COPD Exacerbation Clinical Trial
Official title:
Objective Measure of COPD Exacerbation Using the Hull Automated Cough Recorder. Verifying Use of Automated Recording Systems in Measuring Symptoms Associated With a COPD Exacerbation
Acute exacerbations of COPD remain a common cause of morbidity and are associated with a sustained increase in the normal respiratory symptoms of dyspnoea, cough, and sputum volume and purulence. It has previously been shown that a change in cough symptoms occurs in 51.7% of exacerbations in COPD. We wish to record cough during a COPD exacerbation to determine whether this can be a objective marker of exacerbation duration and severity.
Acute exacerbations of COPD remain a common cause of morbidity and are associated with a
sustained increase in the respiratory symptoms of dyspnoea, cough, sputum volume and sputum
purulence. Cough is one of the most commonly reported and key symptoms in COPD patients.
Cough can also be a useful factor in finding patients at risk of progressive airflow
obstruction and cough along with the breathlessness is the major cause of distress in
patients with chronic obstructive airways disease (COPD). There is limited literature looking
into cough and COPD especially objective assessments.
in clinical practice and in most clinical trials scoring systems ie quality of life
questionnaires or visual analogue scores, have been used to measure COPD exacerbation
severity, although these may give an indication of the perceived severity of the symptom,
they are inherently subjective and may be influenced by other factors. Shortfalls have
prompted the development of cough recorders as an objective measure of this symptom. With
this in mind we propose recruit 30 subjects with non-infective exacerbations of COPD and
monitor their cough frequency as an inpatient in acute exacerbation and for 45 days post
hospital discharge in order to elucidate the natural history of cough during and after an
exacerbation.
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