The effectiveness of early functional occupation-based therapy in a medical / surgical intensive care unit.

Not Applicable

Suspended

Conditions: Intensive Care
Critical care illness
Physical Medicine / Rehabilitation - Occupational therapy

Registration Number: ACTRN12618000374268

Lead Sponsor: Andrea Rapolthy-Beck

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Suspended

Sex: All

Target Recruitment: 30

Inclusion Criteria

Patients admitted to the ICU will be included if they are aged over 18 years, and are expected to require invasive mechanical ventilation for greater than 48 hours.

Exclusion Criteria

Patients will be excluded from the trial if:

1. Admission to ICU not requiring mechanical ventilation
2. They have been readmitted to ICU from current hospitalisation
3. They have a poor level of functional ability prior to admission ( requiring carer assistance / high dependency level in activities of daily living as measured by a Modified Barthel Index score <40)
4. Have a pre-existing severe cognitive deficit (as identified by completion of the short form IQCODE with an average score above 3.31-3.38 )
5. Have a pre-existing significant mental health disorder impacting on participation
6. A withdrawal of treatment is expected to occur within the next 24 hours or they are not expected to survive the current ICU admission
7. They live interstate or are not local to Logan Hospital and would be unable to attend the 90 days post randomisation follow up
8. They are unable to communicate in English.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Independence within activities of daily living will be measured using the Functional Independence Measure (FIM™). The FIM will quantify the participant’s functional and cognitive status at ICU and hospital discharge, as well as at 90 days post randomisation. This tool is validated for use in the critically ill population and provides reliable information regarding patient functional change during rehabilitation across various hospital and community settings. The FIM will be conducted within 24 hours of the expected ICU and hospital discharge or on the Friday before the expected discharge if likely to occur over the weekend. It will also be administered during the 90 days post randomisation session. [ ICU Discharge (Primary timepoint) <br>Hospital Discharge <br>90 days post randomisation Follow Up]

Secondary Outcome Measures