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This study will try to elucidate wheter the impact of a psychiatric intervention in patients hospitalized because an acute exacerbation of COPD and anxiety/depression and reconsulting at 1 and 6 month after discharge.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Counselling | Active Comparator | People receiving a psychiatric evaluation after screening (HADS test > 12 points) and revised at 1 and 6 months |
|
| Usual care | No Intervention | People after screening (HADS test > 12 points) and send to their primary care physician |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Counselling | Behavioral | Visit by a psychiatrist at day-30 and day-180 after discarge |
|
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of the intervention | Counselling vs. usual care on re-hospitalizations | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Impact of diagnosis | Anxiety/depression diagnosis on number of exacerbations at 1 and 6 months, comparing patients with screening on HADS test > 12 | 6 months |
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Inclusion Criteria:
Men and women of any ethnic group
Above 40 years old
Diagnose with Chronic Obstructive Pulmonary disease (COPD) according to the ATS/ERS guidelines
Acute exacerbation of COPD according to the following criteria:
a) Cyanosis b) Obnubilations or mental confusion d) Respiratory Rate above 25 per minute e) Failure of ambulatory treatment f) Co-morbidities that worsens respiratory condition g) Dyspnea
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Arturo Huerta, MD | Hospital Clinic of Barcelona | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fundacio Clinic Per la Recerca Biomèdica - Hospital Clinic de Barcelona | Barcelona | Catalonia | 08036 | Spain |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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| ID | Term |
|---|---|
| D003376 | Counseling |
| ID | Term |
|---|---|
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D003153 | Community Health Services |
| D006296 | Health Services |
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| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D005159 | Health Care Facilities Workforce and Services |