Advance Care Planning Individualised Approach and Research Projec

The AIR Project - Advance Care Planning Individualised Approach and Research Project. A Single Center Randomized Controlled Trial

The study will investigate the effect of a palliative approach in the out-patient management of patients with COPD.

Randomised control trial. A total of 90 patients will be randomise 1:1 to either palliative intervention or standard care.

The intervention group will receive follow up in a newly established outpatient clinic for COPD in the specialized palliative united and the control group will receive standard follow up in the respiratory out-patient clinic.

Inclusion Criteria:

• • Diagnosis of COPD by spirometry

  • Patients followed in Herlev and Gentofte hospitals' respiratory out-patient-clinics or admitted to Herlev or Gentofte hospital for acute exacerbation
  • 2 or more admissions for acute exacerbation of COPD within the last 12 months
  • CAT > 20
  • Cognitive and linguistic able to understand and give informed consent

Exclusion Criteria:

• • Expected remaining life time less than 6 months due to other disease than COPD e.g. active cancer

  • Participating in other studies