early mobilization ICU rehabilitation stage
Conditions
Interventions
The intervention means monitoring with telemetry until discharge to the ward.
The control group maintains conventional bedside monitoring until discharge to
the ward.
Sponsors
St. Antonius Ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: • >=18 years • Minimum ICU/MCU stay 5 days • No expected discharge to the ward without continuous monitoring vital signs within 48 hours • Meets pre-defined criteria: o Hemodynamic stability o No use of inotropes/vasopressors o Not external pacemaker dependent o No significant cardiac arrhythmia or intervention in the last 48 hours • No arterial pressure catheter/line • Signed informed consent
Exclusion criteria
Exclusion criteria: - CVA during hospital admission, with limited mobility (hemiparesis) - Paraplegia due to myelum ischemia after aortic surgery - Guillain-Barre - Prescribed bed rest (e.g. type B dissection) - No signed informed consent - Not instructable or limited mobility - Patient has already been included in the study during hospital admission
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Goal: - Early mobilization measured by DEMMI score (within 24-48 hours after inclusion of the study and then twice a week by physiotherapist) - Muscle strength measured by MRC-SUM (within 24-48 hours after inclusion of the study and then twice a week by physiotherapist) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Reducing anxiety and depression measured by HADS score at the time of inclusion of the study and in the first hours after discharge to the ward. - Feeling more safe measured by one question at the time of inclusion of the study and in the first hours after discharge to the ward. | — |
Countries
Netherlands
Contacts
Public ContactI Pol
St. Antonius Ziekenhuis
Outcome results
None listed