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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03543332
Other study ID # Cardiac Arrest Physical
Secondary ID
Status Completed
Phase
First received
Last updated
Start date July 21, 2018
Est. completion date February 28, 2021

Study information

Verified date September 2021
Source Region Skane
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The Target Temperature Management trial 2 (TTM2) is an international multi-center study, that randomize patients with OHCA of a presumed cardiac or unknown cause to target temperature management at 33°C or normothermia but avoiding fever (37.8°C) for the first 24 hours after the OHCA. The TTM2 study (clinicaltrials.gov Identifier NCT02908308) includes a detailed follow-up of functional outcome, health-related quality of life and neurocognitive function at 6 and 24 months post-arrest. This protocol describes a sub-study within the TTM2 trial that specifically focus on physical activity among the OHCA survivors.


Description:

The primary aim of this study is to investigate whether OHCA-survivors have lower levels of self-reported physical activity compared to a non-cardiac arrest (CA) control group who had acute myocardial infarction (MI). Additional aims are to explore potential predictors of physical inactivity (older age, female gender, problems with general physical function, global cognition, mental processing speed/attention, anxiety symptoms, depression symptoms, kinesiophobia, fatigue), and to investigate the relationship between self-reported and objectively measured physical activity among OHCA-survivors.


Recruitment information / eligibility

Status Completed
Enrollment 109
Est. completion date February 28, 2021
Est. primary completion date February 28, 2021
Accepts healthy volunteers
Gender All
Age group 18 Years to 80 Years
Eligibility Inclusion Criteria: - The TTM2 main trial includes adult, unconscious patients with sustained return of spontaneous circulation after cardiac arrest of a presumed cardiac origin. The aim is to include 100-150 OHCA-survivors to the sub-study. Exclusion Criteria: - An exclusion criterion for the TTM2 main trial is an unwitnessed cardiac arrest with initial rhythm asystole, temperature at admission <30°C, on extracorporeal membrane oxygenation (ECMO) prior to return of spontaneous circulation (ROSC), obvious or suspected pregnancy, intracranial bleeding and/or severe chronic obstructive pulmonary disease (COPD) on home oxygen. An additional exclusion criterion for the sub-study is the inability to speak the local language well enough to complete the test without an interpreter. Patients with major cognitive impairment, patients sitting in a wheel chair, Clinical Frailty Score 8 or 9 (very severely frail or terminally ill), active drug abuse and when a face-to face follow-up is not possible will also be excluded.

Study Design


Intervention

Diagnostic Test:
Measures of physical activity and kinesiophobia
Groups will be compared regarding kinesiophobia with TSK heart.

Locations

Country Name City State
Denmark Hans Kirkegaard Aarhus
Sweden Salgrenska University Hospital Göteborg
Sweden Halmstad Hospital Halmstad
Sweden Helsingborg Hospital Helsingborg
Sweden Skane University Hospital Lund Lund
Sweden Skane University hospital Malmö
United Kingdom Thomas Keeble Basildon Essex
United Kingdom Mattthew P Wise Cardiff

Sponsors (4)

Lead Sponsor Collaborator
Region Skane Halmstad County Hospital, Lund University, Sahlgrenska University Hospital, Sweden

Countries where clinical trial is conducted

Denmark,  Sweden,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Physical activity level Questions about physical activity and physical training (patient reported), accelerometer, performance measure 7 months after cardiac arrest
Secondary Anxiety and Depression Hospital Anxiety and Depression scale HADS is a self-reported questionnaire with seven questions related to anxiety and seven questions related to depression. Each item on the questionnaire is scored from 0-3. A total sum is calculated for each subscale and the total score range between zero and 21. 7 months after cardiac arrest
Secondary Lower extremity strength Timed-Stands Test (TST) assess the overall physical function by assessing lower extremity strength 6 months post arrest
Secondary Cognitive impairment The Symbol Digit Modalities Test (SDMT) The total amount of correct answers within 90 seconds are calculated. There are normative scores and depending on age and education level 6 months post arrest
Secondary Kinesiophobia Tampa Scale for Kinesiophobia Heart, questionnaire TSK-SV Heart includes17 statements/questions summed into a total score that range from17 to 68. The higher the value, the greater degree of kinsiophobia. Values >37 is considered as a high level of kinesiophobia. 7 months after cardiac arrest
Secondary Cognitive impairment The Montreal Cognitive Assessment (MoCA). It contains 11 sub-tests of several cognitive domains as executive functioning, short-term memory and delayed recall combined into a total maximum score of 30. A score =26 points is considered within the normal range, 25-18 indicate mild impairment, 17-10 indicate moderate impairment, and less than 10 indicate severe cognitive impairment. 6 months post arrest
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