Early supported discharge with pulmonary rehabilitation following exacerbations of COPD

Not Applicable

Suspended

• Conditions: Chronic obstructive pulmonary disease; Respiratory

• Registration Number: ISRCTN78764132
• Lead Sponsor: Royal Brompton & Harefield NHS Foundation Trust

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2019-10-10
• Last Update Posted: 4 May 2020
• Study Completion: 2021-10-21

Recruitment & Eligibility

• Status: Suspended
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

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

Exclusion Criteria

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.

Study & Design

• Study Type: Interventional
• Study Design: Not specified