kPa; no acute changes on radiograph; no concomitant medical problem requiring in-patient stay such as suspected pulmonary embolus or acute coronary syndrome; and adequate social support)
- •1.5 Able to give valid informed consent
- •2. Patient participant interview purposive sampling criteria:
- •2.1 Protocol completion:
- •2.1.1 Completed course of care per protocol
- •2.1.2 Did not complete course of care per protocol
- •2.2 Readmission in three months of hospital discharge:
- •2.2.1 Readmitted
- •2.2.2 Not readmitted
- •2.3 Social history:
- •2.3.1 Lives alone
- •2.3.2 Does not live alone
- •2.4 Improvement in COPD Assessment Test (CAT) in three months from hospital discharge:
- •2.4.1 Change in CAT score of > = -2 points
- •2.4.2 Change in CAT score of < -2 points
- •3. Family member and carer interview purposive sampling criteria:
- •This is the person nominated by the participant as giving them the most help and support due to their COPD and who is not a health care professional who must be:
- •3.1 Aged > 18 years of age
- •3.2 Able to understand and speak English
- •3.3 Able to give valid informed consent
- •4. Staff focus groups purposive sampling criteria:
- •4.1 Provider of usual care
- •4.2 Provider of outpatient-based PR
- •4.3 Provider of study intervention procedures
- •4.4 Provider of study assessments
排除标准
- •Randomised controlled trial exclusion criteria:
- •1. Receiving specialist palliative care with expectation of death within three months as judged by the specialist palliative care service;
- •2. No fixed abode or contact number;
- •3. Evidence of an environment that would make delivery of study intervention and/or usual care unsafe;
- •4. Evidence of acute coronary syndrome, unstable ischaemic heart disease or any condition that would make exercise unsafe.
研究者
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