Clinical trial NCT02433223: Retrospective Evaluation of COPD Patient Care
Official title: Retrospective Evaluation of COPD Patient Care
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Chronic Obstructive Pulmonary Disease
Keywords: outreach nursing
respiratory nursing guidelines
Lead sponsor: The Queen Elizabeth Hospital
Sponsor class: OTHER
First posted: 2015-05-04
Enrollment: 200
Sex: ALL
Minimum age (years): 40
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: New patients to the Respiratory Nursing Service in 2006, 2011, 2013 \& 2015 with a diagnosis of Chronic Obstructive Pulmonary Disease

Brief summary: The purpose of this project is to evaluate hospital utilisation, patient and service outcomes of a Respiratory Nursing Service to examine current clinical care of COPD. This evaluation aims to identify the important gaps in current clinical care of respiratory chronic disease nursing management. The primary outcomes of this evaluation is to determine the efficacy of clinical care in 2006, 2011, 2013 and 2015 and compare data to current Nursing Best practice guidelines for COPD through the quantification of hospital utilisation for hospital admission, average length of stay, readmission within 28 days, emergency service attendance, outpatient review, use of Hospital and Home (H@H), frequency of exacerbations, disease severity and progression (FEV1: GOLD Classification), number of contacts with the respiratory nursing service and type of contacts with the respiratory nursing service.

Detailed description: Study design: This study is a retrospective observational crosssectional study conducted through review of medical records, internal respiratory databases and electronic hospital patient record (OACIS \& HOMER) over 3x12 blocks.

Participants: COPD patients from The Queen Elizabeth Hospital(TQEH) Respiratory Nursing Service who were new patients in 2006, 2011, 2013 and 2015 (Jan 1st to Dec 31st ). Data collection: Demographics, clinical data, hospital service utilisation, and clinical outcomes such as exacerbation frequency and disease progression. All data will be extracted into a standardised data extraction form, which a random subset will be checked by a second researcher.

Demographic data will include comparison of % without comorbidities, impact of comorbid conditions using Charleston Comorbidity index isolating diabetes, heart failure, anxiety and depression. Demographic and descriptive data will be given in means + SD and compared using a two-tailed Student t-test. Categorical variables will be compared using chisquared or Fisher exact tests, and when appropriate the MannWhitney Utest for nonparametric data. Statistical significance will be determined using an alpha of p \<0.05. All analyses will be examined using SPSS software (version x).

Eligibility criteria: Inclusion Criteria

* any new client or new referral to the Respiratory Nursing Service in the years 2006, 2011, 2013 or 2015 only
* have a diagnosis of Chronic Obstructive Pulmonary Disease

Exclusion Criteria

* not a pre- existing client of the Respiratory Nursing Service
* not having a diagnosis of Chronic Obstructive Pulmonary Disease

Primary outcomes:
measure: Efficacy of care provided by the Respiratory Nursing Service
timeFrame: 12 months
Secondary outcomes:
measure: Impact of respiratory nursing outreach on hospital, patient and service outcomes
timeFrame: 12 months
measure: Comorbidity in respiratory nursing
timeFrame: 12 months
Other outcomes:
Locations:
Study officials:
affiliation: The Queen Elizabeth Hospital
name: Brian J Smith, PhD
role: STUDY_DIRECTOR
References: