Early Palliative Care for Patients With Severe and Very Severe COPD: a Randomised Study
NCT ID: NCT02223780
Last Updated: 2021-11-08
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
51 participants
INTERVENTIONAL
2013-09-30
2017-07-31
Brief Summary
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Background In many cases, the symptoms of advanced COPD (including shortness of breath, pain and depression) are insufficiently alleviated. In addition, often in connection with an infection, patients frequently suffer from respiratory decompensation; this may lead to invasive interventions as well as the admission to the emergency room or an intensive care unit. It may ultimately lead to the death of the patient.
Aim This study aims to show that early palliative care can reduce the number of necessary invasive interventions and improve the quality of life of patients with COPD. For this purpose, a group of patients receiving early, standardized palliative care will be compared to a group of patients receiving customary treatment only, without systematic intervention by palliative care experts.
Significance The results of this study should make it possible to efficiently use the medical resources which are required for the appropriate care of patients with COPD. The goal is the best possible quality of life and better coordination of the measures taken, especially with regard to the area of acute care and the wishes of the patient.
Detailed Description
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Secondary objectives are:
The impact of early palliative care on the mood and anxiety of patients with severe and very severe COPD The impact of early palliative care on the health-related quality of life of patients with severe and very severe COPD.
The impact of early palliative care on the prescription of antibiotics during the last month of life of patients 4. The impact of early palliative care on advance care planning and end-of-life decision-making will be compared between the two groups Methodology Randomized study to one of the two groups in a ratio without stratification.
Study Duration 3 years Study Center(s) Single-center study Number of Subjects 180 patients Intervention Early specialized palliative care intervention Significance Given the trends toward aggressive and costly care near end-of-life among patients with COPD, a timely introduction of palliative care may limit unnecessary and burdensome personal and societal costs, and invasive approaches. The results of this study may provide some direction for future palliative care interventions in this particular population
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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control
standard management
early palliative care
the patients will benefit from an early palliative care consultation
early palliative care
early palliative care
early palliative care
the patients will benefit from an early palliative care consultation
Interventions
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early palliative care
the patients will benefit from an early palliative care consultation
Eligibility Criteria
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Inclusion Criteria
* and/or long term treatment with either domiciliary oxygen or home mechanical ventilation
* and or one or more hospital admissions in the previous year for an acute exacerbation
Exclusion Criteria
18 Years
ALL
No
Sponsors
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Swiss National Science Foundation
OTHER
University Hospital, Geneva
OTHER
Responsible Party
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Jean-Paul Janssens
Professor
Principal Investigators
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Jean-Paul Janssens, MD
Role: PRINCIPAL_INVESTIGATOR
University Hospital, Geneva
Locations
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University Hospital Geneva
Geneva, , Switzerland
Countries
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References
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Weber C, Stirnemann J, Herrmann FR, Pautex S, Janssens JP. Can early introduction of specialized palliative care limit intensive care, emergency and hospital admissions in patients with severe and very severe COPD? a randomized study. BMC Palliat Care. 2014 Oct 21;13:47. doi: 10.1186/1472-684X-13-47.
Related Links
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link of the national fund
Other Identifiers
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406740_145086/1
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
Projet 13-102
Identifier Type: -
Identifier Source: org_study_id