Pre-Discharge Bundle for Patients With Acute Exacerbations of Chronic Obstructive Pulmonary Disease to Reduce Readmissions
1 other identifier
interventional
172
1 country
1
Brief Summary
Hospital readmissions for acute exacerbations of chronic obstructive pulmonary disease (AECOPD) pose burdens to the healthcare system and patients. The aim of this study was to determine whether a screening and educational tool, administered prior to discharge, would result in a decrease in the rate of hospital readmissions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable chronic-obstructive-pulmonary-disease
Started Feb 2010
Longer than P75 for not_applicable chronic-obstructive-pulmonary-disease
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2013
CompletedFirst Submitted
Initial submission to the registry
May 8, 2014
CompletedFirst Posted
Study publicly available on registry
May 12, 2014
CompletedJanuary 18, 2024
January 1, 2024
3.2 years
May 8, 2014
January 17, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
30 day readmission rate
Time until readmission or ER visit, 30 days
30 days
Study Arms (2)
Control
NO INTERVENTIONGroup of patients undergo standard care as determined by the primary inpatient team
Bundle
EXPERIMENTALGroup of patients that receive the screening and educational tool
Interventions
Tool consists of 1. screening measures to identify the presence of various risk factors for COPD exacerbations and 2. Educational components for the disease of COPD.
Eligibility Criteria
You may qualify if:
- diagnosis of COPD with the presence of an AECOPD
- Age \> 40
- Current or ex-smoker with history of at least 20 pack-years
You may not qualify if:
- Past history of asthma, interstitial lung disease, bronchiectasis, presence of airway hardware (e.g. tracheal stents or tracheotomy), lung cancer, any other cancer with a life expectancy of less than 1 year
- Presence of a language barrier
- Residence in a nursing home
- Intensive care unit stay during the current admission
- Delirium or dementia.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Henry Ford Health System
Detroit, Michigan, 48202, United States
Related Publications (1)
Jennings JH, Thavarajah K, Mendez MP, Eichenhorn M, Kvale P, Yessayan L. Predischarge bundle for patients with acute exacerbations of COPD to reduce readmissions and ED visits: a randomized controlled trial. Chest. 2015 May;147(5):1227-1234. doi: 10.1378/chest.14-1123.
PMID: 25940250DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Staff Physician
Study Record Dates
First Submitted
May 8, 2014
First Posted
May 12, 2014
Study Start
February 1, 2010
Primary Completion
April 1, 2013
Study Completion
April 1, 2013
Last Updated
January 18, 2024
Record last verified: 2024-01