The aim of the present study is to answer the question of whether a rehabilitationmeasure has a positive effect on fatigue symptoms, physical performance, and the physicaland psychological well-being of the patients. In particular, the fatigue that occurs inmost of all patients is of interest here. In order to make this measurable, the FASquestionnaire plays a special role, which should be completed by all 100 patients uponinclusion in the study and upon discharge from the rehabilitation clinic. In addition,the HADS-D questionnaire (Hospital Anxiety and Depression Scale) for self-assessment ofdepressive symptoms and anxiety symptoms and the SF-12 questionnaire (Short Form HealthSurvey) are used as a screening tool to assess health-related quality of life.For the clinical examination of physical performance, the six-minute walk test, a bodyplethysmography and a long-term ECG are performed on recruited patients on admission andbefore discharge. In a three-month follow-up, all recruited patients should receive anFAS, HADS-D and SF-12 questionnaire to fill out. Some of these will also be called backto the clinic to check the development of lung function or performance, defined on thebasis of VO2max, and will undergo an additional spiroergometric examination.Thus, the effectiveness and effectiveness of the rehabilitation measures in patientsunder long-COVID is checked.
The study is a prospective, monocentric cohort study in which patients with the main
diagnosis of long-COVID syndrome from the Paracelsus Harz Clinic, Bad Suderode, are
included and followed up over a period of three months.
The study population consists of patients from the rehabilitation clinic
Paracelsus-Harz-Klinik Bad Suderode. It is planned to enroll 100 patients, all of whom
will be included in a three-month follow-up. Within this follow-up, 20 of the 100
patients will be selected to be re-examined in the clinic three months later. For this
purpose, patients are selected who live within a maximum distance of 50km from the
Paracelsus Harz Clinic and who are able to reach the clinic three months after completion
of the rehabilitation measure.
After receiving the vote of the Ethics Committee of the Medical Association of the State
of Saxony-Anhalt (Bad Suderode) and the written consent of the patients,
socio-demographic information and questions are documented according to the standard of
the rehabilitation clinic. All relevant baseline parameters (age, gender, BMI, drug
treatment, etc.) are also documented. In order to obtain the essential values for the
evaluation of the physical and psychological condition of the patients, all patients
receive an FAS questionnaire, a HADS-D and an SF-12 questionnaire upon inclusion and at
the end of the rehabilitation stay. Furthermore, after admission and before discharge, a
six-minute walk test, a lung function test using body plethysmography and a long-term ECG
for cardiological observation are carried out.
After the patients have left the clinic, 80 of the recruited patients will be contacted
by post three months later in order to fill out the previously known questionnaires
again. The Fatigue Questionnaire (FAS Questionnaire) is of particular interest for
checking the physical and psychological development after completion of the
rehabilitation treatment. In addition, the patients should again receive the HADS-D and
SF-12 questionnaires to check their mental and physical well-being. If the patients
cannot be reached, an attempt is made to obtain follow-up information by telephone,
relatives or general practitioners. The remaining 20 patients will be referred to the
clinic again as part of the three-month follow-up so that the development of lung
function and performance, measured using VO2max, can be checked in the form of
spiroergometry. During their stay, they also receive the FAS questionnaire, the HADS-D
and the SF-12 questionnaire to fill out
Other: questionnaires
Completion of 3 questionnaires (HADS; SF-12; FAS) at the beginning and end of the
rehabilitation and after 3 months
Inclusion Criteria:
- ≥ 18 years, written consent; inpatient stay in the participating rehabilitation
clinic
Exclusion Criteria:
- lack of consent, Illnesses or functional disorders which, in the opinion of the
investigator, exclude participation in this clinical trial (dementia, psychotic
disorders)
Paracelsus Harzklinik Bad Suderode GmbH
Quedlinburg, Germany
Investigator: Axel Schlitt
Contact: +493948599784
axel.schlitt@pkd.de
Axel Schlitt
+493948599784
axel.schlitt@pkd.de
Viktoria Heinze
+493948599784
viktoria.heinze@pkd.de
Not Provided