Evidence map›Paper›PMID 33970864›Full record

ArticleJMIR research protocols2021

COVID-19 Rehabilitation With Herbal Medicine and Cardiorespiratory Exercise: Protocol for a Clinical Study.

Yang Gao, Linda L D Zhong, Binh Quach, Bruce Davies, Garrett I Ash, Zhi-Xiu Lin, Yibin Feng, Benson W M Lau, Peter D Wagner, Xian Yang and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04572360 (Would Cardiorespiratory Exercise and Chinese Herbal Medicine Facilitate Rehabilitation Among Post-discharge Patients With COVID-19? Clinical Efficacy and Mechanisms), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04572360 naunknown statusnot on this map

Would Cardiorespiratory Exercise and Chinese Herbal Medicine Facilitate Rehabilitation Among Post-discharge Patients With COVID-19? Clinical Efficacy and Mechanisms

TypeinterventionalSponsorHong Kong Baptist UniversityRan2020 to 2023Enrolled172ConditionsCoronavirus Disease (COVID-19)ArmsCardiorespiratory Exercise, Modified Bai He Gu Jin Tang
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 4 countries.

Yang Gao *Centre for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon, Hong Kong.ORCID https://orcid.org/0000-0003-0439-4804
Linda L D Zhong *School of Chinese Medicine, Hong Kong Baptist University, Kowloon, Hong Kong.ORCID https://orcid.org/0000-0002-3877-1914
Binh QuachCentre for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon, Hong Kong.ORCID https://orcid.org/0000-0002-2500-0301
Bruce DaviesNeurovascular Research Laboratory, University of South Wales, Pontypridd, United Kingdom.ORCID https://orcid.org/0000-0002-0007-9535
Garrett I AshVeterans Affairs Connecticut Healthcare System, West Haven, CT, United States.ORCID https://orcid.org/0000-0002-8655-7525
Zhi-Xiu LinSchool of Chinese Medicine, Faculty of Medicine, The Chinese University of Hong Kong, New Territories, Hong Kong.ORCID https://orcid.org/0000-0003-2840-6179
Yibin FengSchool of Chinese Medicine, The University of Hong Kong, Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0002-0241-670X
Benson W M LauDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong.ORCID https://orcid.org/0000-0002-4552-2780
Peter D WagnerDepartment of Medicine, University of California San Diego, La Jolla, CA, United States.ORCID https://orcid.org/0000-0001-7957-7432
Xian YangDepartment of Computer Science, Hong Kong Baptist University, Kowloon, Hong Kong.ORCID https://orcid.org/0000-0002-1496-8923
Yike GuoDepartment of Computer Science, Hong Kong Baptist University, Kowloon, Hong Kong.ORCID https://orcid.org/0000-0002-3075-2161
Wei JiaSchool of Chinese Medicine, Hong Kong Baptist University, Kowloon, Hong Kong.ORCID https://orcid.org/0000-0002-3739-8994
Zhaoxiang BianSchool of Chinese Medicine, Hong Kong Baptist University, Kowloon, Hong Kong.ORCID https://orcid.org/0000-0001-6206-1958
Julien S Baker *Centre for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon, Hong Kong.ORCID https://orcid.org/0000-0001-7896-6217
Hong Kong Baptist University · HKChinese University of Hong Kong · HKHong Kong Polytechnic University · HKUniversity of California San Diego · USUniversity of South Wales · GBYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundRecent studies have revealed that many discharged patients with COVID-19 experience ongoing symptoms months later. Rehabilitation interventions can help address the consequences of COVID-19, including medical, physical, cognitive, and psychological problems. To our knowledge, no studies have investigated the effects of rehabilitation following discharge from hospital for patients with COVID-19.

objectiveThe specific aims of this project are to investigate the effects of a 12-week exercise program on pulmonary fibrosis in patients recovering from COVID-19. A further aim will be to examine how Chinese herbal medicines as well as the gut microbiome and its metabolites regulate immune function and possibly autoimmune deficiency in the rehabilitation process.

methodsIn this triple-blinded, randomized, parallel-group, controlled clinical trial, we will recruit adult patients with COVID-19 who have been discharged from hospital in Hong Kong and are experiencing impaired lung function and pulmonary function. A total of 172 eligible patients will be randomized into four equal groups: (1) cardiorespiratory exercise plus Chinese herbal medicines group, (2) cardiorespiratory exercise only group, (3) Chinese herbal medicines only group, and (4) waiting list group (in which participants will receive Chinese herbal medicines after 24 weeks). These treatments will be administered for 12 weeks, with a 12-week follow-up period. Primary outcomes include dyspnea, fatigue, lung function, pulmonary function, blood oxygen levels, immune function, blood coagulation, and related blood biochemistry. Measurements will be recorded prior to initiating the above treatments and repeated at the 13th and 25th weeks of the study. The primary analysis is aimed at comparing the outcomes between groups throughout the study period with an α level of .05 (two-tailed).

resultsThe trial has been approved by the university ethics committee following the Declaration of Helsinki (approval number: REC/19-20/0504) in 2020. The trial has been recruiting patients. The data collection will be completed in 24 months, from January 1, 2021, to December 31, 2022.

conclusionsGiven that COVID-19 and its sequelae would persist in human populations, important findings from this study would provide valuable insights into the mechanisms and processes of COVID-19 rehabilitation.

trial registrationClinicalTrials.gov NCT04572360; https://clinicaltrials.gov/ct2/show/NCT04572360. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/25556.

Indexed as

cardiorespiratory exerciseChinese medicineCOVID-19rehabilitation

Identifiers

PMID33970864
PMCPMC8158531
OpenAlexW3154042670

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.