Respiratory Syncytial Virus Infection In Exacerbations of Chronic Obstructive Pulmonary Diasease: The RECODE Study
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 716
- 试验地点
- 2
- 主要终点
- To determine the prevalence of RSV infection because of ECOPD during the RSV season (October-April).
研究概览
简要总结
The goal of this observational study is to determine the prevalence of respiratory syncytial virus (RSV) infection and evaluate its association with clinical outcomes in patients with chronic obstructive pulmonary disease (COPD) who experience exacerbations during the RSV season (October-April). The main question it aims to answer is:
- What is the prevalence of RSV infection in patients with COPD during exacerbations in the RSV season?
- Does RSV infection lead to worse clinical outcomes, including hospitalization, longer length of stay, acute cardiovascular events, and/or death in patients with COPD exacerbations?
Researchers will compare patients with RSV infection to those without RSV infection to see if RSV infection results in worse clinical outcomes, such as increased hospitalization, longer stays, cardiovascular events, or death.
Participants will:
- Be adults diagnosed with COPD who present to the emergency department or day hospital due to acute exacerbations of their respiratory symptoms.
- Receive treatment as per standard clinical care for COPD exacerbations, including long-acting bronchodilators and inhaled corticosteroids, and may complete a course of antibiotics and/or oral corticosteroids if prescribed during hospitalization.
- Undergo diagnostic testing for RSV infection as part of the clinical routine to determine the presence or absence of the virus during their exacerbation.
- Have clinical outcomes monitored, including hospitalization rate, length of stay, and any acute cardiovascular events, as well as mortality during the exacerbation period.
- Provide relevant demographic and clinical data, including medical history, COPD severity, comorbidities, and previous exacerbation events.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Female or male
- •≥50 years of age
- •Seeking urgent medical attention because of ECOPD, as defined by the Rome consensus definition: "in a patient with COPD, an exacerbation is an event characterized by dyspnea and/or cough and sputum that worsen over <14 d, which may be accompanied by tachypnoea and/or tachycardia and is often associated with increased local and systemic inflammation caused by airway infection, pollution, or other insult to the airways"
排除标准
- •Previous RSV vaccination (other vaccines will be allowed and recorded)
- •Active cancer (or any other disease) that may alter the immune status of the patient
- •Neurologic disorders that incapacitate the participation of the patient
- •No signing of the informed consent
研究组 & 干预措施
Patients during the RSV season
Patients outside the RSV season
结局指标
主要结局
To determine the prevalence of RSV infection because of ECOPD during the RSV season (October-April).
时间窗: 1 year
To determine the prevalence of RSV infection (defined as the detection of RSV by RT PCR in nasopharyngeal swab, saliva or sputum samples) among COPD patients seeking acute medical attention in the Emergency Room or Day Hospital facilities because of ECOPD during the RSV season (October-April).
次要结局
未报告次要终点