N/A
N=209
Telehealth Pulmonary Rehabilitation for Hispanic and African-American Patients Admitted With Exacerbation of COPD
COPD Exacerbation
Bottom Line
View on ClinicalTrials.gov: NCT03007485 ↗Enrolled (actual)
209
Serious AEs
2.9%
Results posted
Mar 2022
Primary outcome: Primary: Composite of COPD Hospital Readmission/Death Within 6 Month of Discharge — 1.34; 1.06; 0.88; 1.35 Hospitalizations/death — p=<.05
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Telehealth Pulmonary Rehabilitation (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Northwell Health
- Primary completion
- Nov 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Composite of COPD Hospital Readmission/Death Within 6 Month of Discharge |
1.34; 1.06; 0.88; 1.35; 1.09; 0.86 | <.05 sig |
| SECONDARY Functional Capacity Before and After Pulmonary Rehabilitation 6-minute Walk Test (SPR) Tested in Meters) Between Day 1 and 8-weeks |
261.92; 275.29 | — |
| SECONDARY Change in Self-reported Quality of Life: Longitudinal Outcomes. Surveys Administered Over the Entire Follow up Period Directly Before and After the PR Program |
20.89; 22.37; 20.18; 19.91; 23.07; 21.12 | — |
| SECONDARY Functional Capacity Before and After Pulmonary Rehabilitation (2-minute Step Test (TelePR) Tested in Steps |
43.87; 51.12 | — |
Summary
Chronic Obstructive Pulmonary Disease (COPD), also known as emphysema, is the leading cause of hospitalization for older adults in the U.S., and a leading cause of death. Although there is no cure for COPD, a program called pulmonary rehabilitation (PR), which combines exercise and education, can help decrease re-hospitalizations and improve patients' quality of life. Unfortunately, very few COPD Latino and African-American patients actually get PR. These patients are unlikely to get referrals or to be able to attend PR due to lack of insurance, lack of transportation, or lack of a PR center in their area. Telehealth is a way of using computers to deliver healthcare long-distance, eliminating the need for a patient to travel to receive care. By using telehealth for PR, the patient can exercise on a stationary bike in his or her home, while being supervised by videoconference by a respiratory therapist (RT). The RT can "see" the patient, and deliver education by videoconference, and the patient can "see" the RT, so the patient does not need to leave home to get PR.
Eligibility Criteria
Inclusion Criteria
- Adult patients with a diagnosis of COPD (defined by one pulmonary function tests (PFT) and who have not done pulmonary rehabilitation within the past 1 year and
- Hispanic or African-American (as defined by the patient him/herself).
Exclusion Criteria
- individuals who completed PR in the past year or
- those unable to exercise or follow directions as determined by their outpatient pulmonologist/cardiologist or
- A diagnosis of dementia listed in the patient's electronic medical record
- Patients who weigh more than 300 pounds
Data sourced from ClinicalTrials.gov (NCT03007485). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.