Prospective Study of Persistent Dyspnea in Recovered COVID-19 Patients

NCT ID: NCT04689490

Last Updated: 2021-10-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

70 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-08-01

Study Completion Date

2020-12-31

Brief Summary

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We conducted a national, single center (Hospital Clínico Universitario de Valladolid, Spain, Valladolid), prospective study of patients with prior hospitalization because of COVID-19 who were admitted between March 1st, 2020, and May 15th, 2020. All eligible patients underwent at least at first-time follow-up from the index event. Exclusion criteria were age \< 18 years old, pregnant women, terminally ill patients, active SARS-CoV-2 infections, inability to exercise and previous known severe pulmonary or heart disease. Patients underwent a clinical assessment for symptom burden, questionnaire for quality of life (Kansas City Cardiomyopathy Questionnaire and SF-36), venous blood sampling, 6-minute walking test (6-MWT), tests of lung function (spirometry and diffusing capacity of the lungs for carbon monoxide) and treadmill cardio-pulmonary exercise testing (CPET). 48-hours before the test of lung function and the CPET, all patients yielded a negative result in the reverse transcription-polymerase chain reaction (RT-PCR) for SARS-CoV-2. For definitive analysis patients were assigned to the control group if they did not refer dyspnea at the time of the follow-up, a small asymptomatic out-patient control group without prior hospitalization was also included.

Detailed Description

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Conditions

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Covid19 Dyspnea

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Dyspnea

Patients with prior hospitalization because of COVID-19, with succesful hospital discharge, who underwent at least a first-time follow-up from the index event, and present persistent dyspnea.

Cardiopulmonary exercise test

Intervention Type DIAGNOSTIC_TEST

Only diagnostic tests

Control

Patients with prior hospitalization because of COVID-19, with succesful hospital discharge, who underwent at least a first-time follow-up from the index event, fully recovered, without persistent dyspnea.

Cardiopulmonary exercise test

Intervention Type DIAGNOSTIC_TEST

Only diagnostic tests

Interventions

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Cardiopulmonary exercise test

Only diagnostic tests

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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walking test pulmonary lung test echocardiography blood sampling

Eligibility Criteria

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Inclusion Criteria

* Signed Informed Consent
* Previous COVID-19 hospitalization with successful discharged
* Availability of at least one follow up per clinical protocol

Exclusion Criteria

* pregnant women
* terminally ill patients
* active SARS-CoV-2 infections
* inability to exercise
* previous known severe pulmonary or heart disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hospital Clínico Universitario de Valladolid

OTHER

Sponsor Role lead

Responsible Party

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Ignacio J. Amat Santos

Coordinator of Interventional Cardiology Unit

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hospital Clínico Universitario de Valladolid

Valladolid, , Spain

Site Status

Countries

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Spain

References

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Pinney SP, Giustino G, Halperin JL, Mechanick JI, Neibart E, Olin JW, Rosenson RS, Fuster V. Coronavirus Historical Perspective, Disease Mechanisms, and Clinical Outcomes: JACC Focus Seminar. J Am Coll Cardiol. 2020 Oct 27;76(17):1999-2010. doi: 10.1016/j.jacc.2020.08.058.

Reference Type BACKGROUND
PMID: 33092736 (View on PubMed)

Ahmed H, Patel K, Greenwood DC, Halpin S, Lewthwaite P, Salawu A, Eyre L, Breen A, O'Connor R, Jones A, Sivan M. Long-term clinical outcomes in survivors of severe acute respiratory syndrome and Middle East respiratory syndrome coronavirus outbreaks after hospitalisation or ICU admission: A systematic review and meta-analysis. J Rehabil Med. 2020 May 31;52(5):jrm00063. doi: 10.2340/16501977-2694.

Reference Type BACKGROUND
PMID: 32449782 (View on PubMed)

Aparisi A, Ybarra-Falcon C, Garcia-Gomez M, Tobar J, Iglesias-Echeverria C, Jaurrieta-Largo S, Ladron R, Uribarri A, Catala P, Hinojosa W, Marcos-Mangas M, Fernandez-Prieto L, Sedano-Gutierrez R, Cusacovich I, Andaluz-Ojeda D, de Vega-Sanchez B, Recio-Platero A, Sanz-Patino E, Calvo D, Baladron C, Carrasco-Moraleja M, Disdier-Vicente C, Amat-Santos IJ, San Roman JA. Exercise Ventilatory Inefficiency in Post-COVID-19 Syndrome: Insights from a Prospective Evaluation. J Clin Med. 2021 Jun 11;10(12):2591. doi: 10.3390/jcm10122591.

Reference Type RESULT
PMID: 34208271 (View on PubMed)

Other Identifiers

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CASVE PI-20-1894

Identifier Type: -

Identifier Source: org_study_id