Evidence map›Paper›PMID 39407408›Full record

ArticleChronic respiratory disease

Effect of a nurse-led integrated care intervention on quality of life and rehospitalisation in patients with severe exacerbation of COPD-a pilot study.

Gabriela Schmid-Mohler, Christine Hübsch, Julia Braun, Claudia Steurer-Stey, Celine Aregger, Dominik J Schaer, Christian Clarenbach

Registry-linked trialAbstract read
In one paragraph

Article in Chronic respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04011332 (Nurse-led Integrated Care to Improve Quality of Life in COPD Patients With a Pulmonary Exacerbation), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04011332 nacompletednot on this map

Nurse-led Integrated Care to Improve Quality of Life in COPD Patients With a Pulmonary Exacerbation

TypeinterventionalSponsorUniversity of ZurichRan2019 to 2023Enrolled69ConditionsCOPD ExacerbationArmsIntegrated Care Model
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Gabriela Schmid-MohlerCentre of Clinical Nursing Science, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-2610-636X
Christine HübschCentre of Clinical Nursing Science, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-2339-1847
Julia BraunEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Claudia Steurer-SteyEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Celine AreggerPhysiotherapy Occupational Therapy, University Hospital Zurich, Zurich, Switzerland.
Dominik J SchaerDivision of Internal Medicine, University Hospital Zurich, Zurich, Switzerland.
Christian ClarenbachDivision of Pulmonology, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0003-2158-2321

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the feasibility and effect of a nurse-led integrated care intervention on health-related quality of life (QoL) and unplanned 90-day rehospitalisation in patients hospitalised due to acute exacerbation of COPD (AECOPD).

methodA monocentric non-randomized parallel cluster design was applied. The primary endpoint was the difference between Chronic Respiratory Questionnaire (CRQ) Mastery Scores at hospital discharge and 13 weeks post-discharge. Secondary endpoints were differences between other CRQ scores, numbers of rehospitalisations and self-reported exacerbations. The study would end either 13 weeks after the full sample size was achieved or when study time ran out.

resultsThe study was terminated before reaching the targeted sample size. Of 174 invitees, 69 (39.7%, 30 control, 39 intervention) consented to participate. Of those, 47 completed the study, 45 of whom had complete data sets for the primary endpoint. No differences in QoL scores, unplanned COPD-related rehospitalisations or unplanned all-cause rehospitalisations were detected. The mean number of self-reported moderate exacerbations was higher in the intervention group (

conclusionThe pilot study had slow recruitment, high drop-out rates, and no significant effect on 3-month outcomes. Further research should focus on enhancing the current understanding of how to motivate and recruit patients in this setting. CLINICALTRIALS.GOV ID: NCT04011332.

Indexed as

Disease ProgressionPatient ReadmissionPulmonary Disease, Chronic ObstructiveQuality of LifeAgedDelivery of Health Care, IntegratedFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsSurveys and QuestionnairesCOPDnursingPatient readmissionpilot studiesquality of lifeself-management

Identifiers

PMID39407408
PMCPMC11481074

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.