Effect of Home Based Pulmonary Rehabilitation on Exacerbation and Hospital Admission in Severe COPD

Launched by SAGLIK BILIMLERI UNIVERSITESI · Feb 12, 2023

Keywords

ClinConnect Summary

This clinical trial is studying the effects of a home-based pulmonary rehabilitation program for people with severe Chronic Obstructive Pulmonary Disease (COPD). The aim is to see if this program can help reduce the number of times patients experience worsening symptoms, known as exacerbations, and if it can lower the chances of needing to go to the hospital. Participants will be divided into two groups: one will use a home spirometer, a device that helps measure breathing, and the other will not. Both groups will do breathing and exercise activities, and their progress will be checked over a year.

To join the trial, participants should be between 18 and 75 years old, diagnosed with severe COPD (stages C and D), and able to perform daily activities without recent infections or flare-ups. They should also be comfortable using a smartphone and the spirometer after receiving training. Throughout the trial, participants can expect to have their exercise ability, muscle strength, and symptoms assessed at different times. It's important to note that individuals with certain serious health issues or those who have participated in similar rehabilitation programs recently will not be eligible for this study.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Being between the ages of 18-75
• • Having a diagnosis of COPD stages C and D diagnosed according to the GOLD (Global Initiative for Chronic Obstructive Lung Disease) clinical diagnostic criteria
• • Presence of dyspnea on exertion
• • Stable clinical condition at the time of inclusion without infection or exacerbation in the previous 4 weeks
• • Having the ability to use a smart phone and spirometer after training
• Exclusion Criteria:
• • Patients with severe comorbid diseases, unstable coronary artery disease, collagen vascular diseases and needing high flow oxygen therapy (˃ 3-4 L \\min).
• • A history of effort-related syncope or any comorbidity (such as severe orthopedic or neurological deficits or unstable heart disease) that precludes exercise training.
• • Participation in a pulmonary rehabilitation program within the past 12 months.