MedPath

Effects of Early Exercise Rehabilitation on Long-term Functional Recovery in Patients With Severe Sepsis

Not Applicable
Completed
Conditions
Severe Sepsis or Septic Shock
Interventions
Other: exercise rehabilitation
Registration Number
NCT01845766
Lead Sponsor
Yonsei University
Brief Summary

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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  1. age ≥20;
  2. confirmed or suspected infection;
  3. 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%;
  4. within 48 hours after arriving ER
Read More
Exclusion Criteria
  1. severe functional disability before admission;
  2. central nervous system infection;
  3. contraindication for exercise rehabilitation according to the investigators' decision;
  4. severe medical illness or mental problem or laboratory abnormality which can confound the results;
  5. pregnancy
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
rehabilitation armexercise rehabilitationdaily standardized exercise rehabilitation during the admission period, and daily standardized self exercise after discharge
Primary Outcome Measures
NameTimeMethod
Severe functional disability6 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.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Yonsei University College of Medicine

🇰🇷

Seoul, Korea, Republic of

© Copyright 2025. All Rights Reserved by MedPath