Treatment of exacerbations of COPD: a co-operation between primary health care and hospital care. A prospective, randomized trial.

Treatment of exacerbations of COPD: a co-operation between primary health care and hospital care. A prospective, randomized trial. Will adequate treatment in primary care, supported by a structured co-operation with the hospital, lead to improvement in patients' health (faster recovery) and the health care process (use of antibiotics and health care services)?

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON28120

Enrollment

128

Registered

2005-07-05

Start date

2004-11-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Control arm: patients with exacerbation COPD receive 'care as usual'. Intervention arm: patients with exacerbations are treated by their GP following the study protocol. This means a short cours

Eligibility

Inclusion criteria

Inclusion criteria: Patient meets the clinical criteria of COPD: 1. Chronic bronchitis: Chronic cough and sputum production on most days during at least 3 months of the year, during at least 2 consecutive years and/or 2. COPD defined as an expiratory flow obstruction determined by spirometry, which disorder does not vary seriously during several months of observation and a. Diagnosis COPD in medical dossier and b. Indications for exacerbation c. Increased dyspnoe, +/- accompanied by increased volume and/or purulence of sputum and/or cough d. Increased dyspnoe developed in a short period (< 4 weeks) and e. Adaptation in medication is necessary.

Exclusion criteria

Exclusion criteria: 1. Inadequate cognitive functioning; 2. Inadequate of mastering the Dutch language; 3. Terminal patient; 4. Other infection at the same time that needs antibiotic treatment; 5. Serious underlying diseases: AIDS, neutropenia 80 years.

Design outcomes

Primary

Measure	Time frame
Improvement in patients' health (faster recovery).	—

Secondary

Measure	Time frame
The health care process (use of antibiotics and health care services).	—

Contacts

Public ContactB.M. Roede

Academic Medical Center (AMC), P.O. Box 22660

I.Roede@amc.uva.nl+31 (0)20 5668983

Outcome results