- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03909919
Functional Parameters Indicative of Heart Failure.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Cardiovascular diseases carried on being the leading cause of disability due to noncommunicable diseases from 1990 to 2016. Within cardiovascular diseases, it has been estimated that heart failure (HF) has a prevalence in the population of approximately 2% to 3%. However, it is the only cardiovascular disease that is increasing in incidence and prevalence due to the aging of the world population, since the prevalence of this disease increases with age. Furthermore, heart failure represents the most important hospital diagnosis in older adults, being the main cause of hospital admissions for people older than 65 years and contributing to the increase of medical care costs.
Subjects with HF use to show a reduced aerobic capacity, a decreased muscle strength in the lower limbs, low weekly physical activity, intolerance to exercise and a lower walking speed than healthy subjects of the same age. In general, patients with heart failure have altered functional capacities and experience a decline in the ability to carry out activities of daily living and suffer a reduced quality of life. When it is assessed functional parameters in patients with heart failure, the maximum oxygen consumption (V0₂ max) obtained from a cardiopulmonary exercise test is considered the gold standard measure of cardiovascular functional capacity. Moreover, some functional tests have been used, such as the 6-Minute Walking Test, which provides an indirect measure of cardiovascular functional capacity, and the Short Physical Performance Battery (SPPB), which also provides a useful and indirect indication of muscle functional capacity. However, at the time of diagnosing or classifying patients with heart failure, the functional assessment does not use to be considered. The implementation of diagnostic guidelines or a functional assessment based on evidence can be important to improve prognosis and quality of life in patients with HF.
Therefore, there is a need to identify functional markers related to functionality that are indicative of heart failure. For this, it is necessary to use instruments to measure functional variables that must be valid and reliable, as established by the COSMIN taxonomy. Kinematic measurements allow quantifying normal and pathological movements, quantifying the degree of deterioration, planning rehabilitation strategies and evaluating the effect of various interventions. Inertial sensors and depth cameras are accurate and reliable methods for the kinematic analysis of human movement, in addition to presenting a good correlation of kinematic data between them.
Currently, it can be used the Simmer3 Inertial Sensor and 3D motion capture systems with a camera to analyse kinematics and these instruments are being integrated as a rehabilitation tool in patients. The use of Shimmer3 Inertial Sensor and 3D motion capture cameras would help to find fast and cheap assessment methods for professionals.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Antonio Cuesta Vargas, PhD
- Phone Number: +34 952137551
- Email: acuesta@uma.es
Study Locations
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-
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Malaga, Spain
- Recruiting
- School Medicine University of Malaga
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Contact:
- Antonio Cuesta-Vargas, PhD
- Phone Number: 0034952137551
- Email: acuesta@uma.es
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Principal Investigator:
- Antonio Cuesta-Vargas, PhD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subjects older than 70 years.
- Healthy subjects and subjects diagnosed with Heart failure.
- Subjects able of filling out questionnaires and performing functional tests.
- subjects who are in a clinical stability and optimal treatment phase.
Exclusion Criteria:
- Participants with cardiac pathologies other than heart failure.
- Score in the NYHA scale equal to 4.
- Hospitalization in a period of time equal to or less than 3 months.
- Score on the Mini-Mental scale below 24.
- Inability to get up from the chair at least 5 times or 30 seconds.
- Inability to walk for 6 minutes.
- Inability to walk independently without a walking assistance device (cane, crutch or walker).
- Subjects participating in an experimental study where they receive a treatment.
- Inability to provide informed consent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Heart Failure
Heart Failure patients Subjects diagnosed with heart faikure, who will receive the best treatment of clinical practice, will be recruited.
They must be more than 70 years old.
|
The guidelines for the management according to the heart failure in primary care will be the treatment guidelines for the Standard Care.
|
Active Comparator: Healthy Subjects
Healthy Subjects/ Match control Healthy subjects of the same age as people with heart failure.
|
The guidelines for the management according to the heart failure in primary care will be the treatment guidelines for the Standard Care.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Motion parameters
Time Frame: 1 hour
|
Kinematic parameters will be analysed using an inertial sensor included in the Shimmer3 instrument during the performance of different functional task.
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1 hour
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Kinematic analysis by 3D motion capture
Time Frame: 1 hour
|
A camera will perform a motion capture of the functional task.
This system will calculate the displacement and the time of the functional task.
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1 hour
|
Responsiveness
Time Frame: 1 hour
|
The Responsiveness Box of COSMIN checklist will be used to determinate the response to change of the Shimmer 3 Inertial Sensor and the 3D cameras.
All possible items will be followed.
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1 hour
|
Reliability
Time Frame: 1 hour
|
The Reliability Box of COSMIN checklist will be used to determinate the Test-Retest reliability of the Shimmer3 Inertial Sensor and the 3D cameras.
All possible items will be followed.
|
1 hour
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
abbreviated comprehensive geriatric assessment (aCGA): a questionnaire formed by items originating from four different scales.
Time Frame: 15 minutes
|
Questionnaire used to assess functional, emotional and cognitive components.
It is composed of 15 items from the 4 instruments such as the geriatric depression scale (GDS), the Mini-Mental State Examination (MMSE), activities of daily living (ADL) using the Katz index and instrumental activities of daily living (IADL) using the Lawnton & Brody scale.
The score varies from 0 to 30 points, giving 1 point to each of the items of the GDS (4 points in total), 12 to the 3 items from the scale of Lawton & Brody, 8 points to the 4 items from the MMSE and 6 points to the 3 items from the Katz index.
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15 minutes
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SARC-F
Time Frame: 10 minutes
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It is a simple questionnaire to rapidly diagnose Sarcopenia.
It is composed by 5 components: Strength, Assistance to walk, Get up from a chair, Climb stairs and Falls.
Scores range from 0 to 10, with 0 to 2 points for each component.
A score equal to or greater than 4 could predict sarcopenia and poor results.
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10 minutes
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Cardiopulmonary function
Time Frame: 1 hour
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The heart rate will be assessed using the ECG Unit of Shimmer3.
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1 hour
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Quadriceps thickness
Time Frame: 15 minutes
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Muscular thickness will be analysed using the B-mode ultrasonography device (SonoSite 180 Plus, SonoSite Japan, Tokyo, Japan).
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15 minutes
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Quadriceps muscle echo-intensity
Time Frame: 15 minutes
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Muscle echo-intensity will be analysed using the B-mode ultrasonography device (SonoSite 180 Plus, SonoSite Japan, Tokyo, Japan).
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15 minutes
|
Collaborators and Investigators
Sponsor
Collaborators
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Funnel study
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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