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临床试验/NCT03666338
NCT03666338已完成不适用

Influence of the Initial Level of Consciousness on Early, Goal-directed Mobilization

Technical University of Munich0 个研究点目标入组 200 人开始时间: 2011年7月11日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
200
主要终点
Functional independence at hospital discharge

研究概览

简要总结

Analysis of the randomized controlled SOMS trial of early, goal-directed mobilization to investigate if the treatment effect is consistent and independent of the initial conscious state without evidence of moderation or modification.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Single (Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • aged 18 years or older
  • mechanically ventilated for less than 48 h and expected to require mechanical ventilation for at least another 24 h at the time of screening
  • functionally independent at baseline with a Barthel Index Score of at least 70 at 2 weeks before admission to the ICU based on patient or proxy completion of the measure

排除标准

  • admitted to hospital for more than 5 days before screening
  • a motor component of Glasgow Coma Scale (GCS) lower than 5
  • irreversible disorder with a 6-month mortality of greater than 50%,
  • raised intracranial pressure
  • cardiopulmonary arrest
  • unstable fractures contributing to probable immobility
  • inclusion in another trial at the same time
  • acute myocardial infarction
  • do not have lower part of their legs
  • have a rapidly developing neuromuscluar disease
  • ruptured or leaking aortic aneurysm

研究组 & 干预措施

Early, goal-directed mobilization

Active Comparator

Early goal-directed mobilization with (1) SOMS algorithm and (2) facilitator

干预措施: Early, goal-directed mobilization (Other)

Standard of Care

No Intervention

Standard of Care regarding mobilization

结局指标

主要结局

Functional independence at hospital discharge

时间窗: At the day of hospital discharge, on average up to 1 month

minimal modified functional independence measure score of 8 (Scale ranging from 0-8 with the subdomain locomotion and transfer 0-4 each)

次要结局

  • Start to mobilization (SOMS > 0)(Days from ICU admission till first mobilization, approximately up to 5 days)
  • average achieved mobility level during the ICU stay(from ICU admission to ICU discharge, on average up to 2 weeks)
  • Functional status at hospital discharge(At the day of hospital discharge, on average up to 1 month)

研究者

发起方
Technical University of Munich
申办方类型
Other
责任方
Principal Investigator
主要研究者

Stefan Schaller

Specialist Intensive Care

Technical University of Munich

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