Supported Rescue Packs Post-discharge in Chronic Obstructive Pulmonary Disease

Launched by GUY'S AND ST THOMAS' NHS FOUNDATION TRUST · Apr 2, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a new way to help patients with chronic obstructive pulmonary disease (COPD) who have recently been discharged from the hospital after a worsening of their condition, known as an exacerbation. The aim is to see if providing patients with a "rescue pack" of medications, along with a self-management plan and regular check-ins via phone or text, can reduce the chances of them needing to return to the hospital within 90 days. Researchers hope that this approach will improve patient outcomes and potentially save money for the healthcare system.

To be eligible for the study, participants must be at least 40 years old and have been hospitalized for a COPD exacerbation. They should also be able to give informed consent and manage their own care with some support. Those who may not qualify include individuals needing special breathing support during their hospital stay, patients with serious health issues affecting their survival, or those living in care facilities. If you join the trial, you can expect to receive the rescue pack and self-management tools, along with regular follow-ups to monitor your symptoms and health. Your participation could help improve care for others with COPD in the future.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age ≥ 40 years
• • Individuals admitted to hospital with COPD exacerbation who have recently been discharged (discharged from ongoing support from secondary care team which includes hospital and virtual wards). Admission is defined as an episode in which a patient with an exacerbation of COPD is admitted to a ward and has stayed in hospital for 4 hours or more, including Emergency Medicine Centres, Medical Admission Units, Clinical Decision Units, short stay wards or similar but excludes patients treated transiently before being discharged from Emergency Department.
• • Ability to provide written informed consent
• Exclusion Criteria:
• • Individuals who require invasive ventilation during the hospital admission
• • Patients who have an expected survival of less than 90 days
• • Patients with signs of new consolidation on chest X-ray (if available).
• • Individuals who have been discharged to a residential or nursing home to residential or nursing home.
• • Individuals who are unable to manage a supported self-management plan.
• • Individuals with no access to telephone.
• • Individuals who are already taking part in an interventional trial.
• • Previous participation in the RAPID trial.