Pulmonary Rehabilitation After Pregnancy in COVID-19 Infection: A Case Report

Pregnancy Clinical Trial

Official title:

Pulmonary Rehabilitation After Pregnancy in COVID-19 Infection: A Case Report

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05063799
• Other study ID #: DrLutfiKirdarCH
• Status: Completed
• Phase: N/A
• Start date: October 10, 2021
• Est. completion date: September 15, 2022

Study information

• Verified date: November 2022
• Source: Dr. Lutfi Kirdar Kartal Training and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The 33-month pregnant patient was followed in the gynecology service with the complaint of shortness of breath after receiving the covid positive diagnosis and was transferred to the intensive care unit due to acute respiratory failure. She was intubated in the intensive care unit and the baby was taken by cesarean section. Pulmonary rehabilitation steps to be applied to the patient with long-term intensive care hospitalization will be examined.

Description:

After the patient was admitted to the chest diseases service, pulmonary rehabilitation was started. The patient was evaluated before starting pulmonary rehabilitation. Evaluation parameters; vital signs, shortness of breath, oxygen support, grip force and pinchmeter, fatigue, anxiety and depression, cognitive functions. The pulmonary rehabilitation program will be implemented every day during the hospitalization. The pulmonary rehabilitation program will consist of breathing exercises, strengthening training of upper and lower extremity, exercises in bed, mobilization and reducing oxygen support. The patient will be re-evaluated before discharge.Pulmonary rehabilitation after discharge will continue 2-3 days a week.The patient will be re-evaluated at the 3rd, 6th, 9th and 12th months.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1
• Est. completion date: September 15, 2022
• Est. primary completion date: October 30, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: N/A and older

Eligibility

Inclusion Criteria:

-pregnant and covid patient Exclusion Criteria:

Related Conditions & MeSH terms

• COVID-19
• COVID-19 Pneumonia
• Pregnancy
• Pulmonary Rehabilitation

Intervention

Other:
• pulmonary rehabilitation
pulmonary rehabilitation programs

Locations

Country	Name	City	State
Turkey	Halime Sinem Barutcu	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Dr. Lutfi Kirdar Kartal Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	finger muscle power	Peripheral muscle strength will be measured with a pinchmeter	15 second
Primary	grip strength	Peripheral muscle strength will be measured with dynamometer	15 second
Secondary	Assessment of cognitive	Cognitive will be assessed by Montreal Cognitive Assessment. MoCA Test; a score of 19 to 25 indicates mild cognitive impairment. Scores of between 11 and 21 suggest mild Alzheimer's disease. There is some overlap between this type of dementia and mild cognitive impairment, reflecting the difficulty in using a single test to make this type of diagnosis	10 minutes
Secondary	Assessment of anxiety and depression	Anxiety and depression will be assessed by Hospital Anxiety and Depression Scale.The HADS questionnaire has seven items each for depression and anxiety subscales. Scoring for each item ranges from zero to three, with three denoting highest anxiety or depression level. A total subscale score of >8 points out of a possible 21 denotes considerable symptoms of anxiety or depression.	10 minutes
Secondary	Assessment of fatigue	Fatigue will be assessed by Functional Assessment of Chronic Illness Therapy. The FACIT Fatigue Scale is a short, 13-item, easy to administer tool that measures an individual's level of fatigue during their usual daily activities over the past week. The level of fatigue is measured on a four point Likert scale (4 = not at all fatigued to 0 = very much fatigued)	10 minutes