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Functional Outcomes in COVID-19 Survivors and Use of a Digital Platform for Rehabilitation

H

Hospital Israelita Albert Einstein

Status

Completed

Conditions

COVID-19
Exercise Therapy
Coronavirus Infections

Treatments

Other: Rehabilitation protocol through a digital platform

Study type

Interventional

Funder types

Other

Identifiers

NCT04695301
34170820.0.1001.0071

Details and patient eligibility

About

COVID-19, an acute respiratory disease caused by coronavirus-2 (SARS-CoV-2), and in most cases, causes mild to moderate symptoms of fever, cough and dyspnea. However, a not insignificant portion, given the total number of people affected, will present symptoms of severe acute respiratory failure and multiple organ failure, requiring hospitalization under intensive care, use of mechanical ventilation, prolonged period of immobilization and, consequently, physical, cognitive and psychological damage, which may affect survivors for a long period after hospitalization. All of these factors are known to have an impact on various areas of life: personal, social and economic, which makes the need for continued specific care after hospital discharge relevant. In this context, the role of rehabilitation programs is fundamental, aiming not only at a safer dehospitalization, but also at the continuity of care with the objective of restoring the biopsychosocial skills of these individuals, allowing functional independence for activities of daily life and a shorter return physical and social activities performed before the disease. However, the big challenge for the health system is how to offer this on a large scale. Therefore, knowing the clinical and functional profile of these patients at discharge and verifying the viability of a digital platform for rehabilitation and monitoring of these patients is the first step to allow the creation of a new form of continuity of care and access to affected patients with serious diseases such as COVID-19 and other syndromes capable of generate functional impairment. Therefore,the investigators objective is to characterize and monitor the functional profile and exercise capacity of patients affected by COVID-19 at the hospital discharge, as well as to verify the viability and compliance of patients to the use of a digital platform for the application of a distance rehabilitation program.

Full description

The investigators proposal is to characterize and evaluate the impact of the disease on the clinical, functional and social aspects in these patients affected by COVID-19 and to propose the continuity of specific care after hospital discharge with a physical rehabilitation program through a digital platform, remotely for a period of 3 months. The proposed hypothesis is that patients convalescing from COVID-19 and undergoing the rehabilitation program will have a gain in functional skills and quality of life. The professional team involved in this study will be responsible for managing, monitoring and evaluating the participating patients and monitoring the performance of the proposed functional exercises.

Enrollment

25 patients

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Men and women affected by COVID-19
  • over 18 years of age, admitted to HIAE partner hospitals

Exclusion criteria

  • presence of a physical or cognitive condition that makes it impossible or contraindicated to perform the 2-minute stride test and perform the proposed exercises.
  • Patients with a more severe clinical and functional profile,
  • Pregnant women

Trial design

Primary purpose

Other

Allocation

Non-Randomized

Interventional model

Crossover Assignment

Masking

Single Blind

25 participants in 2 patient groups

digital platform rehabilitation
Experimental group
Description:
Rehabilitation program through a digital platform for 3 months
Treatment:
Other: Rehabilitation protocol through a digital platform
control group
Experimental group
Description:
Patients without access to technology will do the exercises using booklets and will compose the control group
Treatment:
Other: Rehabilitation protocol through a digital platform

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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