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Trial registered on ANZCTR
Registration number
ACTRN12617000536369
Ethics application status
Approved
Date submitted
10/04/2017
Date registered
12/04/2017
Date last updated
18/03/2019
Date data sharing statement initially provided
18/03/2019
Date results provided
18/03/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
The minimal important difference of the ICU mobility scale.
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Scientific title
Calculating the minimal important difference of the ICU mobility scale in adult ICU patients.
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Secondary ID [1]
291366
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None
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Universal Trial Number (UTN)
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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:
Critical Illness
302350
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Condition category
Condition code
Physical Medicine / Rehabilitation
301936
301936
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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
Patients will be observed through an intensive care or high dependency care unit stay, from admission to discharge. There will be no change to standard care and the patients will not be required to complete any additional tests for the study.
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Intervention code [1]
297391
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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]
301359
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ICU mobility scale
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Assessment method [1]
301359
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Timepoint [1]
301359
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ICU admission and ICU discharge
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Secondary outcome [1]
332420
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The Global rating of change
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Assessment method [1]
332420
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Timepoint [1]
332420
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From ICU admission to ICU discharge
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Eligibility
Key inclusion criteria
Inclusion criteria: Patients will be screened by a clinical researcher at each site. Patients will be eligible for inclusion if they are:
1) over 18 years of age,
2) admitted to ICU/HDU for over 24 hours and expected to stay for another 24 hours,
3) alive on discharge from ICU,
4) assessed by the same physiotherapist within 24 hours of admission and discharge from ICU and there is at least 48 hours between the two assessments.
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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
Exclusion criteria: Patients will be excluded if the ICU admission or the goals of treatment are for comfort measures only.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
The median change in IMS associated with substantial, small and no change on the global rating of change will be compared using a Kruskal-Wallis test.
Distribution based methods used to calculated the MID will be the SEM and the effect size. The SEM is defined as s"1"v(1-r) , where s1 is the standard deviation at baseline (admission to ICU) and r is the test-retest reliability obtained from a previous study. One SEM closely approximates the MID. The effect size quantifies the amount of difference between two means on a unit less scale. A moderate effect size is considered clinically important and is calculated as 0.5 X standard deviation of the change scores from ICU admission to ICU discharge.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
8/05/2017
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Actual
6/07/2017
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Date of last participant enrolment
Anticipated
29/12/2017
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Actual
8/11/2017
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Date of last data collection
Anticipated
26/01/2018
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Actual
8/11/2017
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Sample size
Target
184
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Accrual to date
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Final
184
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
7603
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The Alfred - Prahran
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Recruitment hospital [2]
7604
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Ballarat Health Services (Base Hospital) - Ballarat Central
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Recruitment hospital [3]
7605
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Barwon Health - Geelong Hospital campus - Geelong
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Recruitment postcode(s) [1]
15502
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3004 - Prahran
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Recruitment postcode(s) [2]
15503
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3350 - Ballarat Central
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Recruitment postcode(s) [3]
15504
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3220 - Geelong
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Funding & Sponsors
Funding source category [1]
295838
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Hospital
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Name [1]
295838
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Alfred Hospital
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Address [1]
295838
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55 Commercial Rd, Melbourne VIC 3004
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Country [1]
295838
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Australia
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Primary sponsor type
Hospital
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Name
Alfred Hospital
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Address
55 Commercial Rd, Melbourne VIC 3004
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Country
Australia
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Secondary sponsor category [1]
294688
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University
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Name [1]
294688
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Monash University
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Address [1]
294688
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553 St Kilda Rd
Melbourne VIC 3004
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Country [1]
294688
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297120
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Alfred Hospital
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Ethics committee address [1]
297120
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Office of Ethics and Research Governance Level One, Old Baker Building Alfred Health 55 Commercial Road Melbourne VIC 3004 PO Box 315 Prahran VIC 3181 Australia
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Ethics committee country [1]
297120
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Australia
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Date submitted for ethics approval [1]
297120
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19/04/2017
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Approval date [1]
297120
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22/05/2017
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Ethics approval number [1]
297120
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Summary
Brief summary
A prospective multi-center study of adult patients admitted to intensive care (ICU) or high dependency unit's across Victoria. Ethical approval will be sort through The Alfred Hospital, Monash University and the individual ethics boards for each participating site. This study aims to use anchor and distribution based methods to establish the minimal important difference (MID) of the ICU mobility scale (IMS) in a critically ill population. Anchor based: Where patients are treated by the same clinician physiotherapist within 24 hours of admission and discharge to ICU they will be asked two questions on the final assessment. “Has the patient’s mobility changed since admission to ICU?” and “If yes, how much have they changed?’ The rate of change will be scored as: 1- almost the same, hardly better at all, 2- a little better, 3- somewhat better, 4- moderately better, 5- a good deal better, 6- a great deal better and 7- a very great deal better. Similar assessments will be made for deterioration, substituting “worse” for “better”11. The IMS will also be independently collected at both time points by a clinical researcher. Distribution based: The patients’ IMS scores from ICU admission and discharge will be used to estimate the MID using two distribution based methods, the standard error of the mean and the effect size.
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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
73042
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Ms Claire Tipping
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Address
73042
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Physiotherapy Department, Alfred Hospital
55 Commercial Rd, Melbourne VIC 3004
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Country
73042
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Australia
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Phone
73042
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+61 3 90763450
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Fax
73042
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Email
73042
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[email protected]
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Contact person for public queries
Name
73043
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Claire Tipping
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Address
73043
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Physiotherapy Department, Alfred Hospital
55 Commercial Rd, Melbourne VIC 3004
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Country
73043
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Australia
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Phone
73043
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+ 61 3 9076 3450
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Fax
73043
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Email
73043
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[email protected]
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Contact person for scientific queries
Name
73044
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Carol Hodgson
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Address
73044
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ANZIC research centre
Monash University 553 St Kilda Rd
Melbourne, Vic 3004
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Country
73044
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Australia
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Phone
73044
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+61 3 9903 0598
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Fax
73044
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Email
73044
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
This was no a condition of our ethics approval
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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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