Impact of Early Respiratory Rehabilitation in the Exacerbations of Re-admitted COPD Patients

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Status: Completed

Conditions: Pulmonary Disease, Chronic Obstructive

Treatments: Procedure: Conventional Respiratory Rehabilitation Program; Procedure: Early Respiratory Rehabilitation Program

Study type: Interventional

Funder types: Other; NETWORK

Identifiers

NCT02190461

IIBSP-EXA-2013-04

Details and patient eligibility

About

Open clinical trial with 1 year follow up comparing the impact of an Early Respiratory Rehabilitation program with the conventional Respiratory Rehabilitation in COPD re-admitted patients. Outcomes will be exacerbations, symptoms, functional capacity and quality of life related to health (HRQOL).

Full description

Open clinical trial with 1 year follow up comparing the impact of an Early Respiratory Rehabilitation (ERR) program with the conventional Respiratory Rehabilitation (CRR) in COPD re-admitted patients. Outcomes will be exacerbations, symptoms, functional capacity and quality of life related to health (HRQOL). Sixty patients will be randomized into the two groups: ERR starts the program during admission and continues at home immediately after discharge for a period of 3 months; CRR was started at home one month after discharge from hospital and continues for 3 months. Recruitment of patients and starting the RR program will occur in the first year. In the second year we will continue the intervention to those who have not completed the year. Follow-up will last until the completion of the year of all patients.

Enrollment: 39 patients

Sex: All

Ages: 41 to 110 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age> 40 years
• Diagnostic criteria of COPD GOLD II-IV confirmed by spirometry
• Having frequent re-admissions (≥ 2 times / year).
• Sign the informed consent.

Exclusion criteria

• Have completed a pulmonary rehabilitation program (including training) in the last 6 months.
• Respiratory and / or cardiac serious associated diseases.
• End-stage COPD (inability to perform exercises or treatment with morphine).
• Prognosis of <6 months.
• Living in a residence or not having a primary caregiver.
• Cognitive disorders that prevent active participation.
• Patients who are admired to other hospitalization rooms than Pneumology.
• Patients who do not belong to the area of health coverage of the Respiratory Rehabilitation home team

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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39 participants in 2 patient groups

Early Respiratory Rehabilitation

Experimental group

Description:

Starting the Early Respiratory Rehabilitation programme during the admission and continues it at home immediately after discharge for a period of 3 months.

Treatment:

Procedure: Early Respiratory Rehabilitation Program

Conventional Respiratory Rehabilitation

Active Comparator group

Description:

Started a conventional Respiratory Rehabilitation programme at home one month after discharge from hospital and continues for 3 months.

Treatment:

Procedure: Conventional Respiratory Rehabilitation Program