Effect of Short Course Out-patient Pulmonary Rehabilitation on the Activity and Frequency of Exacerbations of Patients With Chronic Obstructive Pulmonary Disease.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 136
- 试验地点
- 2
- 主要终点
- hospital readmissions
研究概览
简要总结
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.
详细描述
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with COPD exacerbations
排除标准
- •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
研究组 & 干预措施
Intervention group
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.
干预措施: Physiotherapy (Behavioral)
Control group
The control group will receive no physiotherapy training by physiotherapist and no phone calls from case manager for reinforcement of home exercise. .
结局指标
主要结局
hospital readmissions
时间窗: 12 months
The primary endpoint is the hospital readmissions
次要结局
- Activity measure by the activity monitor(12 months)
- mortality(12 months)
- lung function(12 months)
- Body mass index(12 months)
- exercise capacities(12 month)
- Quality of life questionnaire(12 months)
研究者
Fanny W.S. Ko
Honorary Associate Professor
Chinese University of Hong Kong