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Study of Therapeutic Exercise in Acute Respiratory Failure to Improve Neuromuscular Disability Trial

NCT03863470 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1917

Last updated 2022-10-21

No results posted yet for this study

Summary

This is a stepped-wedge, cluster randomized, trial evaluating the effect of an early goal-directed mobilization intervention for ICU patients with acute respiratory failure within 12 medical and surgical ICUs across 4 hospitals in the University of Pennsylvania Health System. The investigators will conduct a 54-week trial to measure the effect of the intervention on multiple patient-centered outcomes of patient physical function and cognition, in addition to ICU and hospital length of stay and duration of mechanical ventilation compared to usual care.

Conditions

  • Critical Illness
  • Acute Respiratory Failure

Interventions

BEHAVIORAL

Early mobilization intervention

The intervention consists of 3 components: 1) A simplified mobilization goal (using the Surgical Optimal Mobility Score) will be defined during daily morning ward rounds and displayed on the doors of patients' rooms; 2) a facilitator will communicate to the care team regarding mobility goals; 3) clinicians will receive feedback on patient's mobility as mobility scores will be made available electronically on the ICU board - a dashboard for monitoring patient care in the ICU

Sponsors & Collaborators

Principal Investigators

  • William Schweickert, MD · University of Pennsylvania School of Medicine - Pulmonary, Allergy, and Critical Care

  • Scott D Halpern, MD PhD · University of Pennsylvania School of Medicine - PAIR Center

  • Juliane Jablonski, DNP RN · University of Pennsylvania

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Model
CROSSOVER

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2019-03-04
Primary Completion
2020-03-15
Completion
2020-07-30

Countries

  • United States

Study Locations

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Entities

Companies

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03863470 on ClinicalTrials.gov