ACTRN12610001100088尚未招募未知
Inpatient mobilisation and its outcomes on patients admitted with acute heart failure
isa Moore0 个研究点目标入组 48 人开始时间: 2010年12月16日最近更新:
试验速览
- 阶段
- 未知
- 状态
- 尚未招募
- 发起方
- 入组人数
- 48
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomised controlled trial
- 主要目的
- Treatment
- 盲法
- Blinded (masking used)
入排标准
- 年龄范围
- 18 Years 至 o limit（—）
- 性别
- All
入选标准
- •Patients admitted to hospital with
- •1. A primary diagnosis of ‘acute heart failure’, ‘heart failure’ or ‘exacerbation of heart failure’ or 'congestive cardiac failure' as diagnosed and documented by their treating physician.
- •2. Have been started on medical therapy for heart failure
- •3. Satisfy safety criteria (detailed below)
- •4. Provide signed written informed consent
排除标准
- •New York Heart Association Classification: IV (shortness of breath at rest)
- •Terminally ill
- •Poor cognition or reduced ability for self care as deemed by treating medical team
- •Orthopaedic or other limitations that prevent mobility
- •Awaiting therapeutic cardiovascular procedure or hospitalisation for surgery
- •Presence of heart failure secondary to significant uncorrected primary valvular disease (except for mitral regurgitation secondary to LV dysfunction), new onset atrial fibrillation, anaemia
- •Obstructive and restrictive cardiomyopathies (diastolic heart failure)
- •Pacemakers which do not permit adequate heart rate response to exercise
- •Inability or refusal to sign informed consent
- •Safety criteria
- •Participants will not undergo mobilisation if they:
- •Are haemodynamically unstable
- •Show signs of recent heart attack including such as new/recurrent chest pain in the past 8 hours, rising troponin levels
- •Show new signs of uncompensated heart failure (such as dyspnoea at rest)
- •Show signs of heart electrical conduction problems (e.g. 3rd-degree AV block)
- •Have uncontrolled irregular heart rhythms (e.g. recurrent ventricular tachycardia or ventricular fibrillation, fast heart rate >110 beats per minute)
- •Have a resting systolic blood pressure >200mmHg or resting diastolic blood pressure of >110mmHg
- •Have a resting systolic blood pressure of <90mmHg patient will be reviewed by the medical team prior to mobilisation
- •Have poorly controlled symptomatic postural or low blood pressure (drop of >20mmHg with symptoms)
- •Resting oxygen saturation: <92%
- •Clinical judgement by the exercise specialist that patient clinical presentation is such that it would preclude safe mobility
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