COVID-19 PandemicNCT05299346
Post-ICU Follow-up Study in Covid-19 Patients
An observational study of COVID-19 Pandemic and Intensive Care Unit Syndrome, run by Sahlgrenska University Hospital at 1 site in Sweden.
Trial summary
A follow up study of adult patients who have been treated in the ICU at Mölndal hospital due to Covid19 in the period of 2020 to 2022. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- COVID-19 Pandemic, Intensive Care Unit Syndrome, Delirium
- What is being tested?
- Follow up
- How many people
- 793 participants
- Where
- 1 siteSweden
- Study dates
- 1 Oct 2020to 1 Sep 2023
- How long will I take part?
- 1 Year
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: All patients that have been treated for Covid 19 at the ICU at Mölndal are eligible for participation
Who may be able to join
- Patients treated at the Intensive Care Unit at Mölndals hospital from 2020 to 2022 for Covid19
- More than 3 months passed since ICU discharge
- Over 18 years of age at time of inclusion
- Swedish resident with Swedish unique personal identification number.
- Informed consent
Who cannot join
- Under 18 years of age at time of inclusion
- Not a Swedish resident
- Unwillingness to participate
Trial locations and contacts
1 site in 1 country.
Sweden1 site
Sahlgrenska University Hospital
Mölndal, Västra Götaland County, 431 80
About this study
Official title: Post-ICU Covid19 Follow-up With Regards to Lung, Heart, Kidney and Cognitive Function
A follow up study of adult patients who have been treated in the ICU at Mölndal hospital due to Covid19 in the period of 2020 to 2022.
Read the detailed description
The spread of Covid19 in the population in Sweden from 2019 and onwards posed new and serious strain on our ICU capacity. The disease presented with initially influenza like symptoms and evolved into multiorgan failure. 5% of all patients with verified Covid 19 were in need of critical care and among them the in-hospital mortality rate was 20%.
Patients will be followed up with after a minimum of three months after discharge from the ICU with regards to organ function.
Examinations within the scope of the study are;
- Comprehensive heart investigation including ultrasound
- Arterial blood gas and lung function tests including computer tomography of the lungs.
- Cognitive function with validated questioners
- Standardized test of physical function
- A panel of blood samples to assess organ function
- Conditions
- COVID-19 Pandemic, Intensive Care Unit Syndrome, Delirium
- Being tested
- Follow up
- Keywords
- covid19, Heart function, Lung function, Cognitive function
- Medical subject headings
- COVID-19, Delirium
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Follow upOther
Comprehensive follow up in dedicated follow up unit
| Study group | Role | What they receive |
|---|---|---|
| Post ICU covid survivors | Patients having survived and discharged from ICU care as a result of Covid 19 Receives: Other: Follow up |
What is being measured
The primary outcome is the main question the study is designed to answer.
Lung Function oxygen saturation
Respiratory function following Covid19, saturation in SaO2%
Measured: One year
Lung Function, end tidal Co2 in kPa
Respiratory function following Covid19, end tidal carbon dioxide in kPa,
Measured: One year
Lung Function, complete arterial and venous blood gas in kPa
Respiratory function with arterial and venous blood gas pO2 and pCO2 in kPa
Measured: One year
Lung Function spirometry
Respiratory function with spirometry in Volumes in ml related to BMI
Measured: One year
Lung parenchym status
Ct scan of the lungs, assessed by radiology specialist, assessed for fibrosis, bronchiectasia and residual ground glass abnormalities
Measured: One year
ECG
5 lead ECG for the detection av arrythmia
Measured: One year
Cardiac ultrasound
Cardiac ultrasound including ejection fractions (EF%)
Measured: One year
Cardiac biomarkers Troponin in ng/L
Cardiac function Blood sampling
Measured: One year
Cardiac biomarkers NTproBNPin ng/L
Cardiac function Blood sampling
Measured: One year
Cognitive function MMSE
Standardized cognitive tests
Measured: One year
Cognitive function CDR
Standardized cognitive tests,
Measured: One year
Cognitive function Montreal Cognitive Assessment
Standardized cognitive tests
Measured: One year
Cognitive function biochemical markers
blood sampling with NFL, NSE, s-100B, fosfor-tau and APOE
Measured: One year
Physical function
Standardized aggregate test of physical function, including seat raise test and grip strength measurement with validated instruments
Measured: One year
Coagulation Status
Blood sampling Fibrinogen, D-Dimer, Antithrombin III and platelets, Aggregate variable to determine overall coagulation status
Measured: One year
Covid 19 antibodies
Antibodies IgG against Covid 19 lab test
Measured: One year
Secondary outcomes (5)
Return to work
Are the subjects working or at the disposal of the labour market
Measured: One year
Return to own home
Are the subjects living in their original housing or equivalent?
Measured: one year
New need for nursing assistance at home?
Are the subjects in need of in home nursing care
Measured: one year
Frailty
assessed accordingly to Clinical frailty scale
Measured: One year
Mental fatigue
self-assessment questionnaire Mental fatigue scale
Measured: One Year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Mar 2022
- Study start1 Oct 2020
- Primary completion1 Jun 2023
- Study completion1 Sep 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (11)Papers the sponsor has linked to this study.
- Other trials for COVID-19 PandemicStudies of the same condition, open and under way.
- More trials run by Sahlgrenska University HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case only
- Time perspective
- Prospective
- Enrolment
- 793 participants (actual)
- Target duration
- 1 Year
Sponsor and investigators
- Lead sponsor
- Sahlgrenska University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Bengt Nellgård, Sahlgrenska University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05299346
- Sponsor's protocol ID
- PICU COVID19
- Status last verified
- May 2025
- First submitted
- 21 Oct 2021
- Last updated
- 30 May 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Due to small sample size, anonymity will be difficult if data is shared
Publications
Mahase E. Coronavirus covid-19 has killed more people than SARS and MERS combined, despite lower case fatality rate. BMJ. 2020 Feb 18;368:m641. doi: 10.1136/bmj.m641. No abstract available.
PubMed 32071063Pan XW, Xu D, Zhang H, Zhou W, Wang LH, Cui XG. Identification of a potential mechanism of acute kidney injury during the COVID-19 outbreak: a study based on single-cell transcriptome analysis. Intensive Care Med. 2020 Jun;46(6):1114-1116. doi: 10.1007/s00134-020-06026-1. Epub 2020 Mar 31. No abstract available.
PubMed 32236644Li XC, Zhang J, Zhuo JL. The vasoprotective axes of the renin-angiotensin system: Physiological relevance and therapeutic implications in cardiovascular, hypertensive and kidney diseases. Pharmacol Res. 2017 Nov;125(Pt A):21-38. doi: 10.1016/j.phrs.2017.06.005. Epub 2017 Jun 12.
PubMed 28619367Ronco C, Reis T. Kidney involvement in COVID-19 and rationale for extracorporeal therapies. Nat Rev Nephrol. 2020 Jun;16(6):308-310. doi: 10.1038/s41581-020-0284-7.
PubMed 32273593Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, Xiang J, Wang Y, Song B, Gu X, Guan L, Wei Y, Li H, Wu X, Xu J, Tu S, Zhang Y, Chen H, Cao B. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020 Mar 28;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3. Epub 2020 Mar 11.
PubMed 32171076Wynants L, Van Calster B, Collins GS, Riley RD, Heinze G, Schuit E, Bonten MMJ, Dahly DL, Damen JAA, Debray TPA, de Jong VMT, De Vos M, Dhiman P, Haller MC, Harhay MO, Henckaerts L, Heus P, Kammer M, Kreuzberger N, Lohmann A, Luijken K, Ma J, Martin GP, McLernon DJ, Andaur Navarro CL, Reitsma JB, Sergeant JC, Shi C, Skoetz N, Smits LJM, Snell KIE, Sperrin M, Spijker R, Steyerberg EW, Takada T, Tzoulaki I, van Kuijk SMJ, van Bussel B, van der Horst ICC, van Royen FS, Verbakel JY, Wallisch C, Wilkinson J, Wolff R, Hooft L, Moons KGM, van Smeden M. Prediction models for diagnosis and prognosis of covid-19: systematic review and critical appraisal. BMJ. 2020 Apr 7;369:m1328. doi: 10.1136/bmj.m1328.
PubMed 32265220Terpos E, Ntanasis-Stathopoulos I, Elalamy I, Kastritis E, Sergentanis TN, Politou M, Psaltopoulou T, Gerotziafas G, Dimopoulos MA. Hematological findings and complications of COVID-19. Am J Hematol. 2020 Jul;95(7):834-847. doi: 10.1002/ajh.25829. Epub 2020 May 23.
PubMed 32282949Orde SR, Pulido JN, Masaki M, Gillespie S, Spoon JN, Kane GC, Oh JK. Outcome prediction in sepsis: speckle tracking echocardiography based assessment of myocardial function. Crit Care. 2014 Jul 11;18(4):R149. doi: 10.1186/cc13987.
PubMed 25015102Dalla K, Hallman C, Bech-Hanssen O, Haney M, Ricksten SE. Strain echocardiography identifies impaired longitudinal systolic function in patients with septic shock and preserved ejection fraction. Cardiovasc Ultrasound. 2015 Jul 2;13:30. doi: 10.1186/s12947-015-0025-4.
PubMed 26134971Dalla K, Bech-Hanssen O, Ricksten SE. Impact of norepinephrine on right ventricular afterload and function in septic shock-a strain echocardiography study. Acta Anaesthesiol Scand. 2019 Nov;63(10):1337-1345. doi: 10.1111/aas.13454. Epub 2019 Aug 19.
PubMed 31361336Rello J, Storti E, Belliato M, Serrano R. Clinical phenotypes of SARS-CoV-2: implications for clinicians and researchers. Eur Respir J. 2020 May 21;55(5):2001028. doi: 10.1183/13993003.01028-2020. Print 2020 May.
PubMed 32341111
Study at a glance
From the registry record, last updated by the sponsor on 30 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Post-ICU Covid19 Follow-up With Regards to Lung, Heart, Kidney and Cognitive Function
- ClinicalTrials.gov ID
- NCT05299346
- Acronym / sponsor ID
- PICU COVID19
- Conditions
- COVID-19 Pandemic, Intensive Care Unit Syndrome, Delirium
- Keywords
- covid19, Heart function, Lung function, Cognitive function
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 793 participants (actual)
- Lead sponsor
- Sahlgrenska University HospitalUniversity, hospital or other
- Study start
- 1 Oct 2020 (actual)
- Primary completion
- 1 Jun 2023 (actual)
- Study completion
- 1 Sep 2023 (actual)
- First posted
- 29 Mar 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A follow up study of adult patients who have been treated in the ICU at Mölndal hospital due to Covid19 in the period of 2020 to 2022.
Detailed description
The spread of Covid19 in the population in Sweden from 2019 and onwards posed new and serious strain on our ICU capacity. The disease presented with initially influenza like symptoms and evolved into multiorgan failure. 5% of all patients with verified Covid 19 were in need of critical care and among them the in-hospital mortality rate was 20%.
Patients will be followed up with after a minimum of three months after discharge from the ICU with regards to organ function.
Examinations within the scope of the study are;
- Comprehensive heart investigation including ultrasound
- Arterial blood gas and lung function tests including computer tomography of the lungs.
- Cognitive function with validated questioners
- Standardized test of physical function
- A panel of blood samples to assess organ function
Study design
- Observational model
- Case only
- Time perspective
- Prospective
- Target follow-up
- 1 Year
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Post ICU covid survivors | – | Other: Follow upPatients having survived and discharged from ICU care as a result of Covid 19 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- All patients that have been treated for Covid 19 at the ICU at Mölndal are eligible for participation
Key inclusion criteria (5 listed)
- Patients treated at the Intensive Care Unit at Mölndals hospital from 2020 to 2022 for Covid19
- More than 3 months passed since ICU discharge
- Over 18 years of age at time of inclusion
- Swedish resident with Swedish unique personal identification number.
- Informed consent
Key exclusion criteria (3 listed)
- Under 18 years of age at time of inclusion
- Not a Swedish resident
- Unwillingness to participate
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Follow upComprehensive follow up in dedicated follow up unit | Other | Post ICU covid survivors |
Primary outcome
Lung Function oxygen saturation
Time frame: One year
Respiratory function following Covid19, saturation in SaO2%
Lung Function, end tidal Co2 in kPa
Time frame: One year
Respiratory function following Covid19, end tidal carbon dioxide in kPa,
Lung Function, complete arterial and venous blood gas in kPa
Time frame: One year
Respiratory function with arterial and venous blood gas pO2 and pCO2 in kPa
Lung Function spirometry
Time frame: One year
Respiratory function with spirometry in Volumes in ml related to BMI
Lung parenchym status
Time frame: One year
Ct scan of the lungs, assessed by radiology specialist, assessed for fibrosis, bronchiectasia and residual ground glass abnormalities
ECG
Time frame: One year
5 lead ECG for the detection av arrythmia
Cardiac ultrasound
Time frame: One year
Cardiac ultrasound including ejection fractions (EF%)
Cardiac biomarkers Troponin in ng/L
Time frame: One year
Cardiac function Blood sampling
Cardiac biomarkers NTproBNPin ng/L
Time frame: One year
Cardiac function Blood sampling
Cognitive function MMSE
Time frame: One year
Standardized cognitive tests
Cognitive function CDR
Time frame: One year
Standardized cognitive tests,
Cognitive function Montreal Cognitive Assessment
Time frame: One year
Standardized cognitive tests
Cognitive function biochemical markers
Time frame: One year
blood sampling with NFL, NSE, s-100B, fosfor-tau and APOE
Physical function
Time frame: One year
Standardized aggregate test of physical function, including seat raise test and grip strength measurement with validated instruments
Coagulation Status
Time frame: One year
Blood sampling Fibrinogen, D-Dimer, Antithrombin III and platelets, Aggregate variable to determine overall coagulation status
Covid 19 antibodies
Time frame: One year
Antibodies IgG against Covid 19 lab test
5 secondary outcomes
Return to work
Time frame: One year
Return to own home
Time frame: one year
New need for nursing assistance at home?
Time frame: one year
Frailty
Time frame: One year
Mental fatigue
Time frame: One Year
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 May 2025.
- Background: PubMed 32071063Mahase E. Coronavirus covid-19 has killed more people than SARS and MERS combined, despite lower case fatality rate. BMJ. 2020 Feb 18;368:m641. doi: 10.1136/bmj.m641. No abstract available.
- Background: PubMed 32236644Pan XW, Xu D, Zhang H, Zhou W, Wang LH, Cui XG. Identification of a potential mechanism of acute kidney injury during the COVID-19 outbreak: a study based on single-cell transcriptome analysis. Intensive Care Med. 2020 Jun;46(6):1114-1116. doi: 10.1007/s00134-020-06026-1. Epub 2020 Mar 31. No abstract available.
- Background: PubMed 28619367Li XC, Zhang J, Zhuo JL. The vasoprotective axes of the renin-angiotensin system: Physiological relevance and therapeutic implications in cardiovascular, hypertensive and kidney diseases. Pharmacol Res. 2017 Nov;125(Pt A):21-38. doi: 10.1016/j.phrs.2017.06.005. Epub 2017 Jun 12.
- Background: PubMed 32273593Ronco C, Reis T. Kidney involvement in COVID-19 and rationale for extracorporeal therapies. Nat Rev Nephrol. 2020 Jun;16(6):308-310. doi: 10.1038/s41581-020-0284-7.
- Background: PubMed 32171076Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, Xiang J, Wang Y, Song B, Gu X, Guan L, Wei Y, Li H, Wu X, Xu J, Tu S, Zhang Y, Chen H, Cao B. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020 Mar 28;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3. Epub 2020 Mar 11.
- Background: PubMed 32265220Wynants L, Van Calster B, Collins GS, Riley RD, Heinze G, Schuit E, Bonten MMJ, Dahly DL, Damen JAA, Debray TPA, de Jong VMT, De Vos M, Dhiman P, Haller MC, Harhay MO, Henckaerts L, Heus P, Kammer M, Kreuzberger N, Lohmann A, Luijken K, Ma J, Martin GP, McLernon DJ, Andaur Navarro CL, Reitsma JB, Sergeant JC, Shi C, Skoetz N, Smits LJM, Snell KIE, Sperrin M, Spijker R, Steyerberg EW, Takada T, Tzoulaki I, van Kuijk SMJ, van Bussel B, van der Horst ICC, van Royen FS, Verbakel JY, Wallisch C, Wilkinson J, Wolff R, Hooft L, Moons KGM, van Smeden M. Prediction models for diagnosis and prognosis of covid-19: systematic review and critical appraisal. BMJ. 2020 Apr 7;369:m1328. doi: 10.1136/bmj.m1328.
- Background: PubMed 32282949Terpos E, Ntanasis-Stathopoulos I, Elalamy I, Kastritis E, Sergentanis TN, Politou M, Psaltopoulou T, Gerotziafas G, Dimopoulos MA. Hematological findings and complications of COVID-19. Am J Hematol. 2020 Jul;95(7):834-847. doi: 10.1002/ajh.25829. Epub 2020 May 23.
- Background: PubMed 25015102Orde SR, Pulido JN, Masaki M, Gillespie S, Spoon JN, Kane GC, Oh JK. Outcome prediction in sepsis: speckle tracking echocardiography based assessment of myocardial function. Crit Care. 2014 Jul 11;18(4):R149. doi: 10.1186/cc13987.
- Background: PubMed 26134971Dalla K, Hallman C, Bech-Hanssen O, Haney M, Ricksten SE. Strain echocardiography identifies impaired longitudinal systolic function in patients with septic shock and preserved ejection fraction. Cardiovasc Ultrasound. 2015 Jul 2;13:30. doi: 10.1186/s12947-015-0025-4.
- Background: PubMed 31361336Dalla K, Bech-Hanssen O, Ricksten SE. Impact of norepinephrine on right ventricular afterload and function in septic shock-a strain echocardiography study. Acta Anaesthesiol Scand. 2019 Nov;63(10):1337-1345. doi: 10.1111/aas.13454. Epub 2019 Aug 19.
- Background: PubMed 32341111Rello J, Storti E, Belliato M, Serrano R. Clinical phenotypes of SARS-CoV-2: implications for clinicians and researchers. Eur Respir J. 2020 May 21;55(5):2001028. doi: 10.1183/13993003.01028-2020. Print 2020 May.
- Individual participant dataSharing planned: No. Due to small sample size, anonymity will be difficult if data is shared
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of COVID-19 Pandemic and Intensive Care Unit Syndrome, run by Sahlgrenska University Hospital at 1 site in Sweden.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 May 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Lung Function oxygen saturation (time frame: One year). The study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05299346, which also lists 11 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 May 2025.