Trial Outcomes & Findings for A Trial of Rehabilitation Therapy in Older Acute Heart Failure Patients (NCT NCT02196038)

NCT ID: NCT02196038

Last Updated: 2021-06-24

Results Overview

The Short Physical Performance Battery is scored on a scale of 0-12, with a higher score indicating better physical function.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

349 participants

Primary outcome timeframe

Month 3

Results posted on

2021-06-24

Participant Flow

Participant milestones

Participant milestones
Measure
Attention Control
Usual care group with bi-weekly contact
Rehabilitation Intervention
Individual, tailored, progressive, multi-domain physical function rehabilitation intervention
Overall Study
STARTED
174
175
Overall Study
COMPLETED
157
153
Overall Study
NOT COMPLETED
17
22

Reasons for withdrawal

Reasons for withdrawal
Measure
Attention Control
Usual care group with bi-weekly contact
Rehabilitation Intervention
Individual, tailored, progressive, multi-domain physical function rehabilitation intervention
Overall Study
Death
16
21
Overall Study
Withdrawal by Subject
0
1
Overall Study
Lost to Follow-up
1
0

Baseline Characteristics

A Trial of Rehabilitation Therapy in Older Acute Heart Failure Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Attention Control
n=174 Participants
Usual care group with bi-weekly contact
Rehabilitation Intervention
n=175 Participants
Individual, tailored, progressive, multi-domain physical function rehabilitation intervention
Total
n=349 Participants
Total of all reporting groups
Age, Continuous
72.2 years
STANDARD_DEVIATION 7.7 • n=5 Participants
73.1 years
STANDARD_DEVIATION 8.5 • n=7 Participants
72.7 years
STANDARD_DEVIATION 8.1 • n=5 Participants
Sex: Female, Male
Female
98 Participants
n=5 Participants
85 Participants
n=7 Participants
183 Participants
n=5 Participants
Sex: Female, Male
Male
76 Participants
n=5 Participants
90 Participants
n=7 Participants
166 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
170 Participants
n=5 Participants
172 Participants
n=7 Participants
342 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
81 Participants
n=5 Participants
73 Participants
n=7 Participants
154 Participants
n=5 Participants
Race (NIH/OMB)
White
83 Participants
n=5 Participants
90 Participants
n=7 Participants
173 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Short Physical Performance Battery
6.1 Score on a Scale
STANDARD_DEVIATION 2.6 • n=5 Participants
6.0 Score on a Scale
STANDARD_DEVIATION 2.8 • n=7 Participants
6.1 Score on a Scale
STANDARD_DEVIATION 2.7 • n=5 Participants

PRIMARY outcome

Timeframe: Month 3

Population: Analysis completed on all participants alive with Month 3 SPPB obtained (n=304).

The Short Physical Performance Battery is scored on a scale of 0-12, with a higher score indicating better physical function.

Outcome measures

Outcome measures
Measure
Attention Control
n=155 Participants
Usual care group with bi-weekly contact
Rehabilitation Intervention
n=149 Participants
Individual, tailored, progressive, multi-domain physical function rehabilitation intervention
Short Physical Performance Battery (SPPB) at Month 3
6.9 score on a scale
Standard Error 0.2
8.3 score on a scale
Standard Error 0.2

SECONDARY outcome

Timeframe: Month 6

Population: All participants, regardless of participation in the intervention or Month 3 follow-up were followed for all-cause rehospitalizations. Analysis completed on all participants, including deaths, except participants lost to follow-up (n=1) and participants withdrawn from study (n=1).

Number of all-cause rehospitalizations 6 months from index hospital discharge.

Outcome measures

Outcome measures
Measure
Attention Control
n=173 Participants
Usual care group with bi-weekly contact
Rehabilitation Intervention
n=174 Participants
Individual, tailored, progressive, multi-domain physical function rehabilitation intervention
All-Cause Rehospitalization
213 rehospitalizations
194 rehospitalizations

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 3

Exploratory outcome. Distance walked in 6 minutes.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 3

Exploratory outcome. Handgrip strength is measured in kilograms by a handgrip dynamometer.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 3

Exploratory outcome. Frailty is assessed by the Fried criteria consisting of 5 components: low physical activity, exhaustion, weakness, slowness, and unintentional weight loss. Presence of 3 or more Fried criteria indicates frailty, 1-2 criteria indicates pre-frailty, and 0 criteria indicates no frailty.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 3

Exploratory outcome. The KCCQ Overall Summary Summary Score is a heart failure disease-specific quality of life measure encompassing domains of physical limitation, HF symptoms, quality of life, and social limitation scored on a scale of 0-100 with higher scores indicating better health status.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 3

