ISRCTN56811468已完成未知
Early REhabilitation after hospitalisation for an Acute exaCerbaTion of Chronic Heart Failure: a randomised controlled trial.
niversity Hospitals of Leicester NHS Trust0 个研究点目标入组 56 人开始时间: 2010年12月8日最近更新:
适应症
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 发起方
- 入组人数
- 56
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 性别
- All
入选标准
- •1. Patients admitted to the acute medical units of the trial hospital with an acute exacerbation of chronic heart failure (CHF)
- •2. Able to give informed consent
- •3. Aged 40 - 90 years
- •4. Patients admitted with an established diagnosis of CHF (documented left ventricular systolic dysfunction [LVSD]) will be independently assessed for suitability
- •5. Patients will have received optimal medical management
- •6. Impaired exercise tolerance (New York Heart Association [NYHA] classifications II - IV)
排除标准
- •1. Patients admitted for planned surgery
- •2. Patients with musculoskeletal or neuromuscular condition that significantly contributes to exercise limitation
- •3. Psychiatric or neurological conditions that would render the patient unable to comply with the training either in hospital or at home
- •4. Patients who have a new diagnosis of heart failure on admission will be excluded as they are likely to need ongoing medical management (i.e. establishing the correct drug regimen) and probably won?t display the same declines in physical activity as those with established chronic heart failure.
- •5. Usual exclusion criteria to our current out-patient exercise programme will apply:
- •5.1. Unstable ischaemic heart disease
- •5.2. Myocardial infarction (MI) within the previous 3 weeks
- •5.3. Planned coronary revascularization/pacemaker implantation in the next 6 months
- •5.4. New onset of atrial fibrillation (AF)
- •5.5. Complex ventricular arrhythmia
- •5.6. Significant regurgitant valvular disease requiring surgery
- •5.7. Moderate/severe aortic stenosis
- •5.8. Hypertrophic obstructive cardiomyopathy
- •5.9. Acute pericarditis or myocarditis
- •5.10. Recent embolism or thromboembolism
- •6. Terminal disease with an estimated survival time of less than 3 months to live. Medical advice may need to be sought in these cases.
- •7. Those with previous attendance at rehabilitation within the preceding 12 months. This includes CHF rehabilitation and rehabilitation for post-MI/angina/re-vascularisation.
- •8. We know in chronic obstructive pulmonary disease (COPD) that the benefits of rehabilitation have been shown to persist for 12 months. Due to the probability of multiple factors being present (such as inability to cope at home), patients will be excluded if they have had four or more hospitalisations for an acute exacerbation of their disease in the preceding 12-month period (currently only 1.1% of patients in UHL are readmitted more than four times within 12 months). In our experience these patients frequently have significant social and psychological problems triggering hospitalisation that would not be modifiable with the proposed intervention.
研究者
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