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|Renal Insufficiency, Chronic NIH
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|Renal Insufficiency, NIH
There are 2 clinical trials
Data show that the coronavirus disease 2019 (COVID-19) symptoms can be severe in 4% and 3% of the adolescents aged 11-15 years and ≥ 16 years, respectively. In addition, the prevalence of chronic diseases among adolescents has increased in the last years. About 20% of the adolescents have some chronic disease, resulting in increased morbidity and mortality. In march, 2020, the quarantine was officially implemented in Sao Paulo, while elective medical appointments for adolescents with chronic disease were temporarily suspended. To mitigate the deleterious effect of the social isolation on physical and mental health among these patients, this study aims to test the effects of an online, home-based, exercise training program.
Description: Semi structured interviewMeasure: Safety and efficacy of a home-based exercise training program Time: From baseline to 3 months of follow-up
Description: Semi structured interviewMeasure: Patients perceptions during social isolation Time: From baseline to 3 months of follow-up
Description: Quality of life will be assessed by means of Pediatric Quality of Life inventory (PedsQLTM 4.0)Measure: Adolescents quality of life Time: From baseline to 3 months of follow-up
Description: Will be assessed by means of a visual analog scale (from 0 - no disease activity) to 10 - maximum disease activity).Measure: Disease activity Time: From baseline to 3 months of follow-up
Description: Will be assessed using the visual analog scale from 0 (very good condition) to 10 (very poor condition).Measure: Disease overall assessment Time: From baseline to 3 months of follow-up
Description: Will be assessed by means of Strengths & Difficulties QuestionnairesMeasure: Strengths and difficulties Time: From baseline to 3 months of follow-up
The coronavirus (COVID-19) pandemic has created a significant strain on health care resources across the world for managing critically ill patients. Emerging reports from China, South Korea and Italy have reported varying incidence of acute kidney (AKI) ranging from 5-15% with a mortality of 60-80% however there is no systematic assessment of the risk factors, recognition, course and outcomes in patients with and without kidney disease whose course is complicated by AKI1-4. Patients with underlying CKD, immunosuppressed patients with renal transplants and ESKD patients are at high risk for COVID-19 infection and there is limited information on the effect of COVID-19 on the course and outcomes of these patients. The requirement for renal support including IHD, CRRT and sorbent based therapies has been variable and has contributed to the intense pressure on the nephrology and critical care providers for delivering these therapies. As the COVID-19 pandemic expands in the USA and abroad, there is an intense need to understand the epidemiology of the disease and the resources needed for renal support to inform clinical management and public health interventions. In this study, the investigators aim to investigate health care facilities across the world (hospital wards, ICU, outpatient clinics, nursing homes, healthcare centers) to draw a global picture of incidence, risk factors, resources available for treatment and prognosis of acute and chronic kidney disease in patient with COVID 19 confirmed infection. The aim is to identify trends in patients with acute and chronic kidney disease, determine its incidence, treatment and outcomes in different settings across the world. This information will be used to develop and implement educational tools and resources to prevent deaths from AKI and progression of CKD in this and following pandemics.
Description: Meeting of at least one of the modified KDIGO Criteria Increase or decrease in serum creatinine >0.3 mg/dl from reference in 48 hours Increase or decrease in serum creatinine > 50% from reference in 7 days Urine output < 400 ml/dayMeasure: AKI incidence Time: from hospital admission through hospital discharge upto 24 weeks
Description: initiation of intermittent hemodialysis, continuous hemodialysis or peritoneal dialysis during the hospital stayMeasure: Dialysis requirement Time: through study completion upto 1 year from enrollment
Description: Deaths during primary hospitalizationMeasure: hospital mortality Time: through study completion within 1 year
Description: C-Complete: SCr < 0.3 mg/dL from reference P-Partial: Requires no dialysis but not complete recovery N-No recovery: Dialysis dependent C-Complete: SCr < 0.3 mg/dL from reference P-Partial: Requires no dialysis but not complete recovery N-No recovery: Dialysis dependent Percentage of patinets with renal functioanl recovery based on serum creatinien levels classfied as C-Complete: SCr < 0.3 mg/dL from reference P-Partial: Requires no dialysis but not complete recovery N-No recovery: Dialysis dependentMeasure: Renal functional recovery Time: Assessed at at 3, 6 and 12 months from enrollment at hospital admission
Description: EQL5D scale and SH8 scales completed at 3, 6 and 12 months post enrollmentMeasure: Functional status Time: questionnaires to be completed at 3, 6 and 12 months from enrollment at hospital admission
Description: Number of days patient is in the hospital and ICU and is managed with ventilators, dialysis or other extracorporeal organ support e.g. ECMO during the hospital stayMeasure: Resource utilization Time: Within 1 year of enrollment for primary hospitalization
Data processed on December 13, 2020.
An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.Drug Reports MeSH Reports HPO Reports