Early order of palliative care consultation for Airflow Obstruction, Chronic
This study is evaluating whether palliative care consultations should be done in the emergency department or later in the hospital.
See full descriptionAbout the trial for Airflow Obstruction, Chronic
Treatment Groups
This trial involves 2 different treatments. Early Order Of Palliative Care Consultation is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
Eligibility
This trial is for patients born any sex aged 65 and older. There are 8 eligibility criteria to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether Early order of palliative care consultation will improve 1 primary outcome and 9 secondary outcomes in patients with Airflow Obstruction, Chronic. Measurement will happen over the course of 30 days from enrolled patients' hospital discharge.
Who is running the study
Principal InvestigatorPatient Q & A Section
What causes airflow obstruction, chronic?
A variety of conditions can lead to airflow obstruction, including inflammation and scars. Chronic airflow obstruction is a specific syndrome, and it is more severe than chronic bronchitis or emphysema.
What is airflow obstruction, chronic?
At least two thirds of patients presenting to an ENT or ENT/laryngology (ENTL) practice have airflow obstruction, which is associated with significant morbidity and substantial costs. The differential diagnosis of AAFO should be improved.
What are the signs of airflow obstruction, chronic?
A persistent cough is the most common symptom, and is often the initial sign of airflow obstruction. Other symptoms relate to the intensity of the cough and the amount of sputum produced. Coughing can also be a sign of airway obstruction, and the presence of sputum can often be an indicator of the presence of lung disease. However, in the absence of a history of cough of long duration, lung nodules or emphysema are suggestive of airflow obstruction, and in the absence of cough, the chest X-ray may reveal abnormalities in the lung parenchyma.
Can airflow obstruction, chronic be cured?
There is no evidence in the current literature supporting the thesis that airflow obstruction, chronic is actually cure or that it is even possible to permanently eliminate symptoms through medical management of airflow obstruction.
What are common treatments for airflow obstruction, chronic?
The treatment of choice for chronic airflow obstruction depends on the severity of the symptoms and the functional disability it causes. Common treatments include inhalation of oxygen alone, a low-dose ciclosporin (CyC) treatment, and a combination of CyC and ciprofloxacin.
How many people get airflow obstruction, chronic a year in the United States?
About 1.2 million people will be diagnosed with airflow obstruction, chronic in the United States in 2024, and one-half the people will receive COPD-specific treatment.
Have there been other clinical trials involving early order of palliative care consultation?
Palliative care consultations on acute palliative care consult day 2, and day 4 in the dying patient seem to have a clinical effectiveness; thus an early palliative care consultation (within the first 24 hours post admission) does not seem to be indicated. This was indicated by the high percentage of patients' selfreported comfort and symptom relief.
How does early order of palliative care consultation work?
Results from a recent clinical trial are encouraging, and may in time lead to greater palliative care provision to those previously overlooked in care plans and services. While some limitations to this study exist, the findings suggest early palliative care consultations may improve quality of life of patients with advanced disease, warrant further investigation.
What is early order of palliative care consultation?
Early consultation in a patient with advanced cancer before dyspnea is present is not necessarily in the patient's or their family's interest. It is often in the physician's. Early and timely palliative care consultation seems to lead to less aggressive symptom management, enhanced quality of life, improved outcomes including symptom relief and increased length of survival even after first-line treatment.
How serious can airflow obstruction, chronic be?
Most patients with chronic airflow obstruction suffer from serious consequences, including chronic bronchitis and emphysema, and this may be due to long sitting in a squatting position during work. Those with COPD-related airflow obstruction should be encouraged and supported to improve their walking capacity with and without exertion, as well as to lose weight and decrease the risk of comorbid and potentially serious medical complications.
What is the average age someone gets airflow obstruction, chronic?
Age is not the only factor related to airflow obstruction. The average age of onset in women was approximately 15 years earlier than in men. The reasons for this may include an earlier exposure to the agent causing the pathophysiology, women being exposed to more occupational and environmental hazards, and women developing airflow obstruction later than men. These observations may also suggest that lung function declines over a relatively longer period in women than men.
Have there been any new discoveries for treating airflow obstruction, chronic?
Since a combination of bronchodilators has been the most commonly used treatment, it seems prudent to consider this approach first when trying to treat COPD patients in the emergency department.