Profile of COPD Patients Refusing Educational Program in Pulmonary Rehabilitation and Impact on the Benefits
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 201
- 试验地点
- 1
- 主要终点
- Weight
研究概览
简要总结
Pulmonary rehabilitation (PR) has proven its efficacy to improve dyspnea, health status, exercise tolerance and quality of life for patients with stable Chronic Obstructive Pulmonary Disease (COPD). Exercise training has previously been thoroughly studied but education has been less studied in PR. Furthermore, only few studies have investigated the added value of an educational program (EP) to exercise training on clinical and physical factors. Characterizing those patients who refuse EP is therefore a first step to better target them and potentially improve their adherence and outcome following PR.
The aim of this study was to determine the characteristics of the COPD patients referred to PR who refused EP compare to those who accepted and to identify the independent predictive factors of refusal. The investigators also sought to compare the change in clinical outcomes and number and length of hospitalization at six months following PR among those patients who accepted or not to participate in EP.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
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
- •Clinical diagnosis of COPD,
- •>18 years old,
- •Stable state of COPD.
排除标准
- •Patients who have not been offered an educational program
- •Patients who have already been offered an educational program during a pulmonary rehabilitation in the same center.
结局指标
主要结局
Weight
时间窗: Baseline
Weight will be analysed in logistic regression.
Total Lung Capacity
时间窗: Baseline
Total Lung Capacity will be analysed in logistic regression.
Diffusing capacity of the lungs for carbon monoxide divided by alveolar volume
时间窗: Baseline
Diffusing capacity of the lungs for carbon monoxide divided by alveolar volume will be analysed in logistic regression.
Prescription of oxygen
时间窗: Baseline
Prescription of oxygen will be analysed in logistic regression.
Anxiety and depression level
时间窗: Baseline
Anxiety and depression level assessed by the Hospital Anxiety and Depression scale will be analysed in logistic regression.
Height
时间窗: Baseline
Height will be analysed in logistic regression.
Multiple logistic regression between the variables defined and the refusal of educational program
时间窗: Baseline
The variables are described below in primary outcomes
Gender
时间窗: Baseline
Gender will be analysed in logistic regression.
Ratio between Forced Expiratory Volume in one second and Forced Vital Capacity
时间窗: Baseline
Ratio between Forced Expiratory Volume in one second and Forced Vital Capacity will be analysed in logistic regression.
Age
时间窗: Baseline
Age will be analysed in logistic regression.
COPD stages
时间窗: Baseline
COPD stages will be analysed in logistic regression.
Ambulance transport
时间窗: Baseline
Number of patients with an ambulance transport will be analysed in logistic regression.
Maximal oxygen consumption
时间窗: Baseline
Maximal oxygen consumption during cardiopulmonary exercise testing will be analysed in logistic regression.
Saint George's Respiratory Questionnaire
时间窗: Baseline
Quality of life assessed by Saint George's Respiratory Questionnaire will be analysed in logistic regression.
Body mass index
时间窗: Baseline
Body mass index will be analysed in logistic regression.
Forced Expiratory Volume in one second
时间窗: Baseline
Forced Expiratory Volume in one second will be analysed in logistic regression.
Forced Vital Capacity
时间窗: Baseline
Forced Vital Capacity will be analysed in logistic regression.
Residual Volume
时间窗: Baseline
Residual Volume will be analysed in logistic regression.
Comorbidities
时间窗: Baseline
Comorbidities will be analysed in logistic regression.
Tabacco status
时间窗: Baseline
Tabacco status will be analysed in logistic regression.
Tabacco consumption
时间窗: Baseline
Tabacco consumption will be analysed in logistic regression.
Prescription of non invasive ventilation
时间窗: Baseline
Prescription of non invasive ventilation will be analysed in logistic regression.
Dyspnea
时间窗: Baseline
Dyspnea assessed by the modified Medical Research Council scale will be analysed in logistic regression.
Employment
时间窗: Baseline
Employment will be analysed in logistic regression.
Arterial oxygen partial pressure
时间窗: Baseline
Arterial oxygen partial pressure will be analysed in logistic regression.
Arterial carbon dioxide partial pressure
时间窗: Baseline
Arterial carbone dioxide partial pressure will be analysed in logistic regression.
Maximal workload
时间窗: Baseline
Maximal workload achieved during cardiopulmonary exercise testing will be analysed in logistic regression.
Location of the training sessions
时间窗: Baseline
Location of the training sessions will be analysed in logistic regression.
Distance between patient's home and center
时间窗: Baseline
Distance between patient's home and center will be analysed in logistic regression.
6-Minute Stepper Test
时间窗: Baseline
Number of steps during the 6-Minute Stepper Test will be analysed in logistic regression.
Cognitive impairment
时间窗: Baseline
Cognitive impairment assessed by the Montreal Cognitive Assessment will be analysed in logistic regression.
6-Minute Walk Test
时间窗: Baseline
Distance during the 6-Minute Walk Test will be analysed in logistic regression.
Educational level
时间窗: Baseline
Educational level assessed by the international classification "Classification Internationale Type de l'Education" will be analysed in logistic regression.
次要结局
- 6-Minute Walk Test(2 months)
- Cognitive impairment(2 months)
- Anxiety and depression level(2 months)
- Number of hospitalizations(6 months)
- Number of hospitalized patients(6 months)
- Attendance rate at educational sessions(2 months)
- Saint George's Respiratory Questionnaire(2 months)
- 6-Minute Stepper Test(2 months)
- Number of days of hospitalization(6 months)