Short-course Out-patient Pulmonary Rehabilitation and COPD Exacerbations
- Conditions
- Chronic Obstructive Pulmonary Disease
- Interventions
- Behavioral: Physiotherapy
- Registration Number
- NCT02471235
- Lead Sponsor
- Chinese University of Hong Kong
- Brief Summary
This study assessed whether a short course pulmonary rehabilitation programme with periodic reinforcement exercise training and phone call reminders would help to increase physical activity in COPD patients and also decrease readmissions for AECOPD.
- Detailed Description
Objectives: Chronic obstructive pulmonary disease (COPD) is a disease with significant morbidity and incurs heavy utilization of healthcare resources. The direct cost of hospital admissions related to COPD is the single largest source of expenditure in the public hospital system. This study assessed whether a short course pulmonary rehabilitation programme with periodic reinforcement exercise training and phone call reminders would help to increase physical activity in COPD patients and also decrease readmissions for AECOPD.
Hypothesis: The above programme can reduce readmissions for AECOPD
Design: Randomised control trial. Patients will be randomised to the intervention or usual care group
Subjects: Patients discharged from hospital after an episode of acute exacerbation of COPD
Study instruments: Activity monitor, quality of life questionnaire
Interventions: The Intervention group will receive a short course pulmonary rehabilitation training as out-patient in the physiotherapy department for 4-8 sessions, 2 hours each time, 1-2 times weekly. The training is scheduled in the way that each subject would have at least 4-8 weeks supervised training by trained physiotherapist. Home exercise will be taught and the case manager will give phone calls to the subject every 2 weeks to provide support and reinforcement for having continuous exercise at home for one year. Patients will be invited to attend reinforcement out-patient physiotherapy training once very month or every 2 months if they are willing to attend.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 136
- Patients with COPD exacerbations
- History of asthma, lung resection or other significant pulmonary disease like pulmonary fibrosis.
- Active infection like pulmonary tuberculosis
- Unable to complete assessment due to physical and/or cognitive impairment
- Completed a pulmonary rehabilitation program in the previous 24 months.
- Having short life expectancy like subjects with terminal malignancy or intractable heart failure
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention group Physiotherapy The physiotherapist will provide every patient an individualized physical training programme that fits their cardiopulmonary status. Patients will have the training as out-patient in the physiotherapy department for 4-8 sessions, 2 hours each time, 1-2 times weekly. Home exercise will be taught. Our case manager will give phone calls to the subject every 2 weeks to provide support and reinforcement for having continuous exercise at home for one year. Patients will be invited to attend reinforcement out-patient physiotherapy training once very month or every 2 months if they are willing to attend.
- Primary Outcome Measures
Name Time Method hospital readmissions 12 months The primary endpoint is the hospital readmissions
- Secondary Outcome Measures
Name Time Method Quality of life questionnaire 12 months Activity measure by the activity monitor 12 months mortality 12 months lung function 12 months Body mass index 12 months exercise capacities 12 month by 6 minute walk test
Trial Locations
- Locations (1)
Prince of Wales Hospital
ðŸ‡ðŸ‡°Shatin, Hong Kong