Comparison of commonly used ICU functional scales in predicting length of stay of patients admitted in the ICU: An observational study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- To measure the physical function in ICU using various scales such as PFIT, FSS-ICU, Perme ICU mobility score, ICU Mobility Scale
研究概览
简要总结
Title: Comparison of commonly used ICU Functional Scales in predicting length of stay of patients admitted in the ICU: An observational study
Need of study: Using ICU Functional scales is important as it helps in delivering mobility interventions to provide improvements in physical function, reduce complications and reduce length of stay in the ICU. As there are multiple scales available to assess the functional status in ICU such as PFIT, FSS-ICU, the Perme ICU mobility score, ICU Mobility Score, it is essential to compare these scales and find out which scale is better to predict the length of stay in ICU of the patient so that it can be implemented in practice. Till date, comparison of multiple ICU functional scales in predicting the length of stay in ICU is not done. This study will help us in determining which scale will be a better tool in predicting the length of stay in the ICU.
Aims: To compare commonly used ICU Functional Scales in predicting the Length of Stay of patients admitted in the ICU
PRIMARY OBJECTIVES:
To measure the physical function in ICU using various sclaes such as PFIT, FSS-ICU, Perme ICU mobility score, ICU Mobility Scale
SECONDARY OBJECTIVES:
To compare PFIT, FSS-ICU, Perme ICU mobility score, ICU Mobility Scale in predicting Length of Stay in ICU.
Material and Methods
Study Setting - – D.Y Patil Hospital and Research Centre, Navi Mumbai.
Study design – Prospective Observational Study
Study duration – 6 months
Study participants/subjects- Patients admitted in all adult ICUs.
Sample size – 124
Sampling procedure – Convenience sampling
Outcome Measures:
Following scales will be used to measure the physical function in ICU
1.The Physical Function in ICU Test
2.Functional Status Score for ICU
3.Perme ICU Mobility Score
4.ICU Mobility Scale
Plan of study:
1.Participants willing to participate in the study and fulfilling the inclusion criteria will be selected.
2.Detailed procedure of the study and time required to perform the tests will be explained to the sampled population in the language best understood to them.
3.Informed consent will be taken from the study sampled population
4.Demographic data including name, age, gender, height, weight, past medical history, past surgical history, addictions, comorbidities will be recorded
5.Current details of the patient will include: Heart rate, Blood pressure, Respiratory rate, oxygen saturation, MRC-SS, ICU Diagnosis of the patient, duration of mechanical ventilation (wherever applicable), ICU length of stay, Hospital length of stay, gcs.
6.On the days D1, D3, D5, D7 of ICU stay, ICU Functional Scales - Physical function in ICU test (PFIT), Functional Status Score for the Intensive Care Unit (FSS-ICU), The Perme Intensive Care Unit Mobility Score, ICU Mobility Scale will be recorded.
7.To asses the influence of ICU functional scales on ICU length of stay, a simple linear regression analysis will be performed, where the dependent variable will be ICU length of stay and the independent variable will the scores of ICU functional scales which will be tested individually.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Both gender patients with more than 18 years of age 2.Patients who have independent mobility before hospital admission 3.Patients who require ICU stay for at least 72 hours.
排除标准
- •1.Patients who develop unaccountable cardiovascular or pulmonary complications.
- •2.Patients who are haemodynamic unstable.
- •3.Patients who have premorbid physical and cognitive impairment that will prevent physical ability 4.Patients who are admitted with any central nervous system disorder such as cerebrovascular accident, spinal cord injury, meningitis following head trauma.
- •5.Patients who have amputation in more than 2 limbs in which muscle strength will be tested.
- •6.Patients who have unstable fractures or injuries that will require bed rest.
结局指标
主要结局
To measure the physical function in ICU using various scales such as PFIT, FSS-ICU, Perme ICU mobility score, ICU Mobility Scale
时间窗: 4 months
次要结局
- To compare PFIT, FSS-ICU, Perme ICU mobility score, ICU Mobility Scale in predicting Length of Stay in ICU.(4 months)
研究者
Hitanshi Waghela
D.Y. Patil deemed to be university, School of Physiotherapy, Navi Mumbai