Physical Activity Clinical Trial
Official title:
Physical Activity After Cardiac Arrest; Protocol of a Sub-study in the Targeted Hypothermia Versus Targeted Normothermia After Out-of-Hospital Cardiac Arrest Trial (TTM2)
Verified date | September 2021 |
Source | Region Skane |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
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.
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. |
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 |
Lead Sponsor | Collaborator |
---|---|
Region Skane | Halmstad County Hospital, Lund University, Sahlgrenska University Hospital, Sweden |
Denmark, Sweden, United Kingdom,
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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