Early Assisted Discharge for COPD Exacerbations With Telemonitoring.

Dr. López Viña

Status: Completed

Conditions: COPD Exacerbation

Treatments: Procedure: Telemonitoring and telephone control

Study type: Interventional

Funder types: Other

Identifiers

NCT01951261

TELEMEDCOPD

Details and patient eligibility

About

To determine if an early assisted discharge program for acute exacerbations of COPD (AECOPD), with telemonitoring and telephone control, is equally effective and more efficient in terms of use of health care resources, that a home care provided by hospital respiratory nurses and pulmonologists.

Full description

This study seeks to improve the health of patients with AECOPD by home care after discharge from the Hospital using the technology of the information and the communication. The investigators want evaluate the efficiency, satisfaction (patients, keepers) and effectiveness of a program of early discharge with home care in patients with AECOPD with telemonitoring and telephone control, in relation to the traditional protocol of home care based on nurse and pulmonologist visits.

Enrollment: 116 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients admitted to the hospital with COPD exacerbation
• No concomitant serious unstable diseases
• Without fever in 48 hours
• Aerosol treatment at the most every 6 hours
• Treatment with glucocorticoid intravenous < 40 mg twice a day
• A thoracic radiograph without new disease
• Subjective improvement of the patient
• Familiar suitable environment

Exclusion criteria

• Neoplasias and other chronic diseases in terminal situation
• Alcoholism
• Intravenous medication
• Disability to understand and take part in the program
• Admitted to intensive care unit (ICU) or non invasive mechanical ventilation during the exacerbation
• Unstability hemodynamic
• To be an institutionalized patient.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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116 participants in 2 patient groups

telemonitoring and telephone control

Active Comparator group

Description:

Early discharge from hospital with telemonitoring, telephone control and three nurse scheduled visits.

Treatment:

Procedure: Telemonitoring and telephone control

home care

No Intervention group

Description:

Early discharge from hospital with home care provided by hospital respiratory nurses and pulmonologists (daily visits).