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The impact of an early mobilisation programme on the functional and health related quality of life outcomes of Intensive Care Unit patients in Zimbabw

Not Applicable
Conditions
critically ill patients in ICU
critically ill patients in IC
Registration Number
PACTR201408000829202
Lead Sponsor
niversity of Zimbabwe
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
200
Inclusion Criteria

All participants who were admitted to ICU and High dependency unit (HDU) irrespective of ventilation method (non-invasive or invasive), aged 18 years old or older, medically stable and who consented or had their next of kin consent on their behalf to participate in the study were included.

Mobilisation of participants was initiated based on a priori selected (Bailey et al., 2007) that included:
¿Neurological criterion- the patient had to be awake which was assessed by response to verbal stimulation.
¿Respiratory Criterion- a fraction of inspired oxygen (FiO2) of less than or equal to 0.6 and positive end expiratory pressure (PEEP) of less than or equal to 8cm of water.
¿Circulatory criterion- the absence of orthostatic hypotension and catecholamine drips.

Exclusion Criteria

All participants who had one of the following;
¿Cognitive impairment before acute illness
¿Inability to walk without assistance before acute illness
¿Neuromuscular disease that could impair weaning (Myasthenia gravis, Guillian-Barre), acute stroke, head injury
¿Hip fracture, unstable cervical spine and pathologic fracture
¿Who were assessed by the medical staff as approaching imminent death
¿ Any participant the treating intensive care unit team advised on avoiding mobilisation for any other reason not aforementioned was also excluded.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
functional status
Secondary Outcome Measures
NameTimeMethod
duration period on mechanical ventilation
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