ICU Liberation: Does Enhanced Patient Mobilization Improve Outcomes?

NCT03329924 | Completed

• 1 other identifier: 2084
• Study Type: observational
• Target: 220
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Early Mobilization of Mechanically Ventilated Patients

Outcome Measures

Primary Outcomes (1)

• Activity level

  activity level during a patient's ICU admission will be measured by accelerometer

  one week

Secondary Outcomes (2)

• Length of ICU admission

  one week

• length of total hospitalization

  one month

Study Arms (2)

Pre-implementation cohort

These patients are being exposed to the current standard of care, which does include some early mobilization practices, but not a formalized program.

Other: Activity level measurement by accelerometer

post-implementation cohort

These patients will have been exposed to the fully executed early mobilization program.

Other: Activity level measurement by accelerometer

Interventions

Activity level measurement by accelerometer OTHER

Eligible patients will wear an accelerometer to measure activity levels while in the ICU.

Pre-implementation cohort; post-implementation cohort

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

Patients in a rural mixed surgical and medical ICU requiring mechanical ventilation will be included in this study

You may qualify if:

• \- Patients in a rural mixed surgical and medical ICU requiring mechanical ventilation

You may not qualify if:

• 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.

Sponsors & Collaborators

• Bassett Healthcare: lead

Study Sites (1)

Bassett Medical Center

Cooperstown, New York, 13326, United States

Location

Study Officials

• Erik riesenfeld, MD

  Bassett Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Attending Physician - Critical Care & Pulmonology

Study Record Dates

• First Submitted: October 31, 2017
• First Posted: November 6, 2017
• Study Start: December 1, 2017
• Primary Completion: December 1, 2020
• Study Completion: January 1, 2023
• Last Updated: March 7, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)