Body Composition, Frailty, and Function in Rehabilitation

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age21+
SponsorChangi General Hospital

About this trial

The investigators are investigating if body composition measures - in particular muscle mass, body fat, and something called the phase angle - are able to reliably predict functional outcomes for patients who are in an acute hospital for inpatient rehabilitation. The investigators also want to see if age and frailty affect these relationships.

Patients undergoing inpatient rehabilitation in our hospital will be monitored through a variety of frailty-specific tools, including strength and speed. The investigators will use a device called a body composition monitor (BCM) to record their body composition measurements. These will then be compared against their usual rehabilitation outcomes.

The investigators believe that there is a correlation between these measures and a patient's functional outcomes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Transferred under the Rehabilitation Medicine service for post-acute rehabilitation

Stroke with motor weakness (modified Rankin scale 1-5), or

Deconditioning (from sepsis, post-ICU admission, heart failure, falls, musculoskeletal conditions with or without pain, or other conditions), or

Pulmonary rehabilitation (with or with long-term oxygen therapy), or

Disqualifiers

Pacemaker or implantable defibrillator in-situ

Medical devices or surgical implants that will interfere with BIA measurement per the manufacturer's guidelines

Abnormal fluid status (overloaded or depleted) at the point of screening

Cognitive or physical inability to tolerate sitting/lying still for 2mins (for BIA measurement)

Trial population

All patients over the age of 21 years admitted to the Changi General Hospital Rehabilitation Medicine unit in Singapore, up to a target sample size of 345 patients. There are no race-based subject restrictions. There will not be any gender-based or minority-based exclusion. Our patients come from other departments such as the Acute Stroke Unit and General Surgery, and have various medical backgrounds as well as medical conditions.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

345 Participants
are grouped into 1 trial group
Group A: Eligible patients

Trial outcomes

Primary outcomes

1

M-FIM

Motor component of the Functional Independence Measure

Time frame
Baseline at recruitment, and upon discharge from the inpatient rehabilitation unit which is an average of 2 weeks later

Secondary outcomes

1

M-FIM effectiveness

M-FIM effectiveness is a derivative of the M-FIM value which has been corrected for the ceiling effect that the M-FIM value sometimes encounters in patients with higher baseline FIM scores. This is a single outcome value with a single unit of measure.

Time frame
Upon discharge from the inpatient rehabilitation unit which is an average of 2 weeks later
2

Grip strength

Handgrip strength measured in kg

Time frame
Baseline at recruitment, and upon discharge from the inpatient rehabilitation unit which is an average of 2 weeks later

Other outcomes

Sponsors and contacts

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