Exercise in Patients Admitted With Recently Decompensated Heart Failure

Decompensated Heart Failure Clinical Trial

— ERIC  

Official title:

Nursing Rehabilitation on Patients Admitted by Recently Decompensated Heart Failure (ERIC Program) - Impact of Exercise

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04733365
• Other study ID #: 2016.172
• Status: Completed
• Phase: N/A
• Start date: December 2, 2017
• Est. completion date: December 31, 2019

Study information

• Verified date: January 2021
• Source: Centro Hospitalar do Porto
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

An aerobic physical exercise protocol will be applied to patients admitted in ward due to decompensated heart failure, in order to validate the efficacy and safety of physical exercise in this phase of clinical stabilization, through the said training protocol - ERIC program.

Description:

With the objective of validating the efficacy and safety of physical exercise as a therapeutic resource in patients admitted for decompensated heart failure; will be applied, by rehabilitation nurses, a protocol of physical exercise, with increasing levels of intensity. Patients who meet the inclusion criteria will be randomized through an online program (randomizer.org) and the ERIC protocol will be applied to the test group. The control group will be implemented the usual care of rehabilitation nursing. The ERIC protocol comprises 5 levels of intensity, as following shown:

Stage 1 - respiratory and calisthenic exercises (5-10 minutes) Stage 2 - pedaler for 5-10 minutes Stage 3 - aerobic training: walking on the corridor for 5-10 minutes Stage 4 - aerobic training: walking on the corridor for 10-15 minutes Stage 5 - aerobic training: walking on the corridor for 15 minutes + climbing stairs for 5 minutes

All patients will be monitored and followed up by a rehabilitation nurse while they are doing the exercise. The investigator decides, depending on the patient's performance and clinical conditions, the form of progression in the program, but it is mandatory to follow the previously defined levels of intensity. Patients in the test group may start the program only on stage I or II according to clinical criteria.

At admission of the patients (test group and control group) clinical and sociodemographic parameters are evaluated, as well as data related to Barthel's indices and London Chest of activities of daily living (LCADL). At the discharge date, the Barthel index and the LCADL scale will also be evaluated, as well as the 6-minute walking test.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 250
• Est. completion date: December 31, 2019
• Est. primary completion date: July 31, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Admission diagnosis of Decompensated heart failure

• More than 18 years old

• Capacity to provide informed consent

Exclusion Criteria:

• Osteoarticular pathology that impedes the performance of the exercise;

• Existence of inotropic infusions;

• Dysrhythmia or precordial pain in the last 24 hours,

• Acute pulmonary edema in the last 12 hours,

• SBP greater than 180mmHg or less than 80 mmHg (except in cases where this is the baseline value for the patient),

• Need for oxygen at a rate greater than 3 l / min,

• Glycemic decompensation in the last 12 hours,

Related Conditions & MeSH terms

• Decompensated Heart Failure
• Functional Cardiac Disorder
• Heart Diseases
• Heart Failure

Intervention

Other:
• ERIC protocol
ERIC protocol is an aerobic exercise protocol with 5 levels of intensity

Locations

Country	Name	City	State
Portugal	Hospital Infante D Pedro	Aveiro
Portugal	Hospital Pulido Valente	Lisboa
Portugal	Centro Hospitalar de Vila Nova de Gaia	Vila Nova De Gaia

Sponsors (1)

Lead Sponsor	Collaborator
Centro Hospitalar do Porto

Country where clinical trial is conducted

Portugal, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	6 minute walking test	Number of meters walked in the 6 minute walking test	Through study completion, an average of 1 year
Secondary	Barthel Index score	Barthel evaluates dependence on self-care, it ranges from 0 to 100. The higher score inidcates more independence on the performance of self-care activities	Through study completion, an average of 1 yeare
Secondary	London Chest Activity of Daily Living scale score	LCADL acesses how dyspnea affects self-care. It ranges from 9 to 45, the lower scores represents less dyspnea during the activities, representing a better status.	Through study completion, an average of 1 year
Secondary	Cardiac adverse events	Number of adverse events occured during in the training group	Through study completion, an average of 1 year