Swiss Study On Pulmonary Rehabilitation after Exacerbation

ISRCTN ISRCTN84612310
DOI https://doi.org/10.1186/ISRCTN84612310
Secondary identifying numbers N/A
Submission date
06/09/2006
Registration date
30/10/2006
Last edited
18/03/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Respiratory
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Dr Milo Puhan
Scientific

Horten Centre
University Hospital of Zurich
Postfach Nord
Zurich
8091
Switzerland

Phone +41 (0)44 255 8709
Email milo.puhan@usz.ch

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study acronymSOPRE
Study objectivesEarly respiratory rehabilitation after acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD) reduces exacerbations requiring medical treatment during an 18 months follow-up compared to respiratory rehabilitation in stable state after six months in patients with COPD Global initiative for chronic Obstructive Lung Disease (GOLD) stage II to IV and a history of repeated exacerbations.
Ethics approval(s)Zurich REB (EK1286), St.Gallen REB (EKSG 06/071/1B), Schaffhausen REB (EK1286), ethics approval also received from the ethics committees of Lucerne, Bern and Thurgau.
Health condition(s) or problem(s) studiedChronic obstructive pulmonary disease
InterventionRespiratory rehabilitation with supervised physical exercise for 12 weeks and patient education program "Living well with COPD" (identical for both treatment arms).
Intervention typeOther
Primary outcome measureExacerbations requiring medical care (in- or outpatient).
Secondary outcome measures1. Health-related quality of life (Chronic Respiratory Questionnaire and Feeling Thermometer)
2. Dyspnea (Medical Research Council scale)
3. Mortality
4. Costs
Overall study start date11/09/2006
Completion date31/12/2009

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants280
Key inclusion criteria1. Patients after in- or outpatient treatment of acute exacerbation of COPD defined as a sustained worsening over days to weeks of the patient’s symptoms from his or her usual stable state that is beyond normal day-to-day variations and the presence of at least two of the following symptoms:
1.1. Breathlessness
1.2. Cough
1.3. Increased sputum production, and
1.4. Change in sputum colour
2. At least two exacerbations in previous two years requiring in- or outpatient care
3. Within last three years, during stable phase, documented COPD with Gold stage II to IV
4. The patient is after in- or outpatient treatment in a medical condition that allows an immediate respiratory rehabilitation or recovery at home
5. More than 40 years of age
Key exclusion criteria1. Hospitalisation for other reasons than acute exacerbation of COPD
2. Long term non-invasive ventilation (all but continuous positive airway pressure [CPAP], which is allowed)
3. Other lung diseases: Doctor diagnosed asthma and/or more than 20% reversibility of airflow obstruction after beta-2-mimetika during stable phase of COPD
4. Patients who cannot be randomised to usual care for medical reasons:
4.1. Impaired level of consciousness
4.2. Acute confusion
4.3. Acute changes on the radiograph or electrocardiogram
4.4. Arterial pH less than 7.35, or
4.5. Concomitant medical conditions
5. Orthopaedic, rheumatologic, cardiovascular or neurological disorders that inhibit exercise training, gymnastic or guided walking tours
6. Inability to follow patient education due to language (no German, French or Italian as communication language) or mental disorders (e.g. substance abuse, psychosis, dementia)
Date of first enrolment11/09/2006
Date of final enrolment31/12/2009

Locations

Countries of recruitment

  • Switzerland

Study participating centre

Horten Centre
Zurich
8091
Switzerland

Sponsor information

University Hospital of Zurich (Switzerland)
Hospital/treatment centre

c/o Prof. E. Russi
Division of Pulmonary Medicine
Raemistrasse 100
Zurich
8091
Switzerland

Website http://www.unizh.ch/
ROR logo "ROR" https://ror.org/01462r250

Funders

Funder type

Charity

Swiss Lung league (Switzerland)

No information available

Lung leagues of Swiss cantons (Switzerland)

No information available

Klinik Barmelweid (Switzerland)

No information available

Quadrimed (Switzerland)

No information available

Zurcher Hoehenklinik Wald (Zurich Elevator Hospitals Forest) (Switzerland)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article recruitment results 02/03/2009 Yes No