Status:

UNKNOWN

An Innovative Disease-net Management Model for Non-communicable Diseases (SIDERA^B)

Lead Sponsor:

Fondazione Don Carlo Gnocchi Onlus

Collaborating Sponsors:

Università Carlo Cattaneo , Castellanza

University of Milano Bicocca

Conditions:

Parkinson Disease (PD)

Chronic Heart Failure (CHF)

Eligibility:

All Genders

18-85 years

Phase:

NA

Brief Summary

The SIDERA\^B telerehabilitation system is enabled by a multi-domain, multi-device platform providing at home multi-component rehabilitation, targeting cardiovascular (Chronic Heart Failure, CHF), pul...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • agreement to participate, with the signature of the informed consent form.
  • availability of a caregiver/study partner, who agrees to support the participant through the SIDERA\^B program.
  • living in one's own home.
  • clinical diagnosis of Chronic Heart Failure (CHF) and
  • functional New York Heart Association (NYHA) class II and III with an Ejection Fraction (EF) ≤ 40%
  • etiology of CHF primitive or post-ischemic.
  • clinical diagnosis of Chronic Obstructive Pulmonary Disease (COPD) and
  • COPD diagnosis according to the American Thoracic Society (ATS) and the European Respiratory Society (ERS) criteria with FEV1/FVC ratio \<70%
  • presence of airway limitation according to ATS/ERS and GOLD criteria.
  • clinical diagnosis of Parkinson Disease (PD) and
  • PD diagnosis according to the MDS criteria (Postuma et al., 2015)
  • staging between 1.5 and 3 on the Hoehn \& Yahr scale (Goetz et al., 2004)
  • age between 18 and 85 years.
  • Exclusion Criteria:
  • presence of comorbidities that may prevent you from undertaking a secure home program or determining clinical instability (i.e. severe orthopedic or severe cognitive deficits).
  • presence of risk conditions for safety under strain in patients with CHF (i.e. severe symptomatic aortic stenosis, evidence of ischemia due to minimal/low-intensity efforts).
  • COPD patients who do not need rehabilitation treatment (GOLD 1 / A class) or with severe COPD (GOLD 4 / D class)
  • COPD patients with overlap with other respiratory diseases or not in treatment or in the absence of good ventilatory compensation in the last 6 months
  • COPD with global respiratory failure with PaCO2\> 55 mmHg
  • PD patients with other neurological pathologies or with severe psychiatric complications
  • pathological score to a screening test for cognitive impairment (Montreal Cognitive Assessment test - MoCA test \<17.54; Conti et al., 2015).

Exclusion

    Key Trial Info

    Start Date :

    July 29 2019

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    January 1 2021

    Estimated Enrollment :

    150 Patients enrolled

    Trial Details

    Trial ID

    NCT04041193

    Start Date

    July 29 2019

    End Date

    January 1 2021

    Last Update

    June 17 2020

    Active Locations (1)

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    Fondazione Don Carlo Gnocchi ONLUS

    Milan, Italy, 20148