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COMPAR-EU RCTs Web

Does early pulmonary rehabilitation reduce acute health-care utilization in COPD patients admitted with an exacerbation? A randomized controlled study

Author: Eaton, T. Country/countries: New Zealand Number of patients participating in the study: 97 This study was focused on patients living with COPD
Intervention analysed in the study: Usual Care Intervention components: UC
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Setting of implementation: N/A Professionals delivering the intervention: N/A Targeted self-management behaviours: N/A
Intervention analysed in the study: Action-based and emotional-based behavioural techniques Intervention components: E+AB+EB
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Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Educator Targeted self-management behaviours: Condition-specific behaviours, Early recognition of symptoms, Eating behaviours, Handling /managing emotions, Medication use and adherence, Physical activity /exercise

Outcomes measured in the study

Outcome Measure Tool
COPD symptoms (short term) Dyspnea or breathlessness Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index (BODE index)
COPD symptoms (short term) Dyspnea or breathlessness Borg Rating of Perceived Exertion Scale (Borg RPE or BORG CR10)
COPD symptoms (short term) Dyspnea or breathlessness Modified Medical Research Council (MMRC)
Coping with the disease, including depression and anxiety Anxiety Hospital Anxiety and Depression Scale (HADS)-Anxiety subscale
Coping with the disease, including depression and anxiety Depression Hospital Anxiety and Depression Scale (HADS) -depression subscale
Number of emergency room visits and admissions COPD-related hospital readmissions N/A
Number of emergency room visits and admissions Hospital days (Lenght of stay) N/A
Physical activity / Muscle strenght Exercise capacity 6-min walking test (6MWT)
Qualiy of life Quality of life (specific-disease instruments) N/A
Qualiy of life Quality of life (generic instruments) N/A
Qualiy of life Quality of life (generic instruments) N/A

Patient characteristics

Age: 69.89 years (+/- a standard deviation of 9.85) Gender: N/A Time since diagnosis of COPD: N/A Severity of the disease: 35.48 (+/- a standard deviation of 16.0) Multi-morbidity: Charlson Comorbidity Index (CCI)
  • 3.15 (+/- a standard deviation of 1.3)

  • Number of co-morbidities: N/A

Level of health literacy: N/A
  • Tool: N/A

Socio-economic characteristics: N/A

Risk of Bias of this study

Outcome Random sequence generation Allocation concealment Blinding performance Blinding detection objective outcomes assessment Attrition incomplete outcome Incorrect statistical methods Recruitment bias Selective outcome reporting
COPD symptoms (short term) - Dyspnea or breathlessness
COPD symptoms (short term) - Dyspnea or breathlessness
COPD symptoms (short term) - Dyspnea or breathlessness
Coping with the disease, including depression and anxiety - Anxiety
Coping with the disease, including depression and anxiety - Depression
Number of emergency room visits and admissions - COPD-related hospital readmissions
Number of emergency room visits and admissions - Hospital days (Lenght of stay)
Physical activity / Muscle strenght - Exercise capacity
Qualiy of life - Quality of life (generic instruments)
Qualiy of life - Quality of life (generic instruments)
Qualiy of life - Quality of life (specific-disease instruments)