Physical Activity a Vital Sign? 40 Steps to Safety Test for Patients With COVID-19

Betsi Cadwaladr University Health Board

Status

Unknown

Conditions

Covid19

Medical Emergencies

Treatments

Diagnostic Test: 40-Steps-test

Study type

Observational

Funder types

Other

Identifiers

NCT04618835

283998

Details and patient eligibility

About

Exertional desaturation is a feature of COVID-19. The study will measure vital signs of patients discharge by practitioners in primary care, secondary care or by paramedic practitioners. Patients will then undertake a 40-steps on the spot walk followed by measurements of heart rate and oxygen saturations for up to two minutes. Association of desaturation with 30 days hospital admission and mortality will be reported.

Enrollment

1,000 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients are being considered for discharge to independent care
Participant is willing and able to give informed consent for participation in the study.
Patient with independent, stable, gait
Patient is alert, attentive, coherent, and calm
Male or Female, aged 18 years or above.

Exclusion criteria

Minor injuries
Elective surgery patients
Post-operative patients at discharge
Requires supplemental oxygen
Shortness of breath at rest (i.e. Borg or Numerical Rating Scale >=2)
Unstable angina
Patients on long-term-oxygen therapy
Pregnancy as stated by patient
Oxygen saturations < 95% on room air
Resting heart rate > 100 bpm
Resting respiratory rate > 25 bpm
ECG with signs of acute ischemia in patients where an ECG has been requested by the treating clinician
National Early Warning Score of 5 or more
Nursing home residents, or those being transferred to a nursing home or similar care facility