Social Media-based Bundle Care of AECOPD Patients.

Summary

Chronic obstructive pulmonary disease(COPD) is an incompletely reversible and progressive pulmonary disease characterized by airflow restriction, which is the third leading cause of death worldwide, accounting for 6% of all deaths worldwide. Acute exacerbation (AE) of COPD can accelerate the decline of lung function, worsening pulmonary symptoms, and increase the risk of death in patients. Health education, inhaled technical guidance training, individual self-management, psychological counseling, home oxygen therapy, nutritional support, and other comprehensive interventions can help improve the lung function of COPD patients, alleviate clinical symptoms, improve the quality of life. While a number of COPD applications have been developed, few provide comprehensive assessment and guidance for these kinds of patients. Therefore, the investigators aim to establish a bundle care mode based on the mode of "hospital-home-community-patient", clarify the impact of the management on prognosis, and evaluate the effect of mobile medical-assisted bundle management mode. In this randomized controlled trial(RCT), AECOPD patients will be divided into interventional or control groups randomly. Patients in the interventional group will receive mobile medication and standard of care at the same time (bundle care mode). While patients in the control group will receive standard of care only (traditional management mode). This study will be conducted to compare the effects of traditional and bundle care modes, and to formulate the implementation path and specifications of bundle care for AECOPD patients after discharge in China.

Conditions

• Acute Exacerbation of COPD
• Pulmonary Disease, Chronic Obstructive
• COPD
• Lung Diseases, Obstructive
• Readmission Rate
• Mobile Medical
• Bundle Care
• Mobile Telemedicine

Interventions

OTHER

Mobile Medical and standard of care

Based on the mobile medical, participants will receive advice on standard medication only.

OTHER

Mobile Medical and bundle management

Based on the current follow-up management platform of respiratory disease, the WeChat official account will be designed and used to provide health education for patients, such as smoking cessation, reasonable diet, appropriate exercise, etc., and monitor some physiological indicators (such as body temperature, weight, the score of mMRC, etc.) and guide patients to standardize medication and pulmonary rehabilitation.

Sponsors & Collaborators

• Peking University

  collaborator OTHER

• Xuanwu Hospital, Beijing

  collaborator OTHER

• Beijing Anzhen Hospital

  collaborator OTHER

• Beijing Tongren Hospital

  collaborator OTHER

• Guang'anmen Hospital of China Academy of Chinese Medical Sciences

  collaborator OTHER

• Emergency General Hospital

  collaborator OTHER

• Beijing Jishuitan Hospital

  collaborator OTHER

• Beijing Luhe Hospital

  collaborator OTHER

• Beijing Shijingshan Hospital

  collaborator UNKNOWN

• Beijing Jingmei Group Hospital

  collaborator UNKNOWN

• Beijing Chao Yang Hospital

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

45 Years

Max Age

70 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-02-01

Primary Completion

2024-10-31

Completion

2024-12-31