Critical Illness
Conditions
Keywords
algorithm, critical illness, early exercise, feasibility, intensive care unit, physical therapy
Brief summary
Practice guidelines recommend early physical therapy in intensive care unit. Feasibility, safety and efficacy are confirmed by growing evidence based data. However, the scientific literature emphasizes the heterogeneity of targeted populations, lack of precisions concerning eligibility criteria, program modalities, timing initiation, progressions and stopping criteria. However, all these results remain to be precised and confirmed. So, the investigators hypothesize that an early exercise program in intensive care unit formalized from a decisional algorithm is well tolerated in clinical practice.
Detailed description
Practice guidelines recommend early physical therapy in intensive care unit. Feasibility, safety and efficacy are confirmed by growing evidence based data. However, the scientific literature emphasizes the heterogeneity of targeted populations, lack of precisions concerning eligibility criteria, program modalities, timing initiation, progressions and stopping criteria. However, all these results remain to be precised and confirmed. So, the investigators hypothesize that an early exercise program in intensive care unit formalized from a decisional algorithm is well tolerated in clinical practice.
Interventions
PROCEDUREExercise program
Exercise program in intensive care unit established from a decisional algorithm and applied to the critical care unit patients
Sponsors
University Hospital, Clermont-Ferrand
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Men and women * Over 18 years old * Hospitalized in intensive care unit * Patients whose clinical condition allows initiating an early exercise program from critical care physician inclusion
Exclusion criteria
* Less than 18 years old or disabled adult * Head or spinal severe trauma * Severe trauma of the lower limbs or pelvis * Musculoskeletal and neurological conditions which do not permit to realise the exercise program * Patient for whom the reason for hospitalization does not justify early physical therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Score difference on a discomfort visual analogic scale between before and after program completion | at day 1 |
Secondary
| Measure | Time frame |
|---|---|
| Functional capacity (PFIT: Physical Function ICU Test score) | at day 1 |
| length of stay on intensive care unit | at day 1 |
| mortality in ICU | at day 1 |
| Unit of discharge (specialty of the unit) | at day 1 |
Countries
France
Outcome results
None listed