Exploratory outcome. The Physical Limitation Score of the KCCQ questionnaire is a subscore evaluating disease-specific physical limitation. Scores range 0-100 with a higher score indicating less physical limitation.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 3

Exploratory outcome. The SF-12 is a quality of life assessment with 2 component scores (Physical Composite Score and Mental Composite Score) ranging 0-100 with higher scores indicating better health status.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Exploratory outcome. The EQ-5D-5L is a quality of life tool with 5 components designed to detect health utilities: mobility, usual activities, self-care, pain/discomfort, and anxiety/depression. All components are rated on a scale of 1-5 with higher scores indicating worse health status.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 3

Exploratory outcome. The Geriatric Depression Scale is a 15-item questionnaire evaluating depressive symptoms. Scores range from 0-15 with a higher score indicating more severe depressive symptoms.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 3

Exploratory outcome. The Montreal Cognitive Assessment is a tool for assessing multiple domains of cognitive function. Scores range 0-30 with higher scores indicating better cognitive function. A score greater than or equal to 26 is considered normal cognitive function.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 1

Exploratory outcome. Number of all-cause rehospitalizations 1 month post index hospitalization discharge.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 3

Exploratory outcome. Number of all-cause rehospitalizations 3 months after discharged from index hospitalization

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Exploratory outcome. Combined number of all-cause rehospitalizations and death 6 months after discharge from index hospitalization

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Exploratory outcome. Number of heart failure rehospitalizations 6 months after discharge from index hospitalization

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Exploratory outcome. Total days spent hospitalized after date of randomization.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Exploratory outcomes. Total days alive spent outside of hospital, observation unit, acute rehab setting, and skilled nursing facility 6 months after discharge from index hospitalization.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Exploratory outcomes. Number of emergency department visits after 6 months from hospital discharge

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Exploratory outcome. Number of observation unit stays \<24 hours 6 months after discharge from index hospitalization

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Exploratory outcome. Number of unscheduled urgent medical visits after discharge from index hospitalization

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Exploratory outcome. The global rank composite outcome combines non-commensurate endpoints including death, number of all-cause rehospitalizations, and month 3 SPPB into a single non-parametric outcome in a hierarchical manner with death being ranked first and SPPB being ranked last. Participants are ranked from the most adverse response (lowest rank) to the most favorable response (highest rank).

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Exploratory outcome. Number of placements at skilled nursing facilities after discharge from index hospitalization.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Exploratory outcome. Physical activity assessed by accelerometry quantified in moderate-vigorous physical activity minutes per day.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 3

Exploratory outcome. The Life Orientation Test-Revised is a assessment of generalized optimism scored on a scale of 0-24 with higher scores indicating higher optimism.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Assess direct medical costs, direct non-medical costs, indirect patient time costs, short-term cost-analysis, long-term cost analysis, and sustainability of the intervention.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 3

Two well-accepted biomarkers of HF disease severity and prognosis, NT-proBNP and galectin-3, and increased biomarkers in older HF patients Tumor necrosis factor alpha, C-reactive protein, and interleukin-6.

Outcome measures

Outcome data not reported

Adverse Events

Attention Control

Serious events: 115 serious events
Other events: 69 other events
Deaths: 16 deaths

Rehabilitation Intervention

Serious events: 106 serious events
Other events: 60 other events
Deaths: 21 deaths

Serious adverse events

Serious adverse events
Measure
Attention Control
n=174 participants at risk
Usual care group with bi-weekly contact
Rehabilitation Intervention
n=175 participants at risk
Individual, tailored, progressive, multi-domain physical function rehabilitation intervention
Blood and lymphatic system disorders
anemia
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Blood and lymphatic system disorders
epitaxis
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Blood and lymphatic system disorders
leukocytosis
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
aortic valve disease
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
atrial fibrillation
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
2.9%
5/175 • Number of events 5 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
atrial flutter
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
bradycardia
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
cardiac arrest
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
chest pain
1.1%
2/174 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
3.4%
6/175 • Number of events 7 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
heart failure exacerbation
36.8%
64/174 • Number of events 107 • AEs collected from date of discharge from index hospitalization through Month 6.
32.6%
57/175 • Number of events 99 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
mitral stenosis
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
mitral valve repair
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
myocardial infarction
2.3%
4/174 • Number of events 5 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
sudden cardiac death
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
2.3%
4/175 • Number of events 4 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
supraventricular tachycardia
2.9%
5/174 • Number of events 5 • AEs collected from date of discharge from index hospitalization through Month 6.
2.3%
4/175 • Number of events 4 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
ventricular tachycardia
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
colitis
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
colonic fistula
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
constipation
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
diarrhea
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
duodenal ulcer
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
gastroenteritis
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
gastrointestinal bleed
2.9%
5/174 • Number of events 5 • AEs collected from date of discharge from index hospitalization through Month 6.
2.3%
4/175 • Number of events 4 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
gastroparesis
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
inguinal hernia
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
multiple organ failure
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
nausea
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
small bowel obstruction
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
General disorders
edema
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
General disorders
non-cardiac chest pain
3.4%
6/174 • Number of events 6 • AEs collected from date of discharge from index hospitalization through Month 6.
3.4%
6/175 • Number of events 8 • AEs collected from date of discharge from index hospitalization through Month 6.
Hepatobiliary disorders
cholelithiasis
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Hepatobiliary disorders
hepatotoxicity
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Hepatobiliary disorders
liver cirrhosis
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Immune system disorders
primary amyloidosis
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Infections and infestations
bacterial endocarditis
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Infections and infestations
influenza
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Infections and infestations
osteomyelitis
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Infections and infestations
sepsis
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Infections and infestations
upper respiratory infection
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Infections and infestations
urinary tract infection
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
Infections and infestations
wound infection
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
fracture
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
injurious fall
9.2%
16/174 • Number of events 18 • AEs collected from date of discharge from index hospitalization through Month 6.
5.1%
9/175 • Number of events 10 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
intracranial hemorrhage
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
oxycontin overdose
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
serotonin syndrome
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
spinal compression fracture
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
tacrolimus toxicity
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Metabolism and nutrition disorders
dehydration
0.57%
1/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
1.7%
3/175 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
Metabolism and nutrition disorders
hyperglycemia
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Metabolism and nutrition disorders
hypoglycemia
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Metabolism and nutrition disorders
hypokalemia
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Metabolism and nutrition disorders
hyponatremia
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Musculoskeletal and connective tissue disorders
arthritis
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Musculoskeletal and connective tissue disorders
back pain
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Musculoskeletal and connective tissue disorders
gout flare
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
1.7%
3/175 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
chronic lymphocytic leukemia
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
metastatic cancer
1.1%
2/174 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
pancreatic adenocarcinoma
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Nervous system disorders
dysarthia
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Nervous system disorders
neuropathy
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Nervous system disorders
stroke
2.3%
4/174 • Number of events 4 • AEs collected from date of discharge from index hospitalization through Month 6.
2.9%
5/175 • Number of events 6 • AEs collected from date of discharge from index hospitalization through Month 6.
Nervous system disorders
syncope
1.7%
3/174 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
Nervous system disorders
transient ischemic attack
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Psychiatric disorders
sucidal ideation
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Renal and urinary disorders
acute kidney injury
3.4%
6/174 • Number of events 8 • AEs collected from date of discharge from index hospitalization through Month 6.
1.7%
3/175 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
Renal and urinary disorders
hematuria
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Reproductive system and breast disorders
vaginal discharge
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Respiratory, thoracic and mediastinal disorders
COPD exacerbation
2.9%
5/174 • Number of events 5 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Respiratory, thoracic and mediastinal disorders
dyspnea
2.3%
4/174 • Number of events 5 • AEs collected from date of discharge from index hospitalization through Month 6.
1.7%
3/175 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
Respiratory, thoracic and mediastinal disorders
interstitial lung disease
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Respiratory, thoracic and mediastinal disorders
pleural effusion
1.1%
2/174 • Number of events 4 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Respiratory, thoracic and mediastinal disorders
pneumonia
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
1.7%
3/175 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
Respiratory, thoracic and mediastinal disorders
pulmonary edema
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Respiratory, thoracic and mediastinal disorders
pulmonary fibrosis
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Respiratory, thoracic and mediastinal disorders
respiratory failure
0.57%
1/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
1.7%
3/175 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
Skin and subcutaneous tissue disorders
diabetic foot ulcer
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Surgical and medical procedures
ablation
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Surgical and medical procedures
arteriovenous fistula placement
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Surgical and medical procedures
bronchoscopy
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Surgical and medical procedures
cateract surgery
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Surgical and medical procedures
implantable cardioverter defibrillator implantation
3.4%
6/174 • Number of events 7 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Surgical and medical procedures
pacemaker implantation
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Surgical and medical procedures
remodulin pump implantation
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Surgical and medical procedures
renal artery angioplasty
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Vascular disorders
hematoma
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Vascular disorders
hypertension
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Vascular disorders
hypotension
2.3%
4/174 • Number of events 4 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Vascular disorders
pulmonary embolism
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.

Other adverse events

Other adverse events
Measure
Attention Control
n=174 participants at risk
Usual care group with bi-weekly contact
Rehabilitation Intervention
n=175 participants at risk
Individual, tailored, progressive, multi-domain physical function rehabilitation intervention
Blood and lymphatic system disorders
anemia
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Blood and lymphatic system disorders
elevated international normalized ratio
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Blood and lymphatic system disorders
epitaxis
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
atrial fibrillation
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
bradycardia
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
chest pain
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
heart failure exacerbation
4.0%
7/174 • Number of events 7 • AEs collected from date of discharge from index hospitalization through Month 6.
4.0%
7/175 • Number of events 8 • AEs collected from date of discharge from index hospitalization through Month 6.
Cardiac disorders
suprventricular tachycardia
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.7%
3/175 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
Eye disorders
sudden vision loss
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
diarrhea
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
gastrointestinal pain
1.7%
3/174 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
melena
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Gastrointestinal disorders
nausea
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
General disorders
edema
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
General disorders
fatigue
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.7%
3/175 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
General disorders
non-cardiac chest pain
2.3%
4/174 • Number of events 4 • AEs collected from date of discharge from index hospitalization through Month 6.
2.9%
5/175 • Number of events 5 • AEs collected from date of discharge from index hospitalization through Month 6.
General disorders
weakness
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Infections and infestations
upper respiratory infection
2.3%
4/174 • Number of events 4 • AEs collected from date of discharge from index hospitalization through Month 6.
2.3%
4/175 • Number of events 4 • AEs collected from date of discharge from index hospitalization through Month 6.
Infections and infestations
urinary tract infection
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
1.7%
3/175 • Number of events 4 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
abrasion
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
compression fracture
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
contusion
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
ear injury
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
fall (self-reported)
35.6%
62/174 • Number of events 112 • AEs collected from date of discharge from index hospitalization through Month 6.
27.4%
48/175 • Number of events 94 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
foot wound
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
ICD device complications
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
inguinal hernia
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Injury, poisoning and procedural complications
post-prodecural complication
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Metabolism and nutrition disorders
dehydration
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Metabolism and nutrition disorders
fluid retention
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.7%
3/175 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
Metabolism and nutrition disorders
hyperglycemia
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Metabolism and nutrition disorders
hypoglycemia
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
2.3%
4/175 • Number of events 5 • AEs collected from date of discharge from index hospitalization through Month 6.
Metabolism and nutrition disorders
hypokalemia
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Musculoskeletal and connective tissue disorders
gout flare
1.1%
2/174 • Number of events 3 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Musculoskeletal and connective tissue disorders
muscle strain
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Musculoskeletal and connective tissue disorders
musculoskeletal pain
4.0%
7/174 • Number of events 7 • AEs collected from date of discharge from index hospitalization through Month 6.
5.7%
10/175 • Number of events 13 • AEs collected from date of discharge from index hospitalization through Month 6.
Nervous system disorders
altered mental status
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Nervous system disorders
dizziness
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
4.6%
8/175 • Number of events 10 • AEs collected from date of discharge from index hospitalization through Month 6.
Nervous system disorders
headache
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Nervous system disorders
neuropathy
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Nervous system disorders
seizure
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Nervous system disorders
syncope
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Renal and urinary disorders
acute kidney injury
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Renal and urinary disorders
elevated creatinine
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Renal and urinary disorders
hematuria
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Renal and urinary disorders
kidney stone
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Renal and urinary disorders
urinary retention
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Respiratory, thoracic and mediastinal disorders
COPD exacerbation
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Respiratory, thoracic and mediastinal disorders
dyspnea
1.1%
2/174 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
2.3%
4/175 • Number of events 4 • AEs collected from date of discharge from index hospitalization through Month 6.
Skin and subcutaneous tissue disorders
dermatitis
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Skin and subcutaneous tissue disorders
skin lesion
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
0.57%
1/175 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
Vascular disorders
deep vein thrombosis
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.
Vascular disorders
hypertension
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.7%
3/175 • Number of events 4 • AEs collected from date of discharge from index hospitalization through Month 6.
Vascular disorders
hypotension
0.00%
0/174 • AEs collected from date of discharge from index hospitalization through Month 6.
1.1%
2/175 • Number of events 2 • AEs collected from date of discharge from index hospitalization through Month 6.
Vascular disorders
venous stasis
0.57%
1/174 • Number of events 1 • AEs collected from date of discharge from index hospitalization through Month 6.
0.00%
0/175 • AEs collected from date of discharge from index hospitalization through Month 6.

Additional Information

Dr. Dalane Kitzman

Wake Forest School of Medicine

Phone: 336-716-3274

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place