Checklist Based Method for Improvement of COPD Care in Elderly in General Practice: Cluster Randomized Controlled Trial Using Electronic Health Records
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2,520
- 试验地点
- 1
- 主要终点
- The proportion of elderly patients hospitalized with the J-44 code as a main reason for admission after interventions vs. control.
研究概览
简要总结
Guidelines development, their implementation and the physicians' adherence may have an impact on the occurrence of Chronic Obstructive Pulmonary Disease (COPD) exacerbations and patient's quality of life. We have developed an educational program based on a checklist to assist general practitioners in managing COPD patients. The results of this trial based on electronic health records from BIG DATA databases, such as the electronic health record (EHR) of patients from the National Health Found, associated with checklist, will be directly applicable to primary care in Poland and add new data to the growing body of evidence on interventions to improve chronic illness care and patient's quality of life.
详细描述
This study is the three-arm cluster controlled randomized trial (CRT) with the patients nested within practices. The effectiveness of Checklist in reduction of COPD exacerbations health outcomes in COPD patients after 2 interventions will be evaluated and compared to that of usual care. The results of this trial will be directly applicable to primary care in Poland and add new data to the growing body of evidence on interventions to improve chronic illness care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients: aged 65 years and older with diagnosis of COPD registered as J-44 (ICD-10).
- •Centres: Primary Health Care Centers (PHCC) with at least 46 COPD patients listed.
排除标准
- 未提供
研究组 & 干预措施
control
Usual care.
Intervention 2
COPD management checklist will be delivered at the beginning of the study and repeated after 6 months.
干预措施: Intervention 2 (Other)
Intervention 1
COPD management checklist will be delivered at the beginning of the study.
干预措施: Intervention 1 (Other)
结局指标
主要结局
The proportion of elderly patients hospitalized with the J-44 code as a main reason for admission after interventions vs. control.
时间窗: 12 months
Variables from BIG DATA databases, such as the electronic health record (EHR) of patients from the National Health Found, associated with checklist will be used to assess hospitalization of elderly patients with the J-44 code as a main reason for admission after 1 year.
次要结局
- The proportion of deaths, or specific short and long acting drugs prescribed in intervention arms vs. control and the effect of the educational intervention.(12 months)