COPD, palliative care, quality of life, prognosis, indicators start palliative care, readmission, mortality COPD, palliatieve zorg, kwaliteit van leven, prognose, indicatoren start palliatieve zorg, heropname, sterfte
Conditions
Interventions
The investigational product is a behavioral intervention. In the intervention hospitals, members of the specialized palliative care teams will receive training in implementation of palliative care for
· Creating a patient-tailored supportive care plan
· Learning to anticipate on illness- and dying scenarios
· Transfer of care to lung specialist and general practitioner (GP)
· Performing the supportive care plan in cooperation with the lung specialist.
During the controlled trial patients in the intervention hospitals who are assigned for palliative care wi
Sponsors
Radboud University Nijmegen Medical Centre
Eligibility
Inclusion criteria
Inclusion criteria: - All patients with an acute exacerbation COPD (AECOPD) admitted to the hospital, and - Aged 18 years or older.
Exclusion criteria
Exclusion criteria: - Not speaking the dutch language, or - Severe cognitive disorders, or - At moment of inclusion in treatment with a specialized palliative care team.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure of the indicator study is: - Length of time from the moment that a patient hospitalized for AECOPD meets two or more criteria of the set of indicators until death for any cause. The primary outcome measure of the intervention study is: - Quality of life of the patient (SGRQ) | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcome measures of the indicatorstudy are: 1. Length of time from the moment that a patient hospitalized for AECOPD meets two or more criteria of the set of indicators until first unexpected admission to hospital. 2. The sensitivity and specificity of the set of indicators, that indicate the start of supportive care for patients hospitalized for COPD, in predicting death for any cause within 1 year. 3. The sensitivity and specificity of the set of indicators, that indicate the start of supportive care for patients with COPD, in predicting the first unexpected admission to hospital within 8 weeks. 4. Length of time from the moment that a patient hospitalized for AECOPD meets two or more criteria of the set of indicators until death as a result of pulmonary insufficiency. 5. Length of time from the moment that a patient hospitalized for AECOPD meets two or more criteria of the set of indicators until first unexpected admission to hospital as a result of pulmonary insufficiency. 6. The sensitivity and specificity of the set of indicators, that indicate the start of supportive care for patients hospitalized for COPD, in predicting death as a result of pulmonary insufficiency within 1 year. 7. The sensitivity and specificity of the set of indicators, that indicate the start of supportive care for patients with COPD, in predicting the first unexpected admission to hospital as a result of pulmonary insufficiency within 8 weeks. 8. What is the contribution of individual indicators (or clusters), in predicting death for any cause within 1 year? 9. What is the contribution of individual indicators (or clusters), in predicting the first unexpected admission to hospital within 8 weeks? 10. What is the contribution of individual indicators (or clusters), in predicting death as a result of pulmonary insufficiency within 1 year? 11. What is the contribution of individual indicators (or clusters), in predicting the first unexpected admission to hospital as | — |
Contacts
Public ContactYvonne Engels
UMC St Radboud Huispost 630 Anaesthesiologie / Palliatieve Zorg Postbus 9101
Outcome results
None listed