Covid19, Medical Emergencies
Conditions
Keywords
Exercise tolerance test, Vital signs, Readmission, Mortality
Brief summary
Exertional desaturation is a feature of COVID-19. The study will measure vital signs of patients discharge by practitioners in primary care, secondary care or by paramedic practitioners. Patients will then undertake a 40-steps on the spot walk followed by measurements of heart rate and oxygen saturations for up to two minutes. Association of desaturation with 30 days hospital admission and mortality will be reported.
Interventions
DIAGNOSTIC_TEST40-Steps-test
40 steps performed on the spot
Sponsors
Oxford Brookes University
Betsi Cadwaladr University Health Board
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients are being considered for discharge to independent care * Participant is willing and able to give informed consent for participation in the study. * Patient with independent, stable, gait * Patient is alert, attentive, coherent, and calm * Male or Female, aged 18 years or above.
Exclusion criteria
* Minor injuries * Elective surgery patients * Post-operative patients at discharge * Requires supplemental oxygen * Shortness of breath at rest (i.e. Borg or Numerical Rating Scale \>=2) * Unstable angina * Patients on long-term-oxygen therapy * Pregnancy as stated by patient * Oxygen saturations \< 95% on room air * Resting heart rate \> 100 bpm * Resting respiratory rate \> 25 bpm * ECG with signs of acute ischemia in patients where an ECG has been requested by the treating clinician * National Early Warning Score of 5 or more * Nursing home residents, or those being transferred to a nursing home or similar care facility
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in decision to discharge | 24 hours | 1. No change 2. Further investigations 3. Hospital admission a) No change b) Further investigations c) Hospital admission |
| Hospital | 30 days | Admission to hospital within 30 days of the test |
| Death | 30 days | Death within 30 days of the test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in respiratory rate | Within 2 minutes of completion of the test | Change in respiratory rate compared to value measured before exercise |
| Feasibility of the 40-steps test | 12 months | Proportion of sites and patients able to undertake the test |
| Change in breathlessness | Within 2 minutes of completion of the test | Change in breathlessness compared to value measured before exercise |
| Change in heart rate | Within 2 minutes of completion of the test | Change in heart rate compared to value measured before expercise |
| Change in oxygen saturations | Within 2 minutes of completion of the test | Change in heart rate compared to value measured before exercise |
Countries
United Kingdom
Contacts
Primary ContactChristian Subbe, DM
Backup ContactLaura Langshaw
Outcome results
None listed