Cohort Follow-up of Survivors of Hospitalization for COVID-19 During the 2nd Wave of the Epidemic in France

NCT ID: NCT04934202

Last Updated: 2021-06-22

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

UNKNOWN

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-05-05

Study Completion Date

2022-05-05

Brief Summary

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From July to September 2020, in a first uncontrolled cohort study, 478 patients who were hospitalized at Bicêtre hospital for COVID-19 and who survived were evaluated at 4 months (publication accepted at JAMA). The current project aims to bring together the means to continue this work during the 2nd epidemic wave.

Detailed Description

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From 15th July to 18th September, 2020, in a first uncontrolled cohort study (Multi-Expertise Consultation of Bicêtre After Covid-19, COMEBAC), we evaluated at four months the surviving patients who were hospitalized at the Bicêtre hospital for COVID-19 during the 1st wave of the epidemic in France and having survived this hospitalization. This cohort included 478 patients. The article resulting from the analysis of the data collected is accepted for publication in JAMA.

This evaluation, the aim of which was both clinical and scientific, was carried out largely thanks to human and material resources then demobilized because of the epidemic and thanks to the investment of doctors and psychologists who carried out the work in addition to their usual work.

The response to the current call for projects aims to bring together the means to continue this monitoring work during the 2nd epidemic wave, while the means and staff are this time completely mobilized by the care of patients with COVID-19 and other. It also aims to raise funds that will allow an in-depth analysis of the residual symptoms presented by the patients.

The current project aims to continue the work started with the COMEBAC "1st wave" cohort with:

* The inclusion of patients hospitalized after the 1st wave.
* An assessment of symptoms according to the SARS-CoV-2 variant.
* A 12-month follow-up of symptomatic patients during the evaluation in COMEBAC "1st wave".

Conditions

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Sequelae Fibrosis Post-COVID Syndrome Post-traumatic Stress Disorder

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients from the 1st epidemic wave

One year after their discharge from the initial hospitalization, patients who presented symptoms during the evaluation in COMEBAC "1st wave" in summer 2020 will benefit from a telephone assessment on the same schedule as that detailed above. If symptoms persist, they will be called to the day hospital for an assessment similar to the one detailed above.

Teleconsultation

Intervention Type OTHER

Teleconsulting physicians will subject patients to a standardized questionnaire that will look for the following symptoms:

* General signs: Anorexia, fatigue, new hospitalization, weight loss,
* Respiratory signs: recent dyspnoea, chest discomfort, chest pain, new cough, abnormal lung CT scan since discharge
* Neurological signs: headache, paraesthesia, anosmia, limb paralysis
* Digestive signs: abdominal pain, diarrhoea, constipation, nausea, vomiting

Edition 2021

◌ Cognitive signs using the Q3PC questionnaire (10): memory loss, slowness in reasoning, activity planning or problem solving, concentration, attention difficulties

Outpatient clinic

Intervention Type OTHER

During a day hospitalization planned during the teleconsultation, patients will benefit from the following multidisciplinary assessment.

* General clinical examination
* Assessment of the state of health
* Respiratory assessment
* Pulmonary CT assessment
* Cognitive evaluation
* Cardiological evaluation
* Renal assessment
* Immunological evaluation

Patients from the 2nd epidemic wave

As during the evaluation carried out during the 1st wave, the detection of persistent symptoms will be done in two stages:

* During a teleconsultation, to which all eligible patients will be invited, systematically looking for general, neurological, cognitive and respiratory symptoms
* During a hospitalization in an outpatient clinic to which all survivors who have stayed in an intensive care unit (ICU) will be invited and, among patients who have not stayed in an ICU, those who have residual symptoms detected during the teleconsultation.

Teleconsultation

Intervention Type OTHER

Teleconsulting physicians will subject patients to a standardized questionnaire that will look for the following symptoms:

* General signs: Anorexia, fatigue, new hospitalization, weight loss,
* Respiratory signs: recent dyspnoea, chest discomfort, chest pain, new cough, abnormal lung CT scan since discharge
* Neurological signs: headache, paraesthesia, anosmia, limb paralysis
* Digestive signs: abdominal pain, diarrhoea, constipation, nausea, vomiting

Edition 2021

◌ Cognitive signs using the Q3PC questionnaire (10): memory loss, slowness in reasoning, activity planning or problem solving, concentration, attention difficulties

Outpatient clinic

Intervention Type OTHER

During a day hospitalization planned during the teleconsultation, patients will benefit from the following multidisciplinary assessment.

* General clinical examination
* Assessment of the state of health
* Respiratory assessment
* Pulmonary CT assessment
* Cognitive evaluation
* Cardiological evaluation
* Renal assessment
* Immunological evaluation

Interventions

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Teleconsultation

Teleconsulting physicians will subject patients to a standardized questionnaire that will look for the following symptoms:

* General signs: Anorexia, fatigue, new hospitalization, weight loss,
* Respiratory signs: recent dyspnoea, chest discomfort, chest pain, new cough, abnormal lung CT scan since discharge
* Neurological signs: headache, paraesthesia, anosmia, limb paralysis
* Digestive signs: abdominal pain, diarrhoea, constipation, nausea, vomiting

Edition 2021

◌ Cognitive signs using the Q3PC questionnaire (10): memory loss, slowness in reasoning, activity planning or problem solving, concentration, attention difficulties

Intervention Type OTHER

Outpatient clinic

During a day hospitalization planned during the teleconsultation, patients will benefit from the following multidisciplinary assessment.

* General clinical examination
* Assessment of the state of health
* Respiratory assessment
* Pulmonary CT assessment
* Cognitive evaluation
* Cardiological evaluation
* Renal assessment
* Immunological evaluation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years old
* COVID-19 defined either by a reverse transcriptase-polymerase chain reaction (RT-PCR) or by a combination of clinical signs and compatible lung CT scan
* Hospitalization for COVID-19 after 1st July 2020
* Living out of the hospital

◌ Presence of general, cognitive, psychological and respiratory symptoms during the assessment made at 4 months in COMEBAC "1st wave"

Exclusion Criteria

* Death occurring between index hospitalization and reassessment
* Patient refusal
* Discovery of a positive RT-PCR for SARS-CoV-2 during hospitalization for a reason other than COVID-19
* Nosocomial COVID-19

For the 12-month evaluation of patients from the 1st epidemic wave


* Death occurring between the evaluation in COMEBAC "1st wave" and the re-evaluation
* Patient refusal
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Tai PHAM

Role: PRINCIPAL_INVESTIGATOR

Bicêtre Hospital

Locations

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Bicetre hospital

Le Kremlin-Bicêtre, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Tai PHAM

Role: CONTACT

+33145217245

Facility Contacts

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Tai PHAM

Role: primary

0145217245

Other Identifiers

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COMEBAC 2

Identifier Type: -

Identifier Source: org_study_id

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