ADAPT (After DischArge Pulmonary Telehealth): home telemonitoring follow-up for chronic obstructive pulmonary disease (COPD) patients post hospital discharge

Not Applicable

Completed

• Conditions: Chronic Obstructive Pulmonary Disease; Respiratory; Chronic obstructive pulmonary disease, unspecified

• Registration Number: ISRCTN34235668
• Lead Sponsor: Hywel Dda University Health Board (UK)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2013-11-07
• Study Completion: 2016-12-01
• Last Update Posted: 11 February 2019

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 600

Inclusion Criteria

Current inclusion criteria as of 13/02/2015:
1. Hospitalisation or parental treatment for exacerbation of COPD according to the Global Strategy for Diagnosis, Management, and Prevention of COPD (Reference: 2013 GOLD guidelines).
2. Clinical diagnosis of COPD with at least a 10 pack year smoking history and Forced Expiratory Volume 1 second (FEV1)/Forced Vital Capacity (FVC) less than 70% (ratio of 0.7) and FEV1 less than 80% predicted, recorded within the last 2 years.
3. Optimised on inhalers and other drugs used for COPD according to usual care.
4. Capability to use the Tm devices provided (by the patient or his/her carer, including cognitively able to participate).
5. Aged more than 18 years

Previous inclusion criteria:
1. Hospitalisation for exacerbation of COPD according to the Global Strategy for Diagnosis, Management, and Prevention of COPD (Reference: 2011 GOLD guidelines).
2. Working diagnosis of COPD with at least a 10 pack-year smoking history.
3. Forced Expiratory Volume (FEV)/Forced Vital Capacity (FVC) less than 80% and FEV1 less than 70%
4. Optimised on inhalers
5. Capability to use the telemonitoring devices provided (by the patient or his/her carer, including cognitively able to participate)
6. Men and women over the age of 18 years

Exclusion Criteria

1. Those unwilling or unable to provide written consent
2. Discharged to a locality not covered by the outreach Tm team/hospital (e.g., different geographical area served by another hospital/health institution
3. Discharged to a locality with no mobile phone signal or telephone landline
4. Those unable or unwilling to use Tm after teaching, but prior to installation
5. Clinician's discretion

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<br> Current primary outcome measures as of 13/02/2015:<br> Number of (re)admissions for COPD exacerbations within 1 month between the intervention and the comparator group (i.e. the historical controls).<br><br> Previous primary outcome measures:<br> Number of (re)admissions for COPD exacerbations within 1 month between the intervention and the comparator groups (i.e. the prospective and historical controls).<br>