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Completed

NCT Number: NCT05349994

Extended Physiotherapy After Intensive Care Unit (ICU) Stay

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.

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Key information

Conditions

Critical Illness Disease Attributes Pathologic Processes Pathological Conditions, Signs and Symptoms Physical Disability

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Stockholm South General Hospital

Stockholm, 11883, Sweden

About this study

The study design is a before and after study. A control group was included for three months and received standard amount of physical therapy at surgical wards, corresponding to 1.75 employment. An intervention group was then included for six months and received extended amount of physical therapy corresponding to an extra 0.5 employment for study participants (2-4 patients/day). The primary outcome was physical function measured with the Chelsea Critical Care Physical Assessment Tool (CPAx), in the ICU and the surgical ward.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

  • Patients palliative care with no intention of rehabilitation

Treatment and study plan

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.

Primary outcomes

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

    Time frame: Through study completion, an average of 2 weeks per participant

    Measures physical function in critically ill patients

Secondary outcomes

  1. Feasibility of intervention

    Time frame: Through study completion, an average of 2 weeks per participant

    Number of planned interventions not delivered, and number of safety events.

  2. Length of stay at the ward

    Time frame: Through study completion, an average of 2 weeks per participant

    Number of days at the hospital ward after ICU discharge

  3. Readmission to ICU

    Time frame: Through study completion, an average of 2 weeks per participant

    Number of readmissions to ICU from ward, within each study group

Sponsors and collaborators

Lead sponsor

Stockholm South General Hospital

Other

Registry information

Official study title

Extended Physiotherapy After Intensive Care Unit (ICU) Stay: A Prospective Before and After Study

Important dates

Study start
2019
Primary completion
2019
Study completion
2019
First posted
Apr 27, 2022
Registry last updated
Apr 27, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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