Comparing Inpatient COVID-19 Outcomes in 2 Different PT Dosing Groups (CCPT)
Comparing COVID-19 Inpatient Outcomes When Treated With a Twice-a-day 15- Minute PT Program Versus a Once-a-day-30-minute PT Program
研究概览
详细说明
The 2019 pandemic struck New York City hospitals early and aggressively. In rehabilitating inpatients during the early part of the pandemic, we learned that many of them were too affected by the COVID-19 illness to be able to tolerate the typical 30-minute daily session of physical therapy. At that time, the physical therapy (PT) staff often accommodated patients by dividing the typical 30 minute daily session into two 15 minute sessions in an effort to increase patient tolerance and participation. However, it was discovered at that time that literature was scarce on whether these divided PT sessions were equal or superior to the typical sessions. Nor was there any substantial literature on whether shorter duration higher frequency sessions were better tolerated by the inpatient. The purpose of this prospective randomized non-blinded controlled study is to compare outcomes of COVID inpatients receiving one 30 minute daily session of PT to patients receiving two 15 minute daily sessions of PT.
In order to obtain high quality data on level of mobility during hospitalization, two separate scoring systems will be used: The AMPAC and JH-HLM scores. These two scoring systems have been selected for their wide acceptance in both the physiatry and physical therapy communities, and due to having confirmed inter-rater reliability and validity. These scores will be calculated by the physical therapist on initial evaluation, and then again on every session up until discharge. The physical therapy team at this community hospital have already received extensive education on the utilization of both of these scoring tools.
The rationale for this study is to determine whether shorter duration (15 minute) higher frequency sessions (2x a day) are better tolerated than the standard 30-minute session. We hypothesize that shorter duration higher frequency sessions are superior to standard inpatient PT sessions in terms of patient tolerance and change in mobility scores from admission to discharge. Supporting evidence is based on previous observation and from a recent survey given to 19 physical therapists actively working with COVID-19 inpatients at White plains Hospital: Healthier patients have a higher tolerance of the 30 minute sessions, and sicker patients have a poor tolerance of the 30 minute sessions.
研究类型
阶段
- 不适用
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Ages 18-89.
- positive COVID19 status as confirmed by at least one positive nasopharyngeal/oropharyngeal swab or chest CT.
- PT referral placed and patient seen by PT within 72 hours of admission.
Exclusion Criteria:
- Patients who were deemed unable to actively participate in therapy due to poor cognitive status or being medically unstable.
- Patients who are unable to give consent.
- Patient who are bedbound at baseline.
- Patient who are not fluent in English or Spanish (a Spanish version of consent form will be made available)?
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
有源比较器:Standard PT group
The standard PT group (control) will be receiving the standard 30 minute PT sessions 5 days a week.
There will be no variations from standard inpatient PT treatment except that subjects may receive more days of PT than patients who are not participating in study.
|
The standard PT session is 30 minutes once daily.
It routinely involves exercises designed to strengthen and increase mobility of the patient such as bed mobility, transfers, and ambulation.
In this study group there will be no variation from this standard treatment.
|
实验性的:Divided session PT group
The divided session PT group (experimental) will be receiving 15 minute sessions twice a day, five days a week.
The total number of minutes of PT time per day/week will be identical to the standard PT group, but divided into shorter and more frequent sessions.
|
The standard PT session (30 mins) will be divided into two 15 minute sessions spread out during the day.
Therefore, the total number of minutes of PT will not vary from the standard.
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Patient tolerance
大体时间:Through completion of study, an average of 1 year
|
Patient tolerance will be recorded in minutes at end of each PT session in each group.
|
Through completion of study, an average of 1 year
|
Change in mobility scores from admission to discharge
大体时间:Through completion of study, an average of 1 year
|
Mobility scores including Activity Measure for Post Acute Care (AMPAC) and Johns Hopkins Highest Level of Mobility (JH-HLM) will be recorded at end of each PT session.
The change in scores from admission to discharge will be determined and recorded once patient is discharged.
|
Through completion of study, an average of 1 year
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Disposition
大体时间:Through completion of study, an average of 1 year
|
Disposition possibilities include home, home with services, acute rehab, subacute rehab or skilled nursing facility, LTACH, transfer to another acute care hospital, hospice/home with hospice, expired.
|
Through completion of study, an average of 1 year
|
Hospital Length of Stay
大体时间:Through completion of study, an average of 1 year
|
Total length of stay in the hospital will be determined based on date of admission and date of discharge from acute care hospital.
|
Through completion of study, an average of 1 year
|
合作者和调查者
调查人员
- 首席研究员:Anupama Kurra, MD、Montefiore Medical Center
研究记录日期
研究主要日期
学习开始 (预期的)
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
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