Prevention of exacerbations of chronic obstructive pulmonary disease (COPD) leading to hospitalisation Respiratory
Conditions
Interventions
Patients suitable for telehealth care are randomised to either telehealth care (as a supplement to standard health care) or not (control) and followed for at least 1 year (maximum 2 years). Depending
Sponsors
County Council of Östergötland
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. A patient offered telehealthcare service for COPD 2. Written consent to participate in the study 3. A diagnosis of COPD 4. Global Initiative for Chronic Obstructive Lung Disease (GOLD) groups B, C or D, which in turn are decided by the COPD Assessment Test (CAT) score and exacerbation history at baseline according to the GOLD guidelines
Exclusion criteria
Exclusion criteria: 1. Unable to communicate because of hearing loss or difficulties understanding Swedish 2. Dementia or other cognitive disabilities and/or psychiatric disease of significance as judged by the study physician 3. Ongoing abuse of drugs (not tobacco) or alcohol 4. Other significant disease that dominates the clinical picture more than COPD as judged by the study physicians
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Annual healthcare contacts and associated costs, assessed using data from journals and data from health care registers at 24 months (in some cases also at 48 months) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Annual exacerbation frequency assessed using data from journals at 24 months (in some cases at 48 months) 2. Annual survival assessed using data from journals and data from registers at 24 months (in some cases at 48 months) 3. Burden of COPD symptoms and quality of life assessed using the COPD Assessment Test (CAT) monthly during the study period (1-2 years) | — |
Countries
Sweden
Outcome results
None listed