ICU Liberation: Does Enhanced Patient Mobilization Improve Outcomes?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 220
- 试验地点
- 1
- 主要终点
- Activity level
研究概览
简要总结
The hypothesis of this study is that an early mobilization program coupled with organizational efforts to implement the ABCDEF bundle will increase the rate of ICU patient mobilization and decrease the ICU length of stay, but will not significantly affect patient mortality. Mobilization efforts will be done to improve patient care and the study will allow for measurement of the effects of implementation of this effort. The early mobilization program is being instituted as standard of care. The study will measure the actual degree of change in patients' activity level and to evaluate the effect of the program on outcome measures such as length of stay.
详细描述
The purpose of this study is to study implementation efficacy of an early mobilization program in a rural mixed surgical and medical ICU.
The aim of the study is to test whether a program of early mobilization training along with ongoing ABCEDF bundle implementation will change the following:
- early mobilization of ventilated patients in the ICU measured using accelerometer data as a primary measure along with other nurse reported data from the EMR
- ICU length of stay
- other clinical variable outlined in the design section
This study will have a pre- and post-implementation design. Baseline activity levels of eligible patients will be collected prospectively for approximately 3 months while staff is being trained and the details of the early mobilization program are being finalized. All eligible patients will wear an accelerometer while in the ICU. Length of ICU stay, total hospitalization, discharge disposition, and the occurrence of certain hospital-acquired complications will also be recorded as part of the baseline/current practice data. There will be a pause in data collection as the early mobilization program is incorporated into standard practice.
Data collection will resume approximately one month after the implementation of the program.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •- Patients in a rural mixed surgical and medical ICU requiring mechanical ventilation
排除标准
- •age less than 18
- •Pregnant patients
- •Cardiac surgery patients
- •"boarding" patients in the ICU
- •Patients expected to be extubated in less than 24 total hours (e.g. combative trauma patient intubated in order to complete workup),
- •Patients unable to walk prior to admission
- •Patients without limbs
- •Patients with an unstable spinal injury.
结局指标
主要结局
Activity level
时间窗: one week
activity level during a patient's ICU admission will be measured by accelerometer
次要结局
- length of total hospitalization(one month)
- Length of ICU admission(one week)
研究者
Erik Riesenfeld
Attending Physician - Critical Care & Pulmonology
Bassett Healthcare