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临床试验/NCT04664101
NCT04664101已完成不适用

REmotely Monitored, Mobile Health-Supported High Intensity Interval Training After COVID-19 Critical Illness (REMM-HIIT-COVID-19)

Duke University4 个研究点 分布在 1 个国家目标入组 13 人开始时间: 2022年3月2日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
13
试验地点
4
主要终点
Peak oxygen consumption (V02P) at 3 months after hospital discharge

研究概览

简要总结

REmotely Monitored, Mobile Health-Supported High Intensity Interval Training after COVID-19 critical illness (REMM-HIIT-COVID-19)

详细描述

REmotely Monitored, Mhealth (REMM) supported High Intensity Interval Training (HIIT to improve recovery after Intensive Care Unit (ICU) discharge in patients with COVID-19 (REMM-HIIT-ICU-COVID) will evaluate the feasibility of clinical-, physiological- and patient-centered outcomes associated with a remotely monitored, Mhealth-supported high intensity interval rehabilitation exercise training to improve the functional recovery of survivors who have experienced critical illness with COVID-19 and have been discharged home from the hospital.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age >= 18 years
  • ICU admission and subsequent discharge for primary diagnosis of COVID-19 respiratory failure or infection requiring intubation and mechanical ventilation for > 48 hours with an ICU length of stay of ≥ 4 days.
  • Ability to ambulate with or without a gait aid prior to hospital discharge
  • Expected hospital discharge directly back to patient's residence (not to a skilled nursing facility, inpatient rehabilitation center, or long-term acute care hospital)

排除标准

  • Not ambulating independently prior to COVID-19 illness (use of a gait aid permitted)
  • Functional impairment resulting in inability to exercise at hospital discharge (including need for home oxygen requirement)
  • Unable or unwilling to follow coaching via mobile-health iPhone interaction
  • Any absolute contraindications to exercise (as outlined in the American Thoracic Society Guidelines for Cardiopulmonary Exercise Testing), including but not limited to:
  • Recent (< 5 days) acute primary cardiac event
  • Unstable Angina
  • Uncontrolled dysrhythmias causing symptoms or hemodynamic compromise
  • Symptomatic aortic stenosis
  • Uncontrolled symptomatic heart failure
  • Acute myocarditis or pericarditis
  • Suspected or known dissecting aneurysm

结局指标

主要结局

Peak oxygen consumption (V02P) at 3 months after hospital discharge

时间窗: 3 months post-discharge

次要结局

  • Change in 6 minute walk test distance from baseline to 3 months after hospital discharge(Hospital discharge (baseline), 3 months post-discharge)
  • Change in muscle mass from baseline to 3 months after hospital discharge(Hospital discharge (baseline), 3 months post-discharge)
  • Cognition at 3 months after hospital discharge(3 months post-discharge)
  • Change in cognition from 3 months to 6 months after hospital discharge.(3 months post-discharge, 6 months post-hospital discharge)
  • Change in muscle strength from baseline to 3 months after hospital discharge(Hospital discharge (baseline), 3 months post-discharge)
  • Change in cognition from baseline to 3 months after hospital discharge.(Hospital discharge (baseline), 3 months post-discharge)
  • Change in quality of life from baseline to 3 months after hospital discharge.(Hospital discharge (baseline), 3 months post-discharge)
  • Change in quality of life from baseline to 3 months to 6 months after hospital discharge.(3 months post-discharge, 6 months post-hospital discharge)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (4)

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