The main objective of the study is to assess the "FreeDom" innovative strategy (FreeO2 at Domicile) to reduce hospitalization duration in patients with COPD exacerbation. This strategy associates early hospital discharge, automated O2 flow weaning with FreeO2 system, telemedicine and tele-rehabilitation. The main hypothesis of this study is that the FreeDom strategy will reduce the number of hospitalization day by 50 percent at day 30.
The main objective of the study is to assess the "FreeDom" innovative strategy (FreeO2 at Domicile) to reduce hospitalization duration in patients with COPD exacerbation. This strategy will enable an early return home, patients using an innovative device that automatically adjusts and wean the oxygen flow (FreeO2 system) coupled to telemedicine and tele-rehabilitation. The main hypothesis of this study is that a strategy for an early return home with a home hospitalization managed by telemedicine will reduce the length of hospitalization by 50 percent from 30 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
The hospitalization will take place in the usual setting and the hospital discharge will be decided by pulmonologists according to the usual criteria
Early return home, patients using an innovative device that automatically adjusts and wean the oxygen flow (FreeO2 system) coupled to telemedicine and tele-rehabilitation
Institut Universitaire de Cardiologie et de Pneumologie de Québec
Québec, Canada
RECRUITINGThe number of hospital days during COPD exacerbation at day 30.
The objective of the study is to reduced the hospitalisation days by 50 % at day 30 during COPD exacerbation
Time frame: 30 days
Rate of Emergency consultation and hospital readmission
Rate of Emergency consultation and hospital readmission
Time frame: 1 and 3 months
Health Related Quality of Life
Survey of health related quality of life
Time frame: 1 and 3 months
Cost of care at 3 months
Economic evaluation about these 2 different strategy of COPD exacerbation management using micro-costing approach and including the cost of the FreeO2 technology
Time frame: 3 months
Oxygenation data (% of time in the SpO2 target, % of time with hypoxemia, % of time with hyperoxia)
The continuous measurement of SpO2 and O2 flow rate with the FreeO2 device (only in the FreeDom strategy) will allow the calculation of the % of time within the SpO2 target (recorded in the FreeO2) ± 2%, with hypoxemia (% of time with SpO2 \< 85%) and with hyperoxia (% of time above SpO2 target +5%)
Time frame: From inclusion to hospital discharge and from hospital discharge to the end of oxygen therapy (around one week after discharge)
Number of consultations
Number of consultation : phone call, video consultation, rehabilitation, home visit
Time frame: 3 months
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