A Study of the Incidence and Treatment of Impaired Lung Function in Patients Constituting the Target Group of Social Nurses
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 513
- 试验地点
- 12
- 主要终点
- Prevalence of patients diagnosed with COPD after screening
研究概览
简要总结
The trial investigates and describes the prevalence of COPD in patients who are in the social nurses' target group and investigates the effect of opportunistic screening for COPD in these vulnerable patients.
The study population is patients who have been referred to a social nurse at hospitals in the Capital Region, Central Denmark Region and Region Zealand of Denmark during the inclusion period, and monitor them for up to 5 years in order to investigate variables that are significant in terms of the patients' treatment, hospitalisations, and mortality in relation to COPD.
Our hypothesis is that there will be a higher incidence of COPD among those patients with whom the social nurses have contact than in the general population.
详细描述
The study consists of two sub-studies: A a descriptive cross-sectional study "The prevalence of COPD in patients who are in the social nurses' target group" followed by study B a cohort study "The effect of opportunistic screening for COPD in patients who are in the social nurses' target group", based on a closed cohort.
People in the lower social classes are at increased risk of developing COPD due to their lifelong accumulation of risk factors, such as smoking, passive smoking and the influence of lifestyle and the environment.
In the group with the socially vulnerable individuals, 70% are smokers compared to 18% in the general Danish population. The socially vulnerable individuals are defined here as people affected by homelessness, drug abuse, harmful alcohol consumption, mental illness and poverty. Despite the socially vulnerable group having an over-consumption of general practice visits, 25% of the patients in the social nurses' target group state that they do not have contact with or use their own doctor.
Our hypothesis is therefore that there will be a higher incidence of COPD among those patients with whom the social nurses have contact than in the general population.
Purpose: To investigate and describe the prevalence of COPD in patients who are in the social nurses' target group and to investigate the effect of opportunistic screening for COPD in these vulnerable citizens.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Screening
- 盲法
- None
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
- •18 years or older
- •Able to speak and understand Danish to such an extent that informed consent can be obtained
排除标准
- •Not having a Danish civil registration number, since foreign patients do not have free access to examinations and medical treatment, and cannot be followed up in the national patient registry
结局指标
主要结局
Prevalence of patients diagnosed with COPD after screening
时间窗: Baseline
Prevalence of obstructive lung function reduction in patients in the social nurses' target group
时间窗: Baseline
Distribution of diagnosed and undiagnoses COPD in patients
时间窗: Baseline
Does opportunistic screening by social nurses impact on the number of hospital visits?
时间窗: Follow-up 5 years from inclusion
The outcome is number of outpatient and acute visits with a-diagnosis related to COPD for 3 groups of patients: The group with undiagnosed COPD at inclusion who were investigated, and the group with undiagnosed COPD at inclusion who did not want investigation compared with the group of patients with already diagnosed COPD at inclusion (control group).
Does opportunistic screening by social nurses affect medication consumption in connection with the treatment of COPD?
时间窗: Follow-up 5 years from inclusion
The outcome is redeemed prescriptions for COPD medication among the 2 groups of patients: The group with undiagnosed COPD at inclusion compared with the group of patients with already diagnosed COPD at inclusion (control group).
Numbers of patients diagnosed with obstructive lung function that are subsequently examined at a pulmonary medicine outpatient clinic/GP
时间窗: Baseline
次要结局
- Prevalence of patients who smoke and wish to stop smoking(Baseline)
- Prevalence of patients with impaired lung function who have a desire to stop smoking(Baseline)
- Prevalence of patients who want to quit smoking and accept the smoking cessation offers.(Baseline)
研究者
Charlotte Suppli Ulrik
Professor, consultant
Hvidovre University Hospital