Chronic Obstructive Pulmonary Disease, Chronic Obstructive Pulmonary Disease Exacerbation
Conditions
Brief summary
The purpose the study is to successfully characterize the recovery phase of acute exacerbations of COPD in the outpatient setting using remotely captured physiologic data from wearable devices, to compare this with patient self-reported symptom data, to determine which physiologic variable(s) best correspond with AECOPD recovery, and to further document the feasibility, data quantity, data quality, and COPD outpatient usability experience with wearable devices.
Interventions
Passive data collection using biometric wearable devices.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Males/females, age ≥40, former/current smokers with ≥10 pack-year smoking history 2. Currently experiencing/receiving treatment for a physician-diagnosed AECOPD 3. Forced expired volume in the first second (FEV1) / Forced vital capacity (FVC) \< 0.7 (GOLD 1-4) 4. Ability to provide informed consent
Exclusion criteria
1. No existing COPD diagnosis 2. History of cardiac arrhythmia 3. Presence of pacemaker/defibrillator 4. Any medical/cognitive/functional condition which renders inability to don/doff/recharge devices and complete symptom questionnaire 5. Have already received 4 or more days of consecutive corticosteroid and/or antibiotic therapy since presenting to medical attention for their AECOPD
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Daily symptom score | Daily for 21 days | Validated AECOPD symptom score (EXACT PRO) will serve as the dependent (outcome) variable. |
| Daily/nightly respiration | Daily for 21 days | Respiratory rate (RR) will serve as the primary independent (predictor) variable, and RR variability will serve as a secondary independent (predictor) variable. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Activity | Daily for 21 days | Activity parameters (including calories, METS, step count, etc.) will serve as secondary independent (predictor) variables. |
| Daily/nightly heart rate and HR variability | Daily for 21 days | HR and HRV will serve as secondary independent (predictor) variables. |
| Autonomic function/Stress | Daily for 21 days | Metrics of stress/autonomic function (including electrodermal activity) will serve as secondary independent (predictor) variables. |
| Sleep metrics | Daily (nightly) for 21 days. | Sleep metrics (including rem and non-rem stages of sleep; sleep duration, latency, efficiency, etc.) will serve as secondary independent (predictor) variables. |
| Daily/nightly peripheral body temperature | Daily for 21 days | Temperature will serve as secondary independent (predictor) variables. |
Countries
Canada