Prevalence, Associated Factors Points and Implementation of Care Procedures of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation in Healthcare Institution. Prospective Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Percentage of antibiotics prescriptions following the guidelines in COPD exacerbation.
研究概览
简要总结
Chronic Obstructive Pulmonary Disease (COPD) is a public health problem responsible for high mortality rate and significant costs for society. The disease evolution is punctuated by exacerbations worsening the health state of patients.
Many guidelines of care procedures have been written but many disparities persist in medical practices.
This pilot prospective observational study is an overview of current local practices in the university health center of Grenoble Alpes and it is the first step towards developing a regional observatory in order to standardize and improve patient cares. The primary outcome is to compare the international guidelines to the local practices regarding the prescription of key treatments of exacerbation, especially antibiotics.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient older than 18 years (included)
- •Known or suspected Chronic Obstructive Pulmonary Disease
- •Admitted for COPD exacerbation in emergency department or pneumology department or intensive care unit of university health center of Grenoble Alpes during the period of data collection.
排除标准
- •opposition to participate at the study
- •Patients under the law
结局指标
主要结局
Percentage of antibiotics prescriptions following the guidelines in COPD exacerbation.
时间窗: up to 30 days
Adherence to guidelines regarding antibiotics prescription in COPD exacerbation that is justified by : * sputum purulence * severe symptoms * severe comorbidities * pneumonia
次要结局
- Percentage of corticosteroids prescriptions following the guidelines in COPD exacerbation.(up to 30 days)
- Percentage of hospitalization of patients following the guidelines in COPD exacerbation.(up to 30 days)
- Percentage of non invasive ventilation following the guidelines in COPD exacerbation.(up to 30 days)
- Percentage of invasive ventilation following the guidelines in COPD(up to 30 days)
- Percentage of minimal medical examinations following the guidelines in COPD exacerbation.(up to 30 days)
- Percentage of follow-up management after COPD exacerbation following the guidelines(up to 30 days)
- Frequency of advance directives.(at day 0)