Critical Illness, Early Mobilization, Mechanical Ventilation Complication, Muscle Weakness
Conditions
Keywords
ICU-mobility-scale
Brief summary
Intensive care unit acquired weakness (ICUAW) is a common issue in critically ill patients. Early mobilization can reduce the occurrence of ICUAW. This requires a standardized procedure based on validated scales. One such scale is Carol Hodgson's ICU Mobility Scale (IMS). The subject of the study is the translation of the IMS into German and the validation of its reliability and predictive power with regard to various clinical outcomes. Furthermore we want to investigate the communication about the mobilisation status of ICU-patients between the different medical disciplines that are involved in patient care.
Interventions
None listed
Sponsors
Charite University, Berlin, Germany
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Critically ill adults (age: ≥ 18 years) * Expected length of stay in ICU \> 24h * Ventilation support
Exclusion criteria
* Patients transferred from other ICUs * Patients with pre-existing functional limitations * Patients with functional limitations due to the admission diagnosis (e.g. stroke. with hemiparesis)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Predictive validity of the IMS | approximate 28 days (till ICU discharge) | Predictive validity of the IMS-score performed in the first 24 hours after admission to the ICU for the length of stay in the ICU |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 90-day mortality | at 90 days | Mortality at 90 days |
| 90-day function | at 90 days | Physical function of the patient at 90 days |
| MRC Score | approximate 28 days (till ICU discharge) | Muscle strength at ICU discharge measured using the Medical Research Council score |
| ICU mortality | approximate 28 days (till ICU discharge) | Mortality during ICU stay |
| Duration of mechanical ventilation | approximate 28 days (till ICU discharge) | Duration of invasive mechanical ventilator dependency |
| Muscle strength | approximate 28 days (till ICU discharge) | Muscle strength at ICU discharge measured using hand grip strength |
| IMS during the ICU stay | approximate 28 days (till ICU discharge) | achieved mobilization level during the ICU stay using the ICU Mobility Scale (IMS) |
| ICU-LOS | approximate 28 days (till ICU discharge) | Length of stay in the ICU |
| Hospital LOS | approximate 28 days (till discharge) | Length of stay in the hospital |
| in-hospital mortality | approximate 28 days (till discharge) | Mortality during the Hospital stay |
| Discharge location | approximate at 28 days (at hospital discharge) | If the patient was discharged home or to another facility at hospital discharge |
Countries
Germany
Outcome results
None listed