Extended Physiotherapy After Intensive Care Unit (ICU) Stay

Not Applicable

Completed

• Conditions: Critical Illness; Physical Disability
• Interventions: Other: Extended physiotherapy

• Registration Number: NCT05349994
• Lead Sponsor: Stockholm South General Hospital

Brief Summary

Patients in an Intensive Care Unit (ICU) are at great risk of muscle atrophy and neuromuscular complications, that could lead to respiratory complications, decreased physical functioning and deteriorated health related quality of life. The objective is to investigate if extended physical therapy in a general ward could lead to increased physical functioning for post-ICU patients.The study hypothesis is that extended physical therapy would lead to increased physical function at hospital discharge compared to standard amount of physical therapy.

Detailed Description

The study design is a before and after study. A control group was included for three months and received standard amount of physical therapy at surgical wards, corresponding to 1.75 employment. An intervention group was then included for six months and received extended amount of physical therapy corresponding to an extra 0.5 employment for study participants (2-4 patients/day). The primary outcome was physical function measured with the Chelsea Critical Care Physical Assessment Tool (CPAx), in the ICU and the surgical ward.

Study Timeline

• Study Start: 2019-01-29
• Primary Completion: 2019-12-24
• Study Completion: 2019-12-24
• Status Verified: 2022-04
• Study First Submitted: 2022-04-13
• Study First Submitted QC: 2022-04-22
• Last Update Submitted: 2022-04-22
• Study First Posted: 2022-04-27
• Last Update Posted: 2022-04-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Age over 18 years
• ICU stay >48 hours
• Understand the Swedish language

Exclusion Criteria

• Patients palliative care with no intention of rehabilitation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Extended physiotherapy	Extended physiotherapy with an extra 0.5 employment on weekdays, leading to 1-2 physiotherapy session per day for the study participants in the intervention group.

Primary Outcome Measures

Name	Time	Method
Changes in physical function according to Chelsea Critical Care Physical Assessment tool (CPAx)	Through study completion, an average of 2 weeks per participant	Measures physical function in critically ill patients

Secondary Outcome Measures

Name	Time	Method
Length of stay at the ward	Through study completion, an average of 2 weeks per participant	Number of days at the hospital ward after ICU discharge
Readmission to ICU	Through study completion, an average of 2 weeks per participant	Number of readmissions to ICU from ward, within each study group
Feasibility of intervention	Through study completion, an average of 2 weeks per participant	Number of planned interventions not delivered, and number of safety events.

Trial Locations

Locations (1)

Stockholm South General Hospital; 🇸🇪 Stockholm, Sweden