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Trial registered on ANZCTR
Registration number
ACTRN12611000369921
Ethics application status
Approved
Date submitted
4/04/2011
Date registered
11/04/2011
Date last updated
23/09/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Physical Activity Levels During and After an Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD).
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Scientific title
Physical Activity Levels During and After an Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD).
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Secondary ID [1]
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Nil
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Universal Trial Number (UTN)
U1111-1120-4106
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD).
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Stable Chronic Obstructive Pulmonary Disease (COPD).
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Condition category
Condition code
Physical Medicine / Rehabilitation
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0
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Physiotherapy
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Physical Medicine / Rehabilitation
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0
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Other physical medicine / rehabilitation
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Respiratory
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0
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Chronic obstructive pulmonary disease
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
1. Observe physical activity during hospital stay from day 2 of hospital admission day to day 5 or until discharged.
2. Observe physical activity for one week at home from the day of discharge.
3. Observe physical activity for one week at home at 6 weeks following the day of admission.
The overall duratio n of patient recruitment to this observational study is 7 weeks.
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Intervention code [1]
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Not applicable
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Comparator / control treatment
no treatment
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The primary outcome is average steps per day. This will be measured by the Sensewear Pro3 armband which is a motion sensor worn on the upper arm.
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Assessment method [1]
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Timepoint [1]
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The steps per day will be averaged over three time points being hospitalisation, the first week at home and the week at home at the six week follow-up. The difference in the average steps per day across the time points will be compared with paired t-tests. A p-value of <0.05 will be taken as significant.
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Primary outcome [2]
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Another primary outcome is average energy expenditure per day. This will be measured by the Sensewear Pro3 armband which is a motion sensor worn on the upper arm.
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Assessment method [2]
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Timepoint [2]
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The average energy expenditure per day will be averaged over three time points being hospitalisation, the first week at home and the week at home at the six week follow-up. The difference in the average energy expenditure per day across the time points will be compared with paired t-tests. A p-value of <0.05 will be taken as significant.
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Primary outcome [3]
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Another primary outcome is time spent in greater than 3 METs activity per day. This will be measured by the Sensewear Pro3 armband which is a motion sensor worn on the upper arm.
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Assessment method [3]
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Timepoint [3]
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The average greater than 3 METs activity per day will be averaged over three time points being hospitalisation, the first week at home and the week at home at the six week follow-up. The difference in the average greater than 3 METs activity per day across the time points will be compared with paired t-tests. A p-value of <0.05 will be taken as significant.
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Secondary outcome [1]
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Six minute walk distance from the six minute walk test where patients are asked to walk as far as possible in six minutes on a designated track.
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Assessment method [1]
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Timepoint [1]
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Six minute walk distance will be measured over two time points being day 5 of hospitalisation and at the follow up (six weeks post day of admission).
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Secondary outcome [2]
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Anxiety and Depression as measured by the Hospital Anxiety and Depression Scale.
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Assessment method [2]
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Timepoint [2]
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Anxiety and Depression will be measured over two time points being day 5 of hospitalisation and at the follow up (six weeks post day of admission).
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Secondary outcome [3]
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FEV1, FVC and FEV1/FVC ratio will be measured by spirometry.
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Assessment method [3]
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Timepoint [3]
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FEV1, FVC and FEV1/FVC ratio will be measured over three time points at Day 2 of hospital admission, on the day of discharge from hospital and 6 weeks post the day of admission.
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Secondary outcome [4]
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Dyspnoea will be measured by the MRC dyspnoea scale.
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Assessment method [4]
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Timepoint [4]
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Dyspnoea will be measured over two time points being day 5 of hospitalisation and at the follow up (six weeks post day of admission).
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Secondary outcome [5]
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COPD impact will be measured by COPD assessment test (CAT).
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Assessment method [5]
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Timepoint [5]
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COPD impact will be measured over two time points being day 5 of hospitalisation and at the follow up (six weeks post day of admission).
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Secondary outcome [6]
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Armband comfort will be measured by Armband Comfort Survey
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Assessment method [6]
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Timepoint [6]
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We would like participants to complete a survey to rate how comfortable and tolerable it is to use the armband device. This will be completed on discharge from hospital.
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Secondary outcome [7]
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Functional Performance Inventory - Short Form
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Assessment method [7]
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Timepoint [7]
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Day of discharge from hospital and 6 weeks post the day of admission
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Eligibility
Key inclusion criteria
- Sex: Both female and male
- Age range: 40+ years
- Weight: No weight limit
- Height: No height limit
- Disease status: Hospitalized for an acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD).
- Current or ex-smoker.
- Willingness to give written or oral informed consent. (written as appropriate if participant is too unwell to give a written consent but able to provide a oral informed consent) and willingness to participate to and comply with the study.
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
-Cognitive Impairment (MMSE<24) MMSE
-Unstable cardiac or neurological disease
-Inability to consent or understand English
-Participants lives out of area participants (i.e. those who live in rural areas) from the study as this group of participants will find it too difficult to return for final testing (i.e. the 6 weeks post admission date) at the Prince of Wales Hospital.
-participants who walks with a frame dur to the armband device is unable to detect step counts on this population
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
12/04/2011
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Actual
19/04/2011
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Date of last participant enrolment
Anticipated
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Actual
14/07/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
55
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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The University of Sydney
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Address [1]
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The University of Sydney,
75 East Street, Lidcombe, NSW 2141
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Prince of Wales Hospital
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Address
Physiotherapy Department,
The Prince of Wales Hospital,
Level 1, high street, Randwick, NSW, 2031
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Prince of Wales Hospital
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Address [1]
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Respiratory Medicine, Prince of Wales Hospital, Randwick, NSW, 2031
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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South Eastern Sydney and Illawara Health Serivce
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Ethics committee address [1]
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Research Support Office South Eastern Sydney Local Health Network G71 Edmund Blacket Building The Prince of Wales Hospital Barker St RANDWICK NSW 2031
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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25/11/2010
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Approval date [1]
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11/03/2011
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Ethics approval number [1]
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1/10/0210
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Summary
Brief summary
Obtain current physical activity levels during hospital admission and post hospital discharge in COPD patients admitted to an Australian hospital with an acute exacerbation of COPD. If activity levels are shown to be reduced, this provides evidence for the need to investigate options to improve physical activity levels in hospital and once home in this group. The hypothesis is that in people admitted to hospital with an acute exacerbation of COPD, physical activity will be lower during hospitalisation and will improve in the first week after discharge and improve further six weeks after hospitalisation admission.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ms Ling Ling Tsai
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Address
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Prince of Wales Hospital, Physiotherapy Department, Level 1, High street, Randwick, NSW 2031
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Country
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Australia
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Phone
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+61 410586987
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Ling Ling Tsai
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Address
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Prince of Wales Hospital,
Physiotherapy Department,
Level 1, High street, Randwick,
NSW 2031
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Country
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Australia
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Phone
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+61 410586987
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Ling Ling Tsai
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Address
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Prince of Wales Hospital,
Physiotherapy Department,
Level 1, High street, Randwick,
NSW 2031
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Country
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Australia
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Phone
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+61 410586987
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Physical activity levels improve following discharge in people admitted to hospital with an acute exacerbation of chronic obstructive pulmonary disease.
2016
https://dx.doi.org/10.1177/1479972315603715
N.B. These documents automatically identified may not have been verified by the study sponsor.
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