Extended Physiotherapy After Intensive Care Unit (ICU) Stay

NCT05349994 | Completed

• 1 other identifier: Improvement project AFE
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Patients in an Intensive Care Unit (ICU) are at great risk of muscle atrophy and neuromuscular complications, that could lead to respiratory complications, decreased physical functioning and deteriorated health related quality of life. The objective is to investigate if extended physical therapy in a general ward could lead to increased physical functioning for post-ICU patients.The study hypothesis is that extended physical therapy would lead to increased physical function at hospital discharge compared to standard amount of physical therapy.

Conditions

Critical Illness; Physical Disability

Keywords

Physical therapy; Physical function

Outcome Measures

Primary Outcomes (1)

• Changes in physical function according to Chelsea Critical Care Physical Assessment tool (CPAx)

  Measures physical function in critically ill patients

  Through study completion, an average of 2 weeks per participant

Secondary Outcomes (3)

• Feasibility of intervention

  Through study completion, an average of 2 weeks per participant

• Length of stay at the ward

  Through study completion, an average of 2 weeks per participant

• Readmission to ICU

  Through study completion, an average of 2 weeks per participant

Study Arms (2)

Control

NO INTERVENTION

Standard amount of physical therapy at surgical wards in an urban hospital, corresponding to 1.75 physiotherapy employment on weekdays divided on four wards with a total of approx. 40-48 patients.

Intervention

EXPERIMENTAL

Extended physiotherapy with an extra 0.5 employment on weekdays, leading to 1-2 physiotherapy session per day for the study participants in the intervention group.

Other: Extended physiotherapy

Interventions

Extended physiotherapy OTHER

At admission to the surgical ward after ICU care, participants received an individual rehabilitation plan developed in collaboration with the participants and the ward-based physiotherapist. The rehabilitation plan included specified exercises for 1- 2 sessions of approximately 30 minutes a day. For example breathing exercises, practicing transfer in and out of bed and from sitting to standing, stairclimbing, and walking with or without walking aids.

Intervention

Eligibility Criteria

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

You may qualify if:

• Age over 18 years
• ICU stay \>48 hours
• Understand the Swedish language

You may not qualify if:

• Patients palliative care with no intention of rehabilitation

Sponsors & Collaborators

• Stockholm South General Hospital: lead

Study Sites (1)

Stockholm South General Hospital

Stockholm, 11883, Sweden

Location

MeSH Terms

Conditions

Critical Illness

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Katinka Siesage

  Stockholm South General Hospital

  PRINCIPAL INVESTIGATOR

• Eva Alm- Joelsson

  Stockholm South General Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: RPT, Clinical Specialist Physiotherapist Intensive Care, MSc

Model Details: The study design was a before and after study. A control group was included for three months and received standard care. An intervention group was then included for six months and received extended amount of physical therapy.

Study Record Dates

• First Submitted: April 13, 2022
• First Posted: April 27, 2022
• Study Start: January 29, 2019
• Primary Completion: December 24, 2019
• Study Completion: December 24, 2019
• Last Updated: April 27, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)