COPD - chronic brochitis and pulmonary emphysema
Conditions
Interventions
The intervention group will be transferred home on day 4 of the admission. The
control group remains hospitalized and receives the regulare care.
The intervention group receives care of a respiratory
Sponsors
Zorgonderzoek Nederland (ZON)
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: *>18 years an competent *moderate/severe exacerbation of COPD * written informed consent
Exclusion criteria
Exclusion criteria: * live-threated an clinically unstable condition * major uncontrolled co-morbidity * mental disability * active alcoholism and drug abuse * inability to understand the program * living outside the region of care of home care organisation * admission to the intensive care unit * indication for NIPPV * insufficient direct caregiver
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome is the score on the CCQ measured on day 7. This score represents the change in health status. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are: * number of treatment failures during the first week (patients that went on assissted discharge but their condition deteriorated requiring re-admission * health care utilization * costs * CCQ score at 3 months * 3-months re-admission rate * 3-months mortality rate * EQ-5D measured on day 7 and at 3 months * patient and caregiver satisfaction measured with a dutch translation of the COPD Project East Yorkshire Hospitals NHS Trust-Medical Chest Unit questionnaire. | — |
Countries
Netherlands
Outcome results
None listed