Holy Name Progressive Mobility in the ICU

NCT02533622 | Completed

• 1 other identifier: QI-2010-05
• Study Type: observational
• Target: 63
• Locations: 1 country
• Sites: 1

Brief Summary

Despite the known complications of immobility for ICU patients, compliance to mobility protocols is lacking in many institutions. Significant barriers have been described to compliance to up in chair and weight bearing orders in the ICU. Recent studies indicate that if progressive mobility is performed for acutely ill ICU patients they may have a reduced ICU length of stay, reduced overall hospital length of stay, incur lower hospital costs, and reduce the rate of some medical complications and increase functionality post ICU discharge. The current protocol seeks to understand whether or not the TotalCare® P500 Bed System and the Liko Lift can remove some of the barriers associated with progressive mobility compliance.

Conditions

Respiratory Failure

Keywords

progressive mobility

Outcome Measures

Primary Outcomes (1)

• First out of bed, which is to be defined as the first time that a patient stands whether assisted or not for > 1 minute.

  at ICU discharge (current avg LOS = 6 days)

Secondary Outcomes (7)

• ICU length of stay

  at ICU discharge (current avg LOS = 6 days)

• Days of Mechanical Ventilation assessed as time to extubation. Extubation is to be defined as the time when the ET tube is removed from the airway

  at ICU discharge (current avg LOS = 6 days)

• Compliance with, Number and Duration of Up in Chair episodes. Patients will be considered compliant if they complete 100% of prescribed episodes.

  at ICU discharge (current avg LOS = 6 days)

• ICU readmission rate (within 30 days)

  at ICU discharge (current avg LOS = 6 days)

• Incidence of nosocomial pressure ulcers and change in existing pressure ulcers

  at ICU discharge (current avg LOS = 6 days)

Study Arms (2)

Standard of care

Patients admitted to the ICU will receive current standard of care related to mobility

Progressive mobility

patients admitted to the ICU will receive mobility per Progressive Mobility protocol using TotalCare beds and lifts

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult patients admitted to the Medical ICU

You may qualify if:

• Patient is ≥ 18 years old.
• Patient has been admitted to the ICU for less than 3 days prior to study enrollment
• Patients require mechanical ventilation for \> 48 hours

You may not qualify if:

• Patient has an unstable spinal injury.
• Patient weighs less than 70 pounds or more than 450 pounds
• Mobilization is contraindicated by Patient's condition. Such as hip fractures or other injury that would impede standing posture.
• Patient was unable to walk without assistance prior to ICU admission.
• Patient was cognitively impaired prior to ICU admission.
• Patient has experienced acute stroke with neurologic impairment
• Patient's primary diagnosis is drug overdose.
• Patient has Comfort Care Measures/End of Life orders and/or is at an end stage terminal disease state.
• Patient requires a bed other than the standard care bed for any reason.

Sponsors & Collaborators

• Hill-Rom: lead

Study Sites (1)

Holy Name Medical Center

Teaneck, New Jersey, 07666, United States

Location

MeSH Terms

Conditions

Respiratory Insufficiency

Condition Hierarchy (Ancestors)

Respiration Disorders; Respiratory Tract Diseases

Study Officials

• Mary J Tracy, RN, MSN

  Holy Name Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 22, 2012
• First Posted: August 27, 2015
• Study Start: January 1, 2011
• Primary Completion: November 1, 2012
• Study Completion: January 1, 2013
• Last Updated: August 27, 2015

Record last verified: 2015-08

Locations

US (1)