Early Telemedicine Training in Patients With COPD

Odense University Hospital

Status

Completed

Conditions

Chronic Obstructive Pulmonary Disease (COPD)

Treatments

Other: Telemedicine training and counselling

Study type

Interventional

Funder types

Other

Identifiers

NCT02085187

S-20110036

Details and patient eligibility

About

Chronic obstructive pulmonary disease (COPD) is a widespread disease that can have a major impact on the lives of individuals. An essential element in the treatment of COPD is rehabilitation of which supervised training is an important part. However, not all individuals with severe COPD can participate in the rehabilitation provided by hospitals and municipal training centres due to distance to the training venues and transportation difficulties. The aim of the feasibility study was to evaluate an individualised home based training and counselling programme via video conference to patients with severe COPD after hospitalization with regard to safety, clinical outcomes, patients' perception, organisational aspects and economic aspects.

Enrollment

50 patients

Sex

All

Ages

40+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

severe and very severe COPD (i.e. with an FEV1 (forced expiratory volume in 1 second) value under 50% of the predicted value, an FEV1/FVC (forced vital capacity) ratio < 70%, MRC (Medical Research Council Dyspnoea Scale) grade 3)
≥40 years
hospitalization with exacerbation of COPD
declined participation in the hospital based rehabilitation
participation in videoconference sessions with a nurse for one week immediately after discharge.

Exclusion criteria

inability to communicate via telephone and computer
systolic BP <100mm Hg
X-rays of the thorax showing abnormalities suspicious of thoracic malignancy or lobar pneumonia
a diagnosis of cancer or recurrence of cancer within the last 5 years
hospitalization with septic shock, acute myocardial infarction (AMI) or other serious medical conditions (e.g. kidney disorder)
heart failure (EF<30%)
if the patient did not wish to participate.