Extended Physiotherapy After Intensive Care Unit (ICU) Stay: A Prospective Before and After Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Critical Illness
- Sponsor
- Stockholm South General Hospital
- Enrollment
- 44
- Locations
- 1
- Primary Endpoint
- Changes in physical function according to Chelsea Critical Care Physical Assessment tool (CPAx)
- Status
- Completed
- Last Updated
- 4 years ago
Overview
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.
Investigators
Katinka Siesage
RPT, Clinical Specialist Physiotherapist Intensive Care, MSc
Stockholm South General Hospital
Eligibility Criteria
Inclusion Criteria
- •Age over 18 years
- •ICU stay \>48 hours
- •Understand the Swedish language
Exclusion Criteria
- •Patients palliative care with no intention of rehabilitation
Outcomes
Primary Outcomes
Changes in physical function according to Chelsea Critical Care Physical Assessment tool (CPAx)
Time Frame: Through study completion, an average of 2 weeks per participant
Measures physical function in critically ill patients
Secondary Outcomes
- Length of stay at the ward(Through study completion, an average of 2 weeks per participant)
- Readmission to ICU(Through study completion, an average of 2 weeks per participant)
- Feasibility of intervention(Through study completion, an average of 2 weeks per participant)