Clinical trial NCT05682404: Prevalence, Associated Factors Points and Implementation of Care Procedures of Chronic Obstructive Pulmonary Disease Exacerbation in Healthcare Institution
Official title: Prevalence, Associated Factors Points and Implementation of Care Procedures of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation in Healthcare Institution. Prospective Cohort Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: COPD Exacerbation
Keywords: COPD
exacerbation
Prospective
Observational
Professional practices guidelines
Lead sponsor: University Hospital, Grenoble
Sponsor class: OTHER
First posted: 2023-01-12
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Every Patient who is admitted for COPD exacerbation in emergency department or pneumology department or intensive care unit of university health center of Grenoble Alpes during the period of data collection.

Brief summary: Chronic Obstructive Pulmonary Disease (COPD) is a public health problem responsible for high mortality rate and significant costs for society. The disease evolution is punctuated by exacerbations worsening the health state of patients.

Many guidelines of care procedures have been written but many disparities persist in medical practices.

This pilot prospective observational study is an overview of current local practices in the university health center of Grenoble Alpes and it is the first step towards developing a regional observatory in order to standardize and improve patient cares. The primary outcome is to compare the international guidelines to the local practices regarding the prescription of key treatments of exacerbation, especially antibiotics.


Eligibility criteria: Inclusion Criteria:

* Patient older than 18 years (included)
* Known or suspected Chronic Obstructive Pulmonary Disease
* Admitted for COPD exacerbation in emergency department or pneumology department or intensive care unit of university health center of Grenoble Alpes during the period of data collection.

Exclusion Criteria:

* opposition to participate at the study
* Patients under the law

Primary outcomes:
measure: Percentage of antibiotics prescriptions following the guidelines in COPD exacerbation.
timeFrame: up to 30 days
Secondary outcomes:
measure: Percentage of corticosteroids prescriptions following the guidelines in COPD exacerbation.
timeFrame: up to 30 days
measure: Percentage of hospitalization of patients following the guidelines in COPD exacerbation.
timeFrame: up to 30 days
measure: Percentage of non invasive ventilation following the guidelines in COPD exacerbation.
timeFrame: up to 30 days
measure: Percentage of invasive ventilation following the guidelines in COPD
timeFrame: up to 30 days
measure: Percentage of minimal medical examinations following the guidelines in COPD exacerbation.
timeFrame: up to 30 days
measure: Percentage of follow-up management after COPD exacerbation following the guidelines
timeFrame: up to 30 days
measure: Frequency of advance directives.
timeFrame: at day 0
Other outcomes:
Locations:
city: Grenoble
country: France
facility: CHU Grenoble Alpes
Study officials:
References: