RecruitingNot ApplicableNCT03396172

FreeDom: Innovative Strategy for the Management of COPD Exacerbations

FreeDom : Innovative Strategy for the Management of COPD Exacerbations Combining Early Hospitalisation Discharge, Automated Oxygen Weaning at Home, Telemedicine and Tele-rehabilitation

Sponsor

Laval University

Enrollment

100 participants

Start Date

May 24, 2018

Study Type

INTERVENTIONAL

Conditions

Oxygen Deficiency COPD Exacerbation

Summary

The main objective of the study is to assess the "FreeDom" innovative strategy (FreeO2 at Domicile) to reduce hospitalization duration in patients with COPD exacerbation. This strategy associates early hospital discharge, automated O2 flow weaning with FreeO2 system, telemedicine and tele-rehabilitation. The main hypothesis of this study is that the FreeDom strategy will reduce the number of hospitalization day by 50 percent at day 30.

Eligibility

Min Age: 18 Years

Inclusion Criteria6

All patients hospitalized for COPD exacerbation for less than 48 hours will be considered.
known or suspected COPD to entry
Age \> or = 40 years
Ex-smoker history (10 pack / year or more)
Acute Exacerbation: dyspnea of recent onset (less than 15 days)
The need for oxygen therapy with a moderate rate: \<6L / min to maintain SpO2 \> 90% (for oxygen dependent patient, the oxygen flow must be higher than flow at home)

Exclusion Criteria9

Refusal to consent to participate in the study,
Indication for an imminent intubation according to the pulmonologist,
Sleep Apnea
NIV used at home
Lack of FreeO2 system available at the time of randomization
Non-autonomous and alone at home
Patient alone at home
Patients who live more than 50 km from the hospital
Patient already included in the study within 3 months

Interventions

OTHERControl

The hospitalization will take place in the usual setting and the hospital discharge will be decided by pulmonologists according to the usual criteria

DEVICEFreeDom

Early return home, patients using an innovative device that automatically adjusts and wean the oxygen flow (FreeO2 system) coupled to telemedicine and tele-rehabilitation