Health Condition 1: J441- Chronic obstructive pulmonary disease with (acute) exacerbation
Conditions
Interventions
Intervention1: Care-based bundle approach: It is a concise set of evidence based clinical actions, which when
performed improves patients outcomes. Content for management of AECOPD at
admission and at
2. Assessing oxygenation and prescribing a target
range within 1 h of admission
3. Recognising and responding to respiratory
acidosis
4. Initiating correct treatmentâ??this required administration of steroids, antibiotics (if appropriate)
and nebulised therapy within 4 h of admission
5. Review by a member of the respiratory specialist
team within 24 h of admission
The discharge bundle comprise of following
1. Inhaler technique had been checked and medications reviewed.
2. Written
Sponsors
Dr Vishak Acharya K
Eligibility
Inclusion criteria
Inclusion criteria: COPD confirmed cases with acute exacerbation as confirmed by Anthonisen criteria
Exclusion criteria
Exclusion criteria: Those COPD patients with significant respiratory co-morbidities like bronchiectasis, lung malignancy, lung abscess, empyema, pleural effusions, active tuberculosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of stay in hospital for current episode of AECOPDTimepoint: At baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| Compliance with pulmonary rehabilitationTimepoint: end of one year;Mortality rateTimepoint: end of 1 year;number of exacerbation requiring antibiotic usageTimepoint: 3,6, and 12 months;readmission rateTimepoint: 3, 6, and 12 months;Smoking cessationTimepoint: end of one year | — |
Countries
India
Contacts
Public ContactDr Vishak Acharya K
Kasturba Medical College, Mangalore, Manipal Academy of Higher Education,Manipal, Karnataka, India
Outcome results
None listed