Disease Management in Asthma or Chronic Obstructive Pulmonary Disease (COPD) Patients

Sheba Medical Center492 enrolled

Overview

The purpose of this study is to determine whether disease management program is effective in preventing acute exacerbations in patients with unstable chronic obstructive pulmonary disease (COPD) or asthma.

The aim of the present study is to test the efficacy of a comprehensive community disease management program in patients with unstable chronic obstructive pulmonary disease (COPD) or asthma. The intervention is delivered by designated nurses and pulmonologists, in collaboration with the primary practitioners and other healthcare professionals at the community, in the Jerusalem and the Lowland District of Maccabi Health Services in Israel. The main purpose is to evaluate the effect of the intervention on the use acute care and emergency health services for acute exacerbation of the lung disease. Secondary objectives include the evaluation of the effect of the intervention on quality of life, physical function, pulmonary function test, depression and all-cause mortality.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

492

Conditions

Chronic Obstructive Pulmonary Disease (COPD)Asthma

Interventions

Pulmonary disease managementOTHER

Comprehensive pulmonary care including patient education of self-care, coordination of care, monitoring of patient adherence, providing advice in acute exacerbations

Usual careOTHER

Pulmonary disease is managed by the primary practitioner and a consultant pulmonologist

Eligibility

Sex: ALLMin age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Men and women 2. 40 years or older 3. Having unstable COPD or Asthma Exclusion Criteria: 1. Significant LV dysfunction 2. Other severe chronic morbidity compromising short-term survival 3. Significant cognitive impairment or psychiatric disease 4. Bedridden 5. Homeless or no telephone connection

Locations (2)

Maccabi Pulmonary Clinic

Bat Yam, Israel

Maccabi Pulmonary Clinic

Holon, Israel

Outcomes

Primary Outcomes

Healthcare services utilization for acute exacerbations of pulmonary disease

The proportion of patients who, due to exacerbation of their COPD or asthma, have at least one out of hours visit to a "off-hour non-hospital based acute-care facilities", or a visit to a hospital emergency room, or a hospitalization within the two years of follow-up.