- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT05225194
Long-term Impact of COVID-19 Among COVID-19 Patients With Acute Respiratory Distress Syndrome in Brazil
Prospective Study for the Assessment of Long-term Impact of COVID-19 Among COVID-19 Patients With Acute Respiratory Distress Syndrome in Brazil
The present multicenter prospective observational study aims to assess the long-term effects of COVID-19 on patients with Acute Respiratory Distress Syndrome (ARDS).
This is a hybrid design study with components of cohort and case-control designs. Survivors of hospitalization due to ARDS caused by SARS-CoV-2, survivors of hospitalization due to ARDS caused by other etiologies not associated with SARS-CoV-2, and family controls without history of COVID-19 or hospitalization will be followed up for a period of 6 months.
Studieoversigt
Status
Intervention / Behandling
Undersøgelsestype
Tilmelding (Forventet)
Kontakter og lokationer
Studiekontakt
- Navn: Geraldine Trott, PhD
- Telefonnummer: +5551994407117
- E-mail: geraldine.trott@hmv.org.br
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
COHORT OF SURVIVORS OF ARDS CAUSED BY COVID-19
Inclusion Criteria:
- Age ≥18 years;
- Hospitalization due to COVID-19;
- Positive polymerase chain reaction (PCR) test for SARS-CoV-2;
- Diagnosis of ARDS during hospitalization according to the Berlin definition;
- Expected to survive and be discharged directly home from the hospital.
Exclusion Criteria:
- Severe comorbidity with life expectancy less than 3 months;
- Unavailability to attend the study follow-up appointment;
- Death during hospitalization;
- Absence of proxy for patients with communication difficulties;
- Refusal or withdrawal of agreement to participate.
COHORT OF SURVIVORS OF ARDS CAUSED BY OTHER ETIOLOGIES NOT ASSOCIATED WITH COVID-19
Inclusion Criteria:
- Age ≥18 years;
- Hospitalization;
- Diagnosis of ARDS during hospitalization according to the Berlin definition;
- Expected to survive and be discharged directly home from the hospital.
Exclusion Criteria:
- Severe comorbidity with life expectancy less than 3 months;
- Unavailability to attend the study follow-up appointment;
- Death during hospitalization;
- History of SARS-CoV-2 infection within the last 12 months;
- Absence of proxy for patients with communication difficulties;
- Refusal or withdrawal of agreement to participate.
FAMILY CONTROLS
Inclusion Criteria:
- Age ≥18 years;
- Family member of a enrolled participant (either from the COVID-19 ARDS cohort or from the non-COVID-19 ARDS cohort)
Exclusion Criteria:
- Severe comorbidity with life expectancy less than 3 months;
- Unavailability to attend the study follow-up appointment;
- History of SARS-CoV-2 infection within the last 12 months;
- History of non-elective hospitalization due to medical condition within the last 12 months;
- Refusal or withdrawal of agreement to participate.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
Intervention / Behandling |
|---|---|
|
COVID-19 ARDS survivors
Survivors of hospitalization due to ARDS caused by SAS-CoV-2.
|
SARS-CoV-2 infection
Acute respiratory distress syndrome
|
|
Non-COVID-19 ARDS survivors
Survivors of hospitalization due to ARDS caused by other etiologies than SARS-CoV-2.
|
Acute respiratory distress syndrome
|
|
Family controls
Family controls of participants with ARDS (either due to COVID-19 or other etiologies) without history of COVID-19 or hospitalization in the last 12 months.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Diffusion capacity for carbon monoxide
Tidsramme: The outcome will be assessed 6 months after enrollment
|
Proportion of participants with diffusion capacity for carbon monoxide < 80% of predicted
|
The outcome will be assessed 6 months after enrollment
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Physical functional status
Tidsramme: The outcome will be assessed at 3 and 6 months after enrollment
|
Physical functional status as assessed by the modified Barthel index (score ranges from 0 to 100; higher scores indicate less functional dependence)
|
The outcome will be assessed at 3 and 6 months after enrollment
|
|
Instrumental Activities of Daily Living
Tidsramme: The outcome will be assessed at 3 and 6 months after enrollment
|
The outcome will be assessed using the Lawton & Brody Instrumental Activities of Daily Living Scale (the score ranges from 0 to 8, with higher scores indicating less dependence)
|
The outcome will be assessed at 3 and 6 months after enrollment
|
|
Muscular function and strength
Tidsramme: The outcome will be assessed at 3 and 6 months after enrollment
|
Muscular function and strength as assessed by Strength, assistance with walking, rising from a chair, climbing stairs, and falls (SARC-F) questionnaire.
Scale scores range from 0 (best) to 10 (worst)
|
The outcome will be assessed at 3 and 6 months after enrollment
|
|
Score of dyspnea
Tidsramme: The outcome will be assessed at 3 and 6 months after enrollment
|
The outcome will be assessed using the modified medical research council dyspnea scale.
Scores ranges from 0 to 4, with higher scores indicating worse symptoms.
|
The outcome will be assessed at 3 and 6 months after enrollment
|
|
Utility score of health related quality of life
Tidsramme: The outcome will be assessed at 3 and 6 months after enrollment
|
The outcome will be assessed using the Brazilian version of the Euroqol-5D-3L (EQ-5D3L) questionnaire.
The utility score derived from the EQ5D-3L ranges from 0 (death) to 1 (perfect health).
|
The outcome will be assessed at 3 and 6 months after enrollment
|
|
Radiologic patterns of intersticial lung disease
Tidsramme: The outcome will be assessed at 6 months after enrollment
|
Radiologic patterns of intersticial lung disease as assessed by high resolution computed tomography chest scan.
|
The outcome will be assessed at 6 months after enrollment
|
|
Radiologic patterns of myocarditis sequalae
Tidsramme: The outcome will be assessed at 6 months after enrollment
|
Radiologic patterns of myocarditis sequalae as assessed by cardiac magnetic resonance imaging
|
The outcome will be assessed at 6 months after enrollment
|
|
Radiologic patterns of sarcopenia
Tidsramme: The outcome will be assessed at 6 months after enrollment
|
Radiologic patterns of sarcopenia as assessed by high resolution computed tomography chest scan.
|
The outcome will be assessed at 6 months after enrollment
|
|
Incidence of major cardiovascular events
Tidsramme: The outcome will be assessed at 3 and 6 months after enrollment
|
Incidence of major cardiovascular events (composite endpoint of non-fatal stroke, non-fatal acute myocardial infarction, or cardiovascular death)
|
The outcome will be assessed at 3 and 6 months after enrollment
|
|
Incidence of thromboembolic events
Tidsramme: The outcome will be assessed at 3 and 6 months after enrollment
|
Incidence of thromboembolic events (composite endpoint of pulmonary embolism and deep venous thrombosis)
|
The outcome will be assessed at 3 and 6 months after enrollment
|
|
Incidence of all-cause mortality
Tidsramme: The outcome will be assessed at 3 and 6 months after enrollment
|
Incidence of all-cause mortality
|
The outcome will be assessed at 3 and 6 months after enrollment
|
|
Percentage of predicted peak oxygen consumption
Tidsramme: The outcome will be assessed at 6 months after enrollment
|
Percentage of predicted peak oxygen consumption as assessed by treadmill cardiopulmonary exercise cardiopulmonary exercise
|
The outcome will be assessed at 6 months after enrollment
|
|
Peak oxygen consumption
Tidsramme: The outcome will be assessed at 6 months after enrollment
|
Peak oxygen as assessed by treadmill cardiopulmonary exercise
|
The outcome will be assessed at 6 months after enrollment
|
|
Peak oxygen pulse
Tidsramme: The outcome will be assessed at 6 months after enrollment
|
Peak oxygen pulse as assessed by treadmill cardiopulmonary exercise
|
The outcome will be assessed at 6 months after enrollment
|
|
Oxygen uptake efficiency slope
Tidsramme: The outcome will be assessed at 6 months after enrollment
|
Oxygen uptake efficiency slope as assessed by treadmill cardiopulmonary exercise
|
The outcome will be assessed at 6 months after enrollment
|
|
Minute ventilation/carbon dioxide production slope ratio
Tidsramme: The outcome will be assessed at 6 months after enrollment
|
Minute ventilation/carbon dioxide production slope as assessed by treadmill cardiopulmonary exercise
|
The outcome will be assessed at 6 months after enrollment
|
|
Forced vital capacity
Tidsramme: The outcome will be assessed at 6 months after enrollment
|
Forced expiratory capacity as assessed by spirometry
|
The outcome will be assessed at 6 months after enrollment
|
|
Forced expiratory volume in one second
Tidsramme: The outcome will be assessed at 6 months after enrollment
|
Forced expiratory volume in one second as assessed by spirometry
|
The outcome will be assessed at 6 months after enrollment
|
|
Forced expiratory volume in one second/ Forced vital capacity ratio
Tidsramme: The outcome will be assessed at 6 months after enrollment
|
Forced expiratory volume in one second/ Forced vital capacity ratio as assessed by spirometry
|
The outcome will be assessed at 6 months after enrollment
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Regis G Rosa, MD, PhD, Hospital Moinhos de Vento
Datoer for undersøgelser
Studer store datoer
Studiestart (Forventet)
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Coronavirus infektioner
- Coronaviridae infektioner
- Nidovirales infektioner
- RNA-virusinfektioner
- Virussygdomme
- Infektioner
- Luftvejsinfektioner
- Luftvejssygdomme
- Respirationsforstyrrelser
- Lungebetændelse, viral
- Lungebetændelse
- Lungesygdomme
- Spædbarn, Nyfødt, Sygdomme
- Lungeskade
- Spædbørn, for tidligt fødte, Sygdomme
- COVID-19
- Respiratory Distress Syndrome
- Respiratory Distress Syndrome, nyfødt
- Akut lungeskade
Andre undersøgelses-id-numre
- Pos-COVID Brasil 3
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