Overview

This trial is active, not recruiting.

Condition chronic obstructive pulmonary disease
Sponsor The Queen Elizabeth Hospital
Start date June 2014
End date June 2015
Trial size 150 participants
Trial identifier NCT02433223, QElizabethH COPD

Summary

The purpose of this project is to evaluate hospital utilisation, patient and service outcomes of a Respiratory Nursing Service to examine current clinical care of COPD. This evaluation aims to identify the important gaps in current clinical care of respiratory chronic disease nursing management. The primary outcomes of this evaluation is to determine the efficacy of clinical care in 2006, 2011 and 2013 and compare data to current Nursing Best practice guidelines for COPD through the quantification of hospital utilisation for hospital admission, average length of stay, readmission within 28 days, emergency service attendance, outpatient review, use of Hospital and Home (H@H), frequency of exacerbations, disease severity and progression (FEV1: GOLD Classification), number of contacts with the respiratory nursing service and type of contacts with the respiratory nursing service.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Observational model case control
Time perspective retrospective
Arm
Comparison of Respiratory Chronic Disease Management provided against recommendations in 2005 Respiratory Nursing Guidelines through documentation
Comparison of Respiratory Chronic Disease Management provided against recommendations in 2005 Respiratory Nursing Guidelines through documentation. With comparison of data against 2006 results.
Comparison of Respiratory Chronic Disease Management provided against recommendations in 2005 Respiratory Nursing Guidelines through documentation. With comparison of data against 2006 & 2011 results.

Primary Outcomes

Measure
Efficacy of care provided by the Respiratory Nursing Service
time frame: 12 months

Secondary Outcomes

Measure
Impact of respiratory nursing outreach on hospital, patient and service outcomes
time frame: 12 months
Comorbidity in respiratory nursing
time frame: 12 months

Eligibility Criteria

Male or female participants at least 40 years old.

Inclusion Criteria - any new client or new referral to the Respiratory Nursing Service in the years 2006, 2011 or 2013 only - have a diagnosis of Chronic Obstructive Pulmonary Disease Exclusion Criteria - not a pre- existing client of the Respiratory Nursing Service - not having a diagnosis of Chronic Obstructive Pulmonary Disease

Additional Information

Official title Retrospective Evaluation of COPD Patient Care
Description Study design: This study is a retrospective observational crosssectional study conducted through review of medical records, internal respiratory databases and electronic hospital patient record (OACIS & HOMER) over 3x12 blocks. Participants: COPD patients from The Queen Elizabeth Hospital(TQEH) Respiratory Nursing Service who were new patients in 2006, 2011 & 2013 (Jan 1st to Dec 31st ). Data collection: Demographics, clinical data, hospital service utilisation, and clinical outcomes such as exacerbation frequency and disease progression. All data will be extracted into a standardised data extraction form, which a random subset will be checked by a second researcher. Demographic data will include comparison of % without comorbidities, impact of comorbid conditions using Charleston Comorbidity index isolating diabetes, heart failure, anxiety and depression. Demographic and descriptive data will be given in means + SD and compared using a two-tailed Student t-test. Categorical variables will be compared using chisquared or Fisher exact tests, and when appropriate the MannWhitney Utest for nonparametric data. Statistical significance will be determined using an alpha of p <0.05. All analyses will be examined using SPSS software (version x).
Trial information was received from ClinicalTrials.gov and was last updated in May 2015.
Information provided to ClinicalTrials.gov by The Queen Elizabeth Hospital.