Physical Training in Hospitalized Elderly (AGECAR)
Recruitment status was: Not yet recruiting
Background The Activity in GEriatric acute CARe (AGECAR) is a randomized control trial to assess the effectiveness of an intrahospital strength and walk program during short hospital stays for improving functional capacity of patients aged 75 years or older.
Methods Patients aged 75 years or older admitted for a short hospital stay (≤14 days) will be randomly assigned to either a usual care (control) group or an intervention (training) group. Participants allocated in the usual care group will receive normal hospital care and participants allocated in the intervention group will perform multiple sessions per day of lower limb strength training (standing from a seated position) and walking (10 min bouts) while hospitalized. The Primary outcome to be assessed pre and post of the hospital stay will be functional capacity, using the Short Physical Performance Battery (SPPB), and time to walk 10 meters. Besides length of hospitalization, the secondary outcomes that will also be assessed at hospital admission and discharge will be pulmonary ventilation (forced expiratory volume in one second, FEV1) and peripheral oxygen saturation. The secondary outcomes that will be assessed by telephone interview three months after discharge will be mortality, number of falls since discharge, and ability to cope with activities of daily living (ADLs, using the Katz ADL score and Barthel ADL index).
Results Results will help to better understand the potential of regular physical activity during a short hospital stay for improving functional capacity in old patients.
Conclusions The increase in life expectancy has resulted in a large segment of the population being over 75 years of age and an increase in hospitalization of this same age group. This calls attention to health care systems and public health policymakers to focus on promoting methods to improve functional capacity of this population.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Prevention
|Official Title:||Effects of an Intrahospital Exercise Program in Functional Capacity of Old Inpatients|
- Short Physical Performance Battery (SPPB) [ Time Frame: Baseline (hospital admission) and 3 to 14 days later (i.e. at hospital discharge) ] [ Designated as safety issue: No ]This is a test of functional ability especifically designed for all people
- Mortality [ Time Frame: 3 months after hospital discharge ] [ Designated as safety issue: No ]This outcome that will be assessed by telephone interview three months after discharge
|Study Start Date:||September 2011|
|Estimated Study Completion Date:||December 2012|
|Estimated Primary Completion Date:||September 2012 (Final data collection date for primary outcome measure)|
|Active Comparator: Exercise||
The intervention group will perform the multi-session per day training program
Placebo Comparator: Control group
Please refer to this study by its ClinicalTrials.gov identifier: NCT01374893
|Geriatric Department, Hospital General Universitario Gregorio Marañón|
|Madrid, Spain, 28007|
|Principal Investigator:||Jose A Serra, PhD||Hospital General Universitario Gregorio Marañón|