Status:
COMPLETED
Early Supported Discharge and Enhanced Homecare After Emergency Department Admission for Acute Exacerbation of COPD
Lead Sponsor:
University Hospital, Grenoble
Collaborating Sponsors:
AGIR à Dom
Conditions:
COPD
Eligibility:
All Genders
40+ years
Phase:
NA
Brief Summary
The prevalence of chronic obstructive pulmonary disease (COPD) is between 8 and 15% of the adult population in 2010. This prevalence is expected to increase over the coming decades as the population a...
Detailed Description
Exadom project (supported by Rhône-Alpes-Auvergne Regional Health Authorities (ARS) , Grenoble Alpes University Hospital) aims to establish a safe and effective way of discharging COPD patients from e...
Eligibility Criteria
Inclusion
- Age ≥ 40 years
- Current or former smoker, with at least 10 pack-years
- previous history of COPD with concordant spirometry results
- Admission to the emergency department for an exacerbation defined as an acute event which is characterized by a degradation of respiratory symptoms greater than the usual daily variations and requiring a change in therapeutic management
- Patient with mild exacerbation characterized by a DECAF score at 0 or 1. (DECAF score: Dyspnea, Eosinopenia, Consolidation on chest x-ray, Acidaemia, and atrial Fibrillation. One point for each criterion. Mortality at one month is less than 3% if the DECAF score is 0 or 1).
- Residence within 30km of Grenoble Alps University Hospital
- Patient legally able to give consent
- Person affiliated to a medical insurance
Exclusion
- Dementia or non-communicating patient in French language
- Patient unable to call the emergency department at any time in case of sudden worsening
- Pregnancy or breastfeeding woman
- patient under administrative or judicial supervision
- DECAF Score \> 1. Patient's with DECAF score \> 1 are considered at too high risk of mortality to be managed at home (they are usually hospitalized).
Key Trial Info
Start Date :
May 19 2017
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 19 2023
Estimated Enrollment :
84 Patients enrolled
Trial Details
Trial ID
NCT03474575
Start Date
May 19 2017
End Date
December 19 2023
Last Update
May 14 2024
Active Locations (1)
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1
Emergency Department of University Hospital Grenoble
Grenoble, Auvergne Rhonalpes, France, 38043