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TerminatedNCT04730661SITCOVUpdated Jan 22, 2026

Efficacy of the Sit to Stand Test in the Decision to Hospitalize a Patient Consulting the Emergency Dept for COVID 19

An interventional study of Sit to stand test in SARS-CoV Infection, sponsored by University Hospital, Rouen. Terminated at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-22.

Sponsored by University Hospital, Rouen · Not applicable, Interventional, and Screening

Why this study was terminated
decrease of inclusion capacities because of the control of COVID 19 epidemia thanks to vaccination
Phase
Not applicable
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

As part of the Coronavirus Infectious Disease 2019 (COVID19) pandemic, the hospital care system is facing a major strain. Patients with SARS-Cov2 (severe acute respiratory syndrome coronavirus 2 ) infection can worsen very quickly, possibly presenting, within hours, severe respiratory failure requiring urgent specialized care. Therefore, it is essential to develop emergency assessment tools to assess relevant criteria to decide which patients must be kept under hospital monitoring and which patients can be treated on outpatient care.

The aim of this study is to assess the efficacy of STST in the decision to hospitalize patients consulting emergency department for a SARS-Cov2 infection. The investigators wish to show that the addition of this test to the usual hospitalization criteria reduces the proportion of patients hospitalized 48 hours after their first visit to the emergency department.

02

Conditions studied

  • SARS-CoV Infection
03

In context

Severe Acute Respiratory Syndrome

382 studies on the registry are indexed under Severe Acute Respiratory Syndrome; 14 are open to participants now.

This study's enrollment of 54 is below the median of 150 across 213 interventional studies indexed under Severe Acute Respiratory Syndrome.

Browse Severe Acute Respiratory Syndrome studies →

Lead sponsor

University Hospital, Rouen is the lead sponsor of 410 studies on the registry; 104 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult (≥18 years old)
  • Admit to emergency department for suspected SARS-Cov2 infection
  • SARS-CoV2 infection confirmed by Real Time Polymerase Chain Reaction (RT - PCR) before the first discharge of emergency department
  • Patient affiliated or beneficiary of a health care insurance
  • Effective contraception in women of childbearing age. For postmenopausal women, amenorrhea for at least 12 months before the inclusion visit

Exclusion criteria

Exclusion Criteria:

  • Patient presenting criteria for admission to intensive care: signs of acute respiratory distress , respiratory rate> 30 / min, oxygen dependence > 6L / min on face mask for an SpO2 ≥ 95% or an arterial oxygen pressure >8kPa, neurological disorders, systolic blood pressure (SBP) \<90mmHg despite fluid resuscitation, lactates> 2mmol / L, bradycardia, or heart rate disorders
  • Patient with SpO2 \<90% in spontaneous ventilation in room air at rest
  • Patient with functional impairment or deterioration of the general condition leading to the inability to perform STST
  • Patient with a resting SBP> 180 mmHg or resting diastolic blood pressure (DBP)> 100 mmHg or resting heart rate (HR)> 120 / min
  • Patient with decompensated or unbalanced cardiac pathology
  • Patient previously included in the study following a previous admission to emergency department
  • Patient deprived of liberty, unable to consent freely
  • Patient non affiliated or beneficiary of a health care insurance
05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
54 participants (actual)

Study arms

  • No intervention
    Conventional arm

    For the patients enrolled in this conventional arm, the decision of hospitalisation or discharge will be taken with usual criteria (pulsed oxygen saturation (SpO2) in room air \<92% and respiratory rate\> 22/min, respiratory rate\> 30/min, Blood gas hypoxemia, decompensation of comorbidity, home monitoring not possible, other intercurrent pathology requiring hospitalization, several risk factors for COVID infection requiring hospitalization in intensive care (age\> 65y, hypertension complicated by a cardiovascular event, chronic cardiovascular disease, unbalanced diabetes with complications, chronic respiratory disease (excluding well-controlled asthma), chronic renal failure dialysis, obesity, progressive cancer under treatment, congenital or acquired immunosuppression)

  • Experimental
    Interventional arm

    For the patients enrolled in this interventional arm, the decision of hospitalisation or discharge will be taken with usual criteria and the result of Sit to Stand Test.

    Diagnostic Test: Sit to stand test

Interventions

  • Diagnostic testSit to stand test

    The sit to stand test (or STST) is a test consisting of performing as many sit-to-stand tests as possible in one minute, from a chair without armrests. We note before and during this test, the SpO2 (pulsed oxygen saturation) (rest value and minimum value during exercise), heart rate (HR), dyspnea on the modified Borg scale as well as the number of chair lifts performed. completely and minimum SpO2 during the recovery phase. The possible results from this one-minute test are as follows: * If SpO2 \<90% or appearance of signs of respiratory distress: Immediate stop of the test and hospitalization * SpO2 \<90% or decrease in SpO2 ≥ 4% during the test or during the recovery period: Hospitalization * SpO2 ≥90% and no decrease in SpO2 ≥ 4% during the test or during the recovery period which will be 3 minutes maximum: discharge.

06

What researchers measure

Primary outcomes

  1. Proportion of late hospitalizations, within 48 hours of first discharge from emergency department, and motivated by worsening symptoms secondary to SARS-Cov2 infection.

    Time frame: 7 days

Secondary outcomes

  1. Proportion of immediate hospitalizations after the 1st admission at emergency department.

    Time frame: 7 days

  2. Proportion of adverse events related to SARS-Cov2 infection within 7 days of patient inclusion.

    The adverse events identified are: * medical consultation, * readmission to the emergency department, * hospitalization, * hospitalization in intensive care unit, * death.

    Time frame: 7 days

  3. Establish the correlation between the number of chair rises performed on STST and the occurrence of an adverse event.

    The adverse events identified are: * medical consultation, * readmission to the emergency department, * hospitalization, * hospitalization in intensive care unit, * death.

    Time frame: 7 days

  4. Correlation between SpO2 and the occurrence of an adverse event

    the difference between the measurement of SpO2 before and after STST will be used to establish the correlation between this difference and the occurrence of an adverse event.

    Time frame: 7 days

  5. Correlation between heart rate (HR) and the occurrence of an adverse event

    the difference between the measurement of HR before and after STST will be used to establish the correlation between this difference and the occurrence of an adverse event.

    Time frame: 7 days

  6. Correlation between dyspnea score and the occurrence of an adverse event

    the difference between the measurement of dyspnea score before and after STST will be used to establish the correlation between this difference and the occurrence of an adverse event.

    Time frame: 7 days

07

Study locations

1 site
  • Rouen university hospital
    Rouen, 76000, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04730661
Lead sponsor
University Hospital, Rouen
Responsible party
Sponsor
First posted
Jan 29, 2021
Start date
Dec 21, 2020
Primary completion
Jun 2, 2021
Completion
Jun 2, 2021
Last update
Jan 22, 2026

Study contacts

Elise ARTAUD-MACARI, MD
principal investigator · Pneumology, Thoracic Oncology and Respiratory Intensive Care Unit
Fairuz BOUJIBAR, PhD
study director · Thoracic Surgery

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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