Effects of Early Exercise Rehabilitation on Long-term Functional Recovery in Patients With Severe Sepsis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Severe functional disability
研究概览
简要总结
We hypothesized that early exercise rehabilitation for patients with severe sepsis or septic shock would decrease their functional disability and cognitive impairment. We plan to enroll patients with severe sepsis and septic shock who admitted an urban teaching hospital in Seoul, South Korea via ER. We will randomize those subjects into the intervention group which will take a standardized rehabilitation with routine clinical care for sepsis and the control group which will take routine clinical care for sepsis. And, we plan to assess their functional activity using ADL, IADL and SF-36, and cognitive function using MMSE at the time of enrollment, 28 days, and 6 months later.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •confirmed or suspected infection;
- •two or more among 1)-4) 1) body temperature >38˚C or <36˚C 2) heart rate >90/min 3) respiratory rate >20/min or PaCO2<32 mmHg 4) WBC >12000/mm3, <4000/mm3, or band forms >10%;
- •within 48 hours after arriving ER
排除标准
- •severe functional disability before admission;
- •central nervous system infection;
- •contraindication for exercise rehabilitation according to the investigators' decision;
- •severe medical illness or mental problem or laboratory abnormality which can confound the results;
研究组 & 干预措施
rehabilitation arm
daily standardized exercise rehabilitation during the admission period, and daily standardized self exercise after discharge
干预措施: exercise rehabilitation (Other)
control arm
结局指标
主要结局
Severe functional disability
时间窗: 6 months after enrollment
We will assess the functional activity with 0-11 score of 6 ADL(walking, dressing, bathing, eating, getting into and out of bed, toileting) and 5 IADL(preparing a hot meal, shopping for groceries, making telephone calls, taking medicines, managing money). If the patient has a score 4 or more, the patient will be considered to have a severe functional disability.
次要结局
未报告次要终点