A randomised prospective controlled study to assess the effects of a respiratory case management model on hospital readmission rates in patients with moderate to severe chronic obstructive pulmonary disease

ISRCTN ISRCTN33946398
DOI https://doi.org/10.1186/ISRCTN33946398
Protocol serial number N/A
Sponsor University Hospital Aintree (UK)
Funder South Sefton Primary Care Trust (in collaboration with Liverpool and Knowsley Primary Care Trusts) (UK)
Submission date
13/09/2005
Registration date
27/09/2006
Last edited
14/06/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Respiratory
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Lisa Davies
Scientific

Aintree Chest Centre
University Hospital Aintree
Lower Lane
Liverpool
L9 7AL
United Kingdom

Phone +44 (0)151 529 3796
Email lisa.davies@aintree.nhs.uk

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleA randomised prospective controlled study to assess the effects of a respiratory case management model on hospital readmission rates in patients with moderate to severe chronic obstructive pulmonary disease
Study acronymEXHALE (Exercise, Home support and Lung Education)
Study objectivesWhether intensive education, support and individualised exercise programme can reduce hospital admissions in patients with moderate to severe Chronic Obstructive Pumonary Disease (COPD).
Ethics approval(s)Sefton Research and Ethics Committee, September 2004. Ref: 04/Q1501/75
Health condition(s) or problem(s) studiedChronic Obstructive Pulmonary Disease
InterventionCase management model of care: weekly home visits and small group exercise sessions for eight weeks. Monthly visits thereafter, with weekly, then fortnightly phone calls. Dedicated telephone support seven days a week for 12 months.

Control group have usual care.
Intervention typeOther
Primary outcome measure(s)

Number of hospital admissions for COPD at 12 months

Key secondary outcome measure(s)

1. Quality of life/health status
2. Exercise capacity, lung function, and treatment over a one year period
3. Total number and length of hospital admissions for any cause
4. Number of General Practitioner visits, accident and emergency department visits over the 12 month follow up

Completion date30/09/2006

Eligibility

Participant type(s)Patient
Age groupAdult
SexAll
Target sample size at registration270
Key inclusion criteria1. Patients with moderate to severe COPD confirmed on spirometry
2. Aged 40 years or more who have had one or more admission to hospital in last 12 months
3. Must be current or ex-smokers
4. Must have home telephone
Key exclusion criteria1. Patients with previous diagnosis of asthma
2. Significant/unstable cardiac dysfunction
3. Underlying malignancy, dementia or major psychiatric illness
4. Participation in pulmonary rehabillitation in last 12 months
Date of first enrolment01/10/2004
Date of final enrolment30/09/2006

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

University Hospital Aintree
Liverpool
L9 7AL
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

14/06/2016: No publications found, verifying study status with principal investigator.