A phase 1 trial of exercise for patients admitted to hospital with acute exacerbation of chronic obstructive pulmonary disease (COPD)- the safety and feasibility of exercise programme.

Clarice Youci Tang0 个研究点目标入组 30 人开始时间: 2008年12月3日最近更新: 2020年1月13日

适应症

试验速览

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•1. A primary admission diagnosis of acute exacerbation of COPD, or pneumonia or chest infection with a past medical history of COPD
•- All levels of severity will be considered
•2. Able to ambulate independently or with minimal assistance of one person with/without a gait aid.
•3. Able to obey two-stage commands, obtain a score of 15 on the Glasgow Coma Scale, be orientated to time, day and date and have no previous documented diagnosis of dementia
•4. Patients are managed on the general medical wards.
•5. Patients that are spontaneously ventilating and do not required any continuous assistance with ventilation.
•6. Able to give informed consent to participate in the trial.
•7. Must obtain approval of supervising medical officer that patient can participate in trial

•1. Patients who are clinically unstable as defined by below
•- Presence of hyperthermia (temperature of =380 Celsius)
•- Systolic pressure of <90 or >170mmHg
•- Diastolic pressure of >120mmHg
•- Unconscious or patients in a delirious state
•- Patients with severe respiratory acidosis with a blood pH < 7.3 (McKenzie et al., 2007)
•- Patients measured to have an acute cardiac arrhythmia during admission.
•- Patients who are tachycardiac with a resting heart rate >120 beats per minute.
•2. Patients with other co-morbidities that may impair the ability to participate in an exercise programme (for example severe osteoarthritis, severe neurological conditions with residual deficits, severe low back pain and acute musculoskeletal injuries).
•3. Patients who are acutely confused and unable to follow simple instructions.
•4. - Patients admitted to the intensive care unit.
•- Patients admitted to short stay unit or Rapid Acute Medical Unit (RAMU)
•5. Patients that required intubation and mechanical ventilation and/or admitted into intensive care.
•6. Patients from a high-level or palliative care facility

发起方

Clarice Youci Tang