Critical Illness, Physical Disability
Conditions
Keywords
Physical therapy, Physical function
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.
Detailed description
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.
Interventions
OTHERExtended physiotherapy
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.
Sponsors
Stockholm South General Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
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.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age over 18 years * ICU stay \>48 hours * Understand the Swedish language
Exclusion criteria
• Patients palliative care with no intention of rehabilitation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in physical function according to Chelsea Critical Care Physical Assessment tool (CPAx) | Through study completion, an average of 2 weeks per participant | Measures physical function in critically ill patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of intervention | Through study completion, an average of 2 weeks per participant | Number of planned interventions not delivered, and number of safety events. |
| Length of stay at the ward | Through study completion, an average of 2 weeks per participant | Number of days at the hospital ward after ICU discharge |
| Readmission to ICU | Through study completion, an average of 2 weeks per participant | Number of readmissions to ICU from ward, within each study group |
Countries
Sweden
Outcome results
None listed