Magnitude and time course of physical deconditioning in severely injured or critically ill patients; A clinimetric evaluation

Magnitude and time course of physical deconditioning in severely injured or critically ill patients; A clinimetric evaluation - Physical deconditioning in critically ill patients

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON33007

Enrollment

Registered

2010-05-03

Start date

2010-06-01

Completion date

Unknown

Last updated

2024-05-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

critical ill patients bedrest- bounded patients severe injured patients

Interventions

None listed

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: admitted on ICU > 18 years > 4 days of mechanical ventilation consiouss

Exclusion criteria

Exclusion criteria: Delirium Sedation Pain

Design outcomes

Primary

Measure	Time frame
1. Percentage of patients of the entire ICU ward eligible for clinometric evaluation 2. Isometric muscle force: elbow flexors, knee extensors and foot dorsiflexors using the MRC-classification added by hand held dynamometry (microvet) if MRC>4. Using reference values according to vd Ploeg . 3. Muscle thickness measure=Ultrasound assessment of the m. quadriceps femoris and m. biceps brachii muscle 4. Spirometry: a. During mechanical ventilation: respiratory strength during in-and expiration b. After finishing mechanical ventilation: Maximum voluntary respiratory vital capacity 5. Modified measurement of condition: heart rate changes followed by repetitive movements.	—

Measure

Time frame

1. Percentage of patients of the entire ICU ward eligible for clinometric evaluation 2. Isometric muscle force: elbow flexors, knee extensors and foot dorsiflexors using the MRC-classification added by hand held dynamometry (microvet) if MRC>4. Using reference values according to vd Ploeg . 3. Muscle thickness measure=Ultrasound assessment of the m. quadriceps femoris and m. biceps brachii muscle 4. Spirometry: a. During mechanical ventilation: respiratory strength during in-and expiration b. After finishing mechanical ventilation: Maximum voluntary respiratory vital capacity 5. Modified measurement of condition: heart rate changes followed by repetitive movements.

—

Secondary

Measure	Time frame
1. Length of stay on the intensive care unit 2. Average amount of painkillers/neuroleptic/antidepressant drugs given during the ICU period 3. Frequency of mortality, morbidity 4. Functional independent measure 5. SF 36 6. Ultrasound assessment of the a. diameter of the femoral artery. b. Fibrillations c. Density 7. Tendon reflexes ATR, PTR, BR	—

Countries

Netherlands

Outcome results