Chronic Obstructive Pulmonary Disease Clinical Trial
Official title:
Effect of Short Course Out-patient Pulmonary Rehabilitation on the Activity and Frequency of Exacerbations of Patients With Chronic Obstructive Pulmonary Disease.
This study assessed whether a short course pulmonary rehabilitation programme with periodic reinforcement exercise training and phone call reminders would help to increase physical activity in COPD patients and also decrease readmissions for AECOPD.
Objectives: Chronic obstructive pulmonary disease (COPD) is a disease with significant
morbidity and incurs heavy utilization of healthcare resources. The direct cost of hospital
admissions related to COPD is the single largest source of expenditure in the public hospital
system. This study assessed whether a short course pulmonary rehabilitation programme with
periodic reinforcement exercise training and phone call reminders would help to increase
physical activity in COPD patients and also decrease readmissions for AECOPD.
Hypothesis: The above programme can reduce readmissions for AECOPD
Design: Randomised control trial. Patients will be randomised to the intervention or usual
care group
Subjects: Patients discharged from hospital after an episode of acute exacerbation of COPD
Study instruments: Activity monitor, quality of life questionnaire
Interventions: The Intervention group will receive a short course pulmonary rehabilitation
training as out-patient in the physiotherapy department for 4-8 sessions, 2 hours each time,
1-2 times weekly. The training is scheduled in the way that each subject would have at least
4-8 weeks supervised training by trained physiotherapist. Home exercise will be taught and
the case manager will give phone calls to the subject every 2 weeks to provide support and
reinforcement for having continuous exercise at home for one year. Patients will be invited
to attend reinforcement out-patient physiotherapy training once very month or every 2 months
if they are willing to attend.
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