Disease Management Program for Chronic Obstructive Pulmonary Diseases in Maccabi Health Services
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 492
- 试验地点
- 2
- 主要终点
- Healthcare services utilization for acute exacerbations of pulmonary disease
研究概览
简要总结
The purpose of this study is to determine whether disease management program is effective in preventing acute exacerbations in patients with unstable chronic obstructive pulmonary disease (COPD) or asthma.
详细描述
The aim of the present study is to test the efficacy of a comprehensive community disease management program in patients with unstable chronic obstructive pulmonary disease (COPD) or asthma. The intervention is delivered by designated nurses and pulmonologists, in collaboration with the primary practitioners and other healthcare professionals at the community, in the Jerusalem and the Lowland District of Maccabi Health Services in Israel.
The main purpose is to evaluate the effect of the intervention on the use acute care and emergency health services for acute exacerbation of the lung disease.
Secondary objectives include the evaluation of the effect of the intervention on quality of life, physical function, pulmonary function test, depression and all-cause mortality.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
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
- •Men and women
- •40 years or older
- •Having unstable COPD or Asthma
排除标准
- •Significant LV dysfunction
- •Other severe chronic morbidity compromising short-term survival
- •Significant cognitive impairment or psychiatric disease
- •Homeless or no telephone connection
结局指标
主要结局
Healthcare services utilization for acute exacerbations of pulmonary disease
时间窗: Every 6 months during 1-3 years' follow-up
The proportion of patients who, due to exacerbation of their COPD or asthma, have at least one out of hours visit to a "off-hour non-hospital based acute-care facilities", or a visit to a hospital emergency room, or a hospitalization within the two years of follow-up.
次要结局
- Quality of life(Every 6 months during 1-3 years' follow-up)
- Pulmonary function tests(Every 6 months during 1-3 years' follow-up)
- Physical function(Every 6 months during 1-3 years' follow-up)
- Depression(Every 6 months during 1-3 years' follow-up)
研究者
Ofra Kalter-Leibovici MD
Dr.
Sheba Medical Center