Anxiety and Depression in Patients Hospitalizes for an Acute Exacerbation of COPD

A Prospective Randomized Trial to Asses the Efficacy of an Early Psychiatric Counseling Compared to Usual Care in a Cohort of Patients Hospitalized for an Acute Exacerbation of COPD in Prevention of Re-exacerbation

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.

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:

• Less than 6 months expectancy of life
• Needing of mechanical ventilation
• Severe cardiovascular disease
• Pregnancy
• Previous diagnosis of depression/anxiety