COPD Clinical Trial
Official title:
Prevalence of Sarcopenia in Chronic Obstructive Patients Hospitalized in Pneumology at the CHU of Clermont-Ferrand
The prevalence of sarcopenia is high in many organ pathologies such as COPD, but remains little studied in acute respiratory failure. Sarcopenia is a health problem representative of frailty, loss of autonomy and decreased muscle strength. The frequency and evolution of sarcopenia is unknown in patients having chronic bronchic obstruction with exacerbation.
- Investigator consecutively included patients with known persistent airflow obstruction,
hospitalized in Pneumology Department at the CHU Gabriel Montpied in Clermont-Ferrand.
- Investigator offered to participate to an observational study involving nutritional
evaluation (recommended by national and international authorities) complementary to
their usual respiratory care, and a 6 months' follow-up consultation: examination and
surveys, mid-arm muscle circumference, body composition, spirometry.
- This enables to assess sarcopenia as a low mid-arm muscle area, by measuring the mid-arm
muscle circumference of the dominant side and the triceps skinfold thickness.
- The primary endpoint is to determine the prevalence of sarcopenia, via the brachial
muscular circumference, of chronic obstructive patients hospitalized in Pneumology
department.
- The data entry (clinical, biological and radiological) is carried out on site, during
the initial consultation and follow-up, directly on the computerized patient file. These
data will then be retrieved and entered in an Excel spreadsheet, anonymously (anonymous
identification number, gender and age).
- Management of censored data (lost to follow-up, cessation or withdrawal of study): each
patient has a "computerized patient record" with phone numbers, checked during the first
consultation and updated if necessary. The patient is called back one month before the
follow-up consultation to confirm the appointment. If it is impossible to come, the
patient will be offered another appointment, within one month of his initial
appointment.
- Lost participants will not be excluded from statistical analyses.
- The expected number of subjects is 50.
- Oral and written consent is asked at the beginning of the consultation proposing
participation in the study and follow-up at 6 months.
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