Effectiveness of early mobilization on functional performance in post surgical patients - A comparative study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- PERME ICU MOBILITY SCORE
研究概览
简要总结
BACKGROUND An admission to the Intensive care unit for many patients despite advances in diagnostics and therapeutics and general reductions in mortality remains an event where many are left with a significant post intensive care morbidity The surgical intensive care unit (SICU) or a combined medical surgical ICU is a specialized patient care area designed for critically ill surgical patients It provides care for patients recovering from gastro intestinal surgeries vascular surgeries RTA orthopedic surgeries gynecological surgeries The national estimation after standardization was 3646 surgeries per year per 100000 Indian population 26percentage would be general surgical procedures 20 percent would be obstetrics and gynecological surgeries and 13 percent would be Ophthalmological surgeries After surgery patients may experience some of the most common complications like shock hemorrhage wound infection deep vein thrombosis lung complications urinary retention The early mobilization of the patient in the ICU has received considerable attention in clinical and scientific literature over past several years Long term ICU care is associated with complications Prolonged period of immobility has often been associated with physical deconditioning muscle weakness loss of function muscle wasting and decreased quality of life Outcome measures in surgical ICU are tools used to assess the physical function and recovery of patients who have under gone surgery Types of outcome measures used in ICU are APACHE SAPS MODS SOFA GCS But these tools are not sensitive to measure ICU mobility status
METHODS A single arm study two arm parallel group type of the study is quasi experimental study and the study design is comparative study with a sample size of 44 for duration of 6 months and the study setting is SICU PACU Gynac ICU of SRM medical college hospital and research center
DISCUSSION This study will let us know the importance of a early mobilization in a patient after surgery with undergoing physiotherapy treatment and how the complications are omitted through physiotherapy after surgery and also the functional performance of daily living is to be improved after surgery and this can be improved with early mobilization with physiotherapy treatment after surgery
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 盲法
- None
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 Patients undergone gastrointestinal surgeries, all abdominal surgeries, surgical hysterectomy and orthopedic surgeries (upper limb surgeries and ribs fractures) 2 Patients immediately weaning off from mechanical ventilation.
- •3 Conscious and alert subject 4 Group A patients referred by physician for physiotherapy/early mobilization 5 Group B patients not referred by physician for physiotherapy/early mobilization.
排除标准
- •1 Children or minors, positive pregnancy test 2 Patients with cardio thoracic surgeries, transplantation surgeries (kidney, liver, bowel) cataract surgeries, malignancy surgeries, neuro surgeries, orthopedic surgeries (lower limb surgeries), lower segment caesarian section (LSCS) and malignancies surgeries 3 Patients who are unconsciousness and un- cooperative 4 Patients included in any other trails.
结局指标
主要结局
PERME ICU MOBILITY SCORE
时间窗: after surgery | baseline | at first day | at second or third day | at one week
次要结局
- FUNCTIONAL INDEPENDENCE MEASURE FIM(after surgery)
研究者
Vanka guru venkata sai sharmila priyanka
SRM college of physiotherapy SRM institute of science and technology