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Trial registered on ANZCTR
Registration number
ACTRN12616001678482
Ethics application status
Approved
Date submitted
1/12/2016
Date registered
6/12/2016
Date last updated
1/12/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Mobilisation of intensive care patients receiving blood pressure support medications: an observational study
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Scientific title
Mobilisation of vasopressor-dependent intensive care patients: an observational study.
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Secondary ID [1]
290664
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Nil known
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Universal Trial Number (UTN)
U1111-1190-5022
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Intensive care patients
301193
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Vasopressor-dependent Hypotension
301194
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Condition category
Condition code
Cardiovascular
300944
300944
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0
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Other cardiovascular diseases
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Physical Medicine / Rehabilitation
300978
300978
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0
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Physiotherapy
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
All vasopressor-dependent patients who experienced mobilisation with physiotherapists in the ICU at Canberra hospital will be described in this retrospective study. The time frame studied will be October 1 - December 31 2016. Mobilisation includes all activities which facilitate out-of-bed movement, including sitting on the edge of the bed, sitting in a chair, standing, marching on the spot and standing with the assistance of equipment (eg tilt table or gait harness).
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Intervention code [1]
296543
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
300368
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Safety - incidence of adverse events, as documented in medical record by treating physiotherapist.
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Assessment method [1]
300368
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Timepoint [1]
300368
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At time of mobilisation
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Secondary outcome [1]
329804
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Level of mobilisation achieved, as described by the treating physiotherapist using the ICU mobility scale (IMS) in the medical record
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Assessment method [1]
329804
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Timepoint [1]
329804
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At time of mobilisation
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Secondary outcome [2]
329805
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Overall functional level achieved, using the Acute Care Index of Function score (ACIF) as recorded by the treating physiotherapist in the medical record.
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Assessment method [2]
329805
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Timepoint [2]
329805
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At ICU discharge
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Secondary outcome [3]
329865
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Frequency of mobilisation
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Assessment method [3]
329865
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Timepoint [3]
329865
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Throughout ICU admission within the audit period as documented in the medical record
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Secondary outcome [4]
329866
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Vasopressor dosage
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Assessment method [4]
329866
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Timepoint [4]
329866
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During each mobilisation episode as documented by nursing staff in the medical record
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Eligibility
Key inclusion criteria
All vasopressor-dependent adult patients who experience mobilisation as part of their routine physiotherapy intervention in ICU
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Not receiving vasopressor medication at the time of mobilisation
Aged < 18 years
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Retrospective
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Statistical methods / analysis
Descriptive analyses will be used to best describe the sample in terms of demographics, level of vasopressor support and mobilisation / functional level achieved at time of intervention and at ICU discharge, as well as incidence of adverse events.
Correlational analyses will be used to describe any associations between level of vasopressor support and level of mobilisation achieved, and between level of mobilisation achieved and overall functional level at ICU discharge.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
9/01/2017
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Actual
9/01/2017
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Date of last participant enrolment
Anticipated
31/01/2017
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Actual
31/01/2017
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Date of last data collection
Anticipated
31/01/2017
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Actual
31/01/2017
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Sample size
Target
50
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Accrual to date
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Final
119
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Recruitment in Australia
Recruitment state(s)
ACT
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Recruitment hospital [1]
7036
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The Canberra Hospital - Garran
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Recruitment postcode(s) [1]
14768
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2605 - Garran
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Funding & Sponsors
Funding source category [1]
295093
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University
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Name [1]
295093
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University of Canberra
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Address [1]
295093
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Building 12D44
University Drive
Bruce ACT 2617
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Country [1]
295093
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Australia
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Primary sponsor type
University
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Name
University of Canberra
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Address
Building 12D44
University Drive
Bruce ACT 2617
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Country
Australia
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Secondary sponsor category [1]
293913
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Hospital
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Name [1]
293913
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The Canberra Hospital
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Address [1]
293913
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Building 15
Department of Physiotherapy
Canberra Hospital
Yamba Drive Garran ACT 2605
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Country [1]
293913
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296453
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ACT Health Human Research Ethics Committee
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Ethics committee address [1]
296453
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PO Box 11 Woden ACT 2606
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Ethics committee country [1]
296453
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Australia
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Date submitted for ethics approval [1]
296453
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04/10/2016
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Approval date [1]
296453
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12/10/2016
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Ethics approval number [1]
296453
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ETHLR.16.145
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Summary
Brief summary
Early rehabilitation of intensive care (ICU) patients is essential to reduce the residual burden of ICU-acquired weakness. While various guidelines have been published regarding safety criteria for mobilizing ICU patients (eg Hodgson et al 2014), there is little clarity regarding the safety of mobilizing patients receiving drugs which support blood pressure (vasopressors). At Canberra Hospital ICU, we have a well-established routine practice of mobilizing ICU patients (eg Green et al 2016, Leditschke et al 2012, Green et al 2009), including those receiving vasopressors. Note that ‘mobilisation’ can include standing people in a relatively passive way (eg with tilt table equipment) and / or sitting patients over the edge of the bed etc. Thus we can mobilise even sedated and / or delirious patients if required. There is very little data about the relationship between vasopressor dose and mobility level that is achievable in ICU. We wish to describe our usual practice in detail, including accurate quantification of frequency of mobilisation and corresponding dosage of vasopressors. This information will be useful not just to inform our own future practice, but also to other ICU clinicians around the world who seek more clarity on safety criteria for mobilizing patients in ICU. This study is a simple retrospective audit of our usual practice which will allow us to describe our mobilisation practices across a 3 month period. All the information required for this study is already collected routinely in the Metavision computer program in ICU, thus this study will not pose any additional burden to patients or staff. It is intended that the results of this study would be published in a reputable critical care journal, as well as presented at scientific meetings.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Bernie Bissett
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Address
70882
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Building 12D44
University Drive
University of Canberra
Bruce ACT 2617
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Country
70882
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Australia
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Phone
70882
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+61 2 6201 2566
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Fax
70882
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Email
70882
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[email protected]
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Contact person for public queries
Name
70883
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Bernie Bissett
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Address
70883
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Physiotherapy Department
Canberra Hospital
Yamba Drive
Garran ACT 2605
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Country
70883
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Australia
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Phone
70883
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+61 2 6244 2154
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Fax
70883
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Email
70883
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[email protected]
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Contact person for scientific queries
Name
70884
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Bernie Bissett
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Address
70884
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Physiotherapy Department
Canberra Hospital
Yamba Drive
Garran ACT 2605
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Country
70884
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Australia
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Phone
70884
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+61 2 6244 2154
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Fax
70884
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Email
70884
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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