Chronic Obstructive Pulmonary Disease (COPD), exacerbation treatment, early assisted discharge, cost-effectiveness. patient preference.
Conditions
Interventions
Intervention group will be early assisted discharged home on the fourth day of hospitalisation. They will receive the same medical treatment as the control group, but in their own environment.
The i
Sponsors
University Maastricht (UM), CAPHRI institute
iMTA, Erasmus MC Rotterdam
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 40 and older; 2. Competent; 3. COPD defined as minimally GOLD I and 10 PY; 4. Moderate to severe exacerbation.
Exclusion criteria
Exclusion criteria: 1. Major uncontrolled co-morbidity; 2. Mental disability; 3. Active alcoholism and/or drug abuse; 4. Inability to understand the program; 5. Living outside the region of care of the home care organisation; 6. Indication for ICU admission or NIPPV; 7. Insufficient direct caregiver.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are: 1. Number of treatment failures; 2. Health care consumption/health care costs; 3. 3-month clinical control (CCQ EQ-5D); 4. 3-month re-admission rate; 5. 3 month mortality rate; 6. Patient and direct caregiver's satisfaction also a DCE will be performed to study which treatment characteristics influence patients' and cargivers' preferences for home or hospital treatment. | — |
Primary
| Measure | Time frame |
|---|---|
| Primary outcome is the CCQ score measured on day 7, representing changes in health condition. | — |
Contacts
Public ContactCecile Utens
Catharina-ziekenhuis Eindhoven postbus 1350
Outcome results
None listed