Acute exacerbations of chronic obstructive pulmonary disease (COPD) Respiratory Other chronic obstructive pulmonary disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Both males and females, age over 40 years 2. Current or former smoker with a smoking history greater than 10 pack years 3. Diagnosis of chronic obstructive pulmonary disease, supported by spirometry 4. Infective exacerbation or pneumonia
Exclusion criteria
Exclusion criteria: 1. Malignancy or other serious life-threatening co-morbidity 2. Severe cognitive impairment/dementia 3. Domiciliary ventilatory support prior to admission
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. In-hospital and 6 month survival 2. Univariate and independent predictors of in-hospital and 6 month survival | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Duration quality of life maintained above baseline 2. Mean improvement in quality of life, assessed in 150 patients not requiring NIV and 150 patients requiring NIV at discharge, 6 weeks, 3 months and then 3 monthly intervals for 1 year. This will be assessed by the following: St. Georges Respiratory Questionnaire, 36-item Short Form health survey (SF-36), Hospital Anxiety and Depression Score, Nottingham Extended Activities of Daily Living Scale 3. Discharge destination 4. Frequency of exacerbations 5. Frequency of hospital admissions and length of stay 6. Provision of palliative care services | — |
Countries
United Kingdom