Saves the questions and what to expect into your notes, next to the visit they belong to.
Keep this study
Lead
Michael Garron Hospital
With
Southlake Health
University of Toronto
Ontario Ministry of Health and Long Term Care
Age
50–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
COPD defined as chronic irreversible airflow limitation with FEV1 \< lower limit of normal for age as % predicted and a FEV1/FVC ratio \< than lower limit of normal (usually 70%) \[5\]
Plus ≥ 2 comorbidities commonly associated with COPD as identified in the Canadian Thoracic Society COPD guidelines\*
1. Cardiovascular disease
2. Osteopenia and osteoporosis
3. Glaucoma and cataracts
4. Cachexia and malnutrition
5. Peripheral muscle dysfunction
6. Lung cancer
7. Metabolic syndrome (diabetes mellitus)
8. Depression
9. Chronic kidney disease OR Other conditions as primary admitting/presenting diagnosis + COPD as significant comorbidity + ≥ 1 other comorbidity
THAT
1. Get admitted to participating hospital; or
2. Present to participating hospital ED; or
3. Have first referral to Respiratory Centre/Respirology team
AND HAVE
1. ≥ 1 ED presentation/hospital admission in previous 12 months
2. ≥ 50 years age
You may not be if
1. No access to primary care physician
2. Primary diagnosis of asthma
3. Terminal diagnosis (metastatic disease with a life expectancy of ≤ 6 months)
4. Dementia and absence of family caregiver able to assist with activation of the action plan and feedback on ongoing status and care coordination
5. Uncontrolled psychiatric illness
6. Inability to understand, read, and write English
7. No access to a phone
8. Inability to attend follow up at one of the participating sites
Clareo Health | Program of Integrated Care for Patients With Chronic Obstructive Pulmonary Disease and Multiple Comorbidities